GUSS-ICU safe nutrition plan for patients after extubation

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized controlled trial conducted in the anesthesia intensive care units in Istanbul where eligible adults recently extubated (within 4 hours) are assigned to either routine post-extubation care or a GUSS-ICU–guided nutrition program. Patients in the intervention arm receive a GUSS-ICU swallowing assessment shortly after extubation and a nutrition plan based on the score, with monitoring continued for four days. Baseline and day-4 measures include m-NUTRIC, APACHE-II, SOFA, Charlson Comorbidity Index, and PG-SGA alongside a patient data form. Patients with neuromuscular disease, tracheostomy, recent head/neck surgery, prior dysphagia, high bleeding risk, or prolonged noninvasive ventilation are excluded.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Age 18 and over Patients expected to remain intubated for more than 24 hours. Patients who have been extubated for no more than 4 hours.

Exclusion Criteria:

* Patients with neuromuscular disease
* Patients requiring non-invasive ventilation for more than 6 hours after extubation
* Patients being followed in the terminal phase
* Patients with a tracheostomy cannula
* Patients with a history of dysphagia
* Patients with head/neck cancer or surgery
* Patients with existing facial fractures
* Patients with a RASS score not within the 0-2 range
* Patients at high risk of bleeding (INR ≥ 2.0, Platelet count ≤ 50,000).

Where it's running

• Bakırköy Dr. Sadi Konuk Training and Research Hospital
  Istanbul, Turkey (Türkiye) Recruiting
• Istanbul Universitesi-Cerrahpasa
  Istanbul, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Merve TURKAY — Istanbul Universitesi-Cerrahpasa
• Study coordinator: Merve TURKAY
• Email: turkay_merve@hotmail.com
• Phone: +905313793706

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.