The Effect of a 6-month Dietitian-tailored Nutrition Intervention to Patients With Critical Illness (DETAIL)

The study will recruit patients with critical illness in one of two groups. Group one will receive standard nutrition care following the current local guidelines. Group two will receive frequent follow-up by a clinical dietitian from inclusion and until six months from admission. The dietitian will be responsible for the nutrition administered to the patient during hospital admission and will have consultations with the patients after discharge. The patients in group two will receive individualized nutrition care and recommendations.

In addition to outcome measures regarding nutrition, the patients can choose if they want to perform physical tests and blood tests as well, but that part of the study is optional. In both groups, outcome measures will be collected at day ten, 30, 90 and 180 days after admission to the ICU. The collection of data will occur even though the patients have been discharged from the hospital, either to their home or another health care facility.

The aim is to study the effect of optimal and individualised nutrition to patients with critical illness during the ICU and hospital admission, and until six months after admission. Firstly, the investigators want to describe the usual care and progression of the patients during the first six months after hospital admission. Secondly, the investigators want to see if frequent follow-up by a clinical dietitian can increase nutritional intake during the same period.

The hypothesis is that dietitian-tailored nutrition care will result in a higher mean energy intake compared to usual care, and that this will further impact other aspects, such as quality of life and physical function.

• Protein intake [Срок оценки: Up to 6 months]
• Nutrition intake [Срок оценки: Day 10, day 30, day 90 and day 180]
• Nutrition risk during overall follow-up [Срок оценки: Baseline, day 10, day 30, day 90 and day 180]
• Nutrition risk during ICU admission [Срок оценки: ICU admission up to 6 months]
• Health related quality of life [Срок оценки: Day 10, day 30, day 90 and day 180]
• Self-rated health state [Срок оценки: Day 10, day 30, day 90 and day 180]
• Frailty [Срок оценки: Baseline, day 10, day 30, day 90 and day 180]
• Mobility [Срок оценки: ICU admission up to 6 months]
• Weight [Срок оценки: Baseline, day 10, day 30, day 90 and day 180]
• Physical performance [Срок оценки: Day 10, day 30, day 90 and day 180]
• Hand grip strength [Срок оценки: Day 10, day 30, day 90 and day 180]
• Body composition [Срок оценки: Day 10, day 30, day 90 and day 180]