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Protocol summary

Study aim
To determine the effect of using the mask with an innovative nutritional adaptor on the nutritional status of the patient with COVID-19
Design
crossover RCT design was employed to achieve the aforementioned objectives. 25 patients will be assigned to Join the study group. The study and control group at the same patient
Settings and conduct
25 patients infected with coronavirus disease, who were admitted in multicenter of respiratory isolation at Baghdad City. On-randomize Probability sample, two samples in same individual control measure and study trail (e.g. control=1 & study=1)
Participants/Inclusion and exclusion criteria
Inclusion: *Consent & compliance with all aspects of the study protocol, methods.*Contact male & female patients, who are 18 years old and more at the time of data collection phase*Patient diagnosis covid-19*Intensive care patient*Patient on CPAP mask*Conscious*Adult patient *Male and female.
Intervention groups
Intervention group: The starting point of the intervention phase will start by applying the mask with an innovative nutritional adapter to respond and try to get mixed food and fluid throughout the adaptor. This step will help the patient to eat without a decrease in oxygen saturation and air leakage.
Main outcome variables
The patient gets oral feeding successfully

General information

Reason for update
Sample collection completed
Acronym
IRCT registration information
IRCT registration number: IRCT20211022052840N1
Registration date: 2021-11-05, 1400/08/14
Registration timing: prospective

Last update: 2022-03-17, 1400/12/26
Update count: 1
Registration date
2021-11-05, 1400/08/14
Registrant information
Name
Omar AL-Ghrairi
Name of organization / entity
University of Baghdad, College of Nursing
Country
Iraq
Phone
+964 1 521 1495
Email address
omar.thamer1202a@conursing.uobaghdad.edu.iq
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-11-01, 1400/08/10
Expected recruitment end date
2022-02-01, 1400/11/12
Actual recruitment start date
2021-11-15, 1400/08/24
Actual recruitment end date
2022-02-15, 1400/11/26
Trial completion date
2022-03-01, 1400/12/10
Scientific title
Effectiveness of using the Mask with innovative Nutrition Adaptor of Continuous Positive Airway Pressure Machine for Patients with Corona Virus Disease
Public title
sing the Mask with innovative Nutrition Adaptor
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
non-invasive ventilation patients
Exclusion criteria:
Age
From 18 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
Sample size
Target sample size: 25
More than 1 sample in each individual
Number of samples in each individual: 2
After randomly dividing the patients of the study into two equal groups, the first group was the application of the CPAP mask (the stander hospital mask ) and the second group was the application of the CPAP mask equipped with the innovative national adapter. This interference continues for 24 hours in which it monitors and records the quantities of calories and proteins that the patient took during the application of the stander hospital mask, and monitors and records the quantities of calories and protein for patients who apply the mask equipped with the innovative nutrition adapter. After the end of the first 24 hours of application, it stops and the stander hospital mask is removed from the group. The first group is replaced with the mask with the innovative nutrition adapter and the mask with the innovative nutrition adapter is stopped for the second group and replaced with the stander hospital mask and it lasts for 24 hours as well, during which the calories and proteins that were given to both groups are measured and recorded (SpO2, HR, RR, and air leakage were measured while removing the stander hospital mask to give food to the patient. Variables were also measured during feeding the patients in the two groups through the innovative nutritional adapter interface. At the end of 48 hours, the measurement was stopped and patients continued to wear the stander hospital mask, according to the center's policy
Actual sample size reached: 25
More than 1 sample in each individual
Actual sample size in each individual: 2
Each individual wears the stander hospital mask for 24 hours and then wears the mask with the innovative nutritional adapter for 24 hours
Randomization (investigator's opinion)
Randomized
Randomization description
A crossover randomized controlled trial ( RCT )
Blinding (investigator's opinion)
Single blinded
Blinding description
Single-blind: the participants in the study do not know which group they have been allocated to, intervention or control
Placebo
Not used
Assignment
Crossover
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethical Approval Committee, at the College of Nursing
Street address
Bab AL-Muaadham
City
Baghdad
Postal code
10001
Approval date
2021-11-02, 1400/08/11
Ethics committee reference number
3786

Health conditions studied

1

Description of health condition studied
Oral feeding with an innovation feeding adapter in a CPAP mask
ICD-10 code
J12.81
ICD-10 code description
Pneumonia due to SARS-associated coronavirus

Primary outcomes

1

Description
The patient's ability to take food orally through the innovative nutritional adapter, as the daily requirement was fully provided by calculation according to the recommendations of the ESPEN guide without the influence of variables (spo2, HR, RR, and air leakage).
Timepoint
Subjects response to then apply the mask with innovation nutritional adapter will be within 24hrs
Method of measurement
Measuring the patient's ability to eat foods and liquids through the innovative adapter in a CPAP mask with monitoring of variables

Secondary outcomes

empty

Intervention groups

1

Description
Control group: The researcher monitors participants infected with the Coronavirus and receives the Continuous positive airway pressure (CPAP) for 24 hours to monitor whether the participants were able to remove the mask to take food and the effect of variables (pulse rate(PR), respiratory rate(RR), oxygen saturation(SPO2)and air leakage)when the mask was removed And nutritional deficiencies for participants who cannot remove the mask due to low oxygen saturation
Category
Treatment - Devices

2

Description
Intervention group: The starting point begins with placing the Continuous positive airway pressure (CPAP) mask with the innovative Nutritional adapter( feeding connection ) that mask was made by the researcher on the participant instead of the mask currently placed on it. This will help the patient obtain fluids and mixed food without the need to remove the mask through the Nutritional adapter. The participant can suck the mixed fluids and food through a tube that reaches from the feeding cup or syringe feeding to the mouth. The participant will remain on the mask equipped with the innovative Nutritional adapter for 24 hours while monitoring the participant’s ability to take food and liquids without the influence of variables (pulse rate(PR), respiratory rate(RR), oxygen saturation(SPO2)and air leakage) and it is measured if the patient can take the daily requirement of Nutrition and water without affecting the variables. The participants are monitored by the researcher with the help of an anesthesiologist, intensive care, and anesthesia technician
Category
Treatment - Devices

Recruitment centers

1

Recruitment center
Name of recruitment center
multicenter of respiratory isolation at Medical City Complex
Full name of responsible person
Omar AL.Ghrairi
Street address
Bab AL-Muaadham
City
Baghdad
Postal code
10001
Phone
+964 1 415 0077
Email
Omar.thamer1202a@conursing.uobaghdad.edu.iq
Web page address
https://www.medicalcity.gov.iq/ar/contact-us

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
College of Nursing, University of Baghdad
Full name of responsible person
Professor Huda Baqer Hassan, PhD. Dean
Street address
Bab AL-Muaadham campus
City
Baghdad
Postal code
10001
Phone
+964 1 521 1494
Email
Omar.thamer1202a@conursing.uobaghdad.edu.iq
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
The author of the trial is the funding source
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Other

Person responsible for general inquiries

Contact
Name of organization / entity
College of Nursing, University of Baghdad
Full name of responsible person
Omar AL.Ghrairi
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
ICU
Street address
Bab AL-Muaadham campus
City
Baghdad
Province
Baghdad
Postal code
10001
Phone
+964 1 521 1494
Email
Omar.thamer1202a@conursing.uobaghdad.edu.iq

Person responsible for scientific inquiries

Contact
Name of organization / entity
College of Nursing, University of Baghdad
Full name of responsible person
Professor Huda Baqer Hassan, PhD. Dean
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
ICU
Street address
Bab AL-Muaadham campus
City
Baghdad
Province
Baghdad
Postal code
10001
Phone
+964 1 521 1494
Email
Omar.thamer1202a@conursing.uobaghdad.edu.iq

Person responsible for updating data

Contact
Name of organization / entity
University of Baghdad, College of Nursing
Full name of responsible person
Omar AL.Ghrairi
Position
Nurse
Latest degree
Bachelor
Other areas of specialty/work
ICU
Street address
Bab AL-Muaadham campus
City
Baghdad
Province
Baghdad
Postal code
10001
Phone
+964 1 521 1494
Email
Omar.thamer1202a@conursing.uobaghdad.edu.iq

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Not applicable
Analytic Code
Not applicable
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
The researcher is acknowledging the scientific community to have verifiable findings of the study. sharing plan includes making all the related data available through publishing the study report in peer-reviewed reputable journals.
When the data will become available and for how long
God willing, once finishing the process of data collection, analysis and successfully publishing the manuscript, all the related files will become available for 6 months after publications
To whom data/document is available
All the related files will be shared with any scientific interested parties.
Under which criteria data/document could be used
It may be used after seeking the author's permission and acknowledging his contribution.
From where data/document is obtainable
The author's professional e-mail that will be available with the published manuscript can be used to contact the author. e-Mail: Omar.thamer1202a@conursing.uobaghdad.edu.iq
What processes are involved for a request to access data/document
N/V
Comments
Appreciation and thanks to IRCT members for their efforts in supporting researchers
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