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NutritionHome |
Current Nutritional Projects in ScotlandThe SIGNET TrialThe SIGNET trial was a major prospective multi-centre randomised controlled trial conducted in Scottish ICUs to address the question: Does the inclusion of glutamine, additional selenium, or the two in combination, in a standard preparation of parenteral nutrition (PN) improve the outcome for critically ill patients particularly in terms of participants with infections, mortality, ICU and acute hospital stay? The trial involved patients expected to be on intensive care units and high dependency units (levels 2 and 3 care) under the care of the intensive care unit consultants for at least 48 hours, aged 16 years or over, who required parenteral nutrition and were expected to have at least half of daily nutritional requirements provided by that route . The SIGNET trial ended in December 2008 with full recruitment. It is currently awaiting publication. A preliminary press release and a summary of results can be viewed by clicking here and here. Other projects:Weighing patients in ICUCraig Hurnauth, Nutrition Nurse in the Southern General Hospital, Glasgow, audited weighing practices in Scottish ICUs and showed that very few units obtain an accurate weight or height on their critically ill patients. The Nutrition Group hopes to improve this situation by education of its members about this important issue. See poster (weighing patients.pdf). Nutritional assessment Kerry Aitken, Peter Andrews and Marcia McDougall
are undertaking a systematic review of nutritional screening in
ICU. The Fife ICU Screening Tool was devised in 2008 to simplify the
screening process and
has been trialled successfully in Fife. Other units in Scotland
have started to use it and further studies are planned. See poster (nutritionalscreening.pdf)
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Nutrition-Related CATS |
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