Investigating the Energy Expenditure of Acute Spinal Cord Injured Patients
Feasibility Study to Investigate the Energy Expenditure of Acute Spinal Cord Injured Patients at Different Stages of Rehabilitation
1 other identifier
interventional
30
1 country
1
Brief Summary
It is recognised that weight gain is a common problem in patients with a spinal cord injury and can lead to an increased incidence of metabolic syndrome. Weight gain is thought to be attributed to excess calorie intake, reduction in energy requirements and / or a reduction in exercise. However, further understanding of this energy imbalance needs to be addressed. This feasibility study will initially determine if it is feasible to measure the 'actual' energy requirements of 15 paraplegic and 15 tetraplegic (ventilated and non-ventilated) in-patients during bed rest and rehabilitation following acute SCI. This preliminary data will be compared to 'predicted' energy expenditure levels. The calorie intake and body composition for each patient will be measured as well as factors indicative of metabolic syndrome. The study will initially provide statistical information in order to estimate the sample size required for a future definitive study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2015
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 10, 2015
CompletedFirst Submitted
Initial submission to the registry
July 13, 2017
CompletedFirst Posted
Study publicly available on registry
September 7, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2019
CompletedJune 9, 2022
June 1, 2022
4.2 years
July 13, 2017
June 8, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Sample size for definitive study
Standard deviation of Resting Energy Expenditure measurements at hospital admission, initial mobilisation and hospital discharge
1 year
Secondary Outcomes (9)
Recruitment Period for Definitive Study
1 year
Predicted Energy Requirements
1 year
Dietary Intake
1 year
Muscle Measurements
1 year
Adipose Tissue Measurements
1 year
- +4 more secondary outcomes
Study Arms (1)
GE Healthcare Metabolic Oxygenator
OTHERThe actual and predicted energy expenditure of tetraplegic (ventilated/non-vent) and paraplegic patients will be measured at three time points during the patient's rehabilitation in hospital.
Interventions
Eligibility Criteria
You may qualify if:
- Aged 18+ years old inclusive
- Traumatic and non-traumatic tetraplegic or paraplegic patient following acute SCI injury
- First referral to the Sheffield Spinal Injuries Centre
- Pressure ulcer(s) category 1 and/or 2 or normal skin
- Be able to provide written informed consent or verbal consent in the presence of an independent witness
- Ventilated patients without sedation
- Enterally fed patients
You may not qualify if:
- Aged less than 18 years old
- Lack the mental capacity to consent
- Pressure ulcer(s) category 3 and/or 4
- Previously had or currently have metabolic syndrome
- Previously had or currently have diabetes
- Current medication includes either a stimulant(s) and/or depressant(s) e.g. steroids, anti-depressants
- MRSA bacterium positive
- Previously had or currently has an eating disorder
- Ventilated patients with sedation
- Currently participating in another research study which may have an impact on the study or patient safety and well-being.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sheffield Teaching Hospitals NHS Foundation Trustlead
- Nutricia UK Ltdcollaborator
- University of Sheffieldcollaborator
Study Sites (1)
Northern General Hospital
Sheffield, S5 7AU, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 13, 2017
First Posted
September 7, 2018
Study Start
August 10, 2015
Primary Completion
October 31, 2019
Study Completion
October 31, 2019
Last Updated
June 9, 2022
Record last verified: 2022-06
Data Sharing
- IPD Sharing
- Will not share