Study Day: 1 2 3 4 5 6 7 8 9 10 11 12 ICU Admit NPO because palliating or comfort measures? If you have indicated Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N “Yes”, no more data is needed to be entered today. Did the protein goals Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N change from the randomization group? If “yes,”why: 1 1 1 1 1 1 1 1 1 1 1 1 No longer critically 2 2 2 2 2 2 2 2 2 2 2 2 ill 3 3 3 3 3 3 3 3 3 3 3 3 New onset ARDS 4 4 4 4 4 4 4 4 4 4 4 4 Worse renal 5 5 5 5 5 5 5 5 5 5 5 5 Improved renal 6 6 6 6 6 6 6 6 6 6 6 6 Start dialysis 7 7 7 7 7 7 7 7 7 7 7 7 New wound 8 8 8 8 8 8 8 8 8 8 8 8 New surgical 9 9 9 9 9 9 9 9 9 9 9 9 wound –ve nitrogen balance Increased protein losses Was nutrition Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N received orally/by mouth? Blood glucose (closest Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N to 8am)
Study Day: 1 ICU Admit 2 3 4 5 6 7 8 9 10 11 12 NPO because palliating or comfort measures? If you have indicated “Yes”, no more data is needed to be entered today. Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Did the protein goals change from the randomization group? If “yes,”why: No longer critically ill New onset ARDS Worse renal Improved renal Start dialysis New wound New surgical wound –ve nitrogen balance Increased protein losses Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Y N 1 2 3 4 5 6 7 8 9 Was nutrition received orally/by mouth? Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Blood glucose (closest to 8am) Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
Pt_CRF_WS_13-Nov-2017.docx