Evidence map›Paper›PMID 23805899›Full record

Trial reportAmerican journal of respiratory and critical care medicine2013

Physical and cognitive performance of patients with acute lung injury 1 year after initial trophic versus full enteral feeding. EDEN trial follow-up.

Dale M Needham, Victor D Dinglas, Peter E Morris, James C Jackson, Catherine L Hough, Pedro A Mendez-Tellez, Amy W Wozniak, Elizabeth Colantuoni, E Wesley Ely, Todd W Rice and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04081090 (Structured Cognitive Therapy to Improve Neurocognitive Dysfunction in Older Intensive Care Unit Sepsis Survivors), which is not on this map. Cited by 117 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04081090 naterminatednot on this mapstarted 2019, after this paper: background citation

Structured Cognitive Therapy to Improve Neurocognitive Dysfunction in Older Intensive Care Unit Sepsis Survivors

TypeinterventionalSponsorMedical College of WisconsinRan2019 to 2020Enrolled1ConditionsNeurocognitive DisordersArmsBrain HQ Cognitive Modules
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. [S3 guideline on sepsis-prevention, diagnosis, therapy, and follow-up care-update 2025].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Guideline
  2. Pooled it
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  5. ICU-acquired weakness.Intensive care medicine · 2020
    Pooled it
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  11. Patients' Adaptations After Acute Respiratory Distress Syndrome: A Qualitative Study.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2021
    Trial
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  18. Risk factors for physical impairment after acute lung injury in a national, multicenter study.American journal of respiratory and critical care medicine · 2014
    Trial
  19. Article
  20. Review

57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Dale M NeedhamOutcomes after Critical Illness and Surgery Group, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA. dale.needham@jhmi.edu
Victor D Dinglas
Peter E Morris
James C Jackson
Catherine L Hough
Pedro A Mendez-Tellez
Amy W Wozniak
Elizabeth Colantuoni
E Wesley Ely
Todd W Rice
Ramona O Hopkins
NIH NHLBI ARDS Network

Funding

Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Patient Outcomes 6 and 12 Months After ALTA, OMEGA and EDEN ARDS Network TrialsR01HL091760 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HOPKINS, RAMONA O, NEEDHAM, DALE MURRAY · 2008 to 2011
$2.0M
ICU-ACQUIRED NEUROMUSCULAR DYSFUNCTION AND OUTCOMES IN ACUTE LUNG INJURYR01HL096504 · NHLBI · UNIVERSITY OF WASHINGTON · PI HOUGH, CATHERINE LEE, NEEDHAM, DALE MURRAY · 2010 to 2013
$1.5M
Citrulline to Prevent or Mitigate Acute Lung Injury in Severe SepsisR34HL105869 · NHLBI · VANDERBILT UNIVERSITY · PI RICE, TODD W · 2012 to 2014
$686k
NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR 000424-06NHLBI NIH HHS R01 HL091760NHLBI NIH HHS R01HL091760NHLBI NIH HHS R01HL091760-02S1NHLBI NIH HHS R01 HL096504NHLBI NIH HHS R01HL096504NHLBI NIH HHS R34 HL105869
6 · The paper itself

Abstract

rationaleWe hypothesized that providing patients with acute lung injury two different protein/calorie nutritional strategies in the intensive care unit may affect longer-term physical and cognitive performance.

objectivesTo assess physical and cognitive performance 6 and 12 months after acute lung injury, and to evaluate the effect of trophic versus full enteral feeding, provided for the first 6 days of mechanical ventilation, on 6-minute-walk distance, cognitive impairment, and secondary outcomes.

methodsA prospective, longitudinal ancillary study of the ARDS Network EDEN trial evaluating 174 consecutive survivors from 5 of 12 centers. Blinded assessments of patients' arm anthropometrics, strength, pulmonary function, 6-minute-walk distance, and cognitive status (executive function, language, memory, verbal reasoning/concept formation, and attention) were performed. MEASUREMENTS AND MAIN

resultsAt 6 and 12 months, respectively, the mean (SD) percent predicted for 6-minute-walk distance was 64% (22%) and 66% (25%) (P = 0.011 for difference between assessments), and 36 and 25% of survivors had cognitive impairment (P = 0.001). Patients performed below predicted values for secondary physical tests with small improvement from 6 to 12 months. There was no significant effect of initial trophic versus full feeding for the first 6 days after randomization on survivors' percent predicted for 6-minute-walk distance, cognitive impairment status, and all secondary outcomes.

conclusionsEDEN trial survivors performed below predicted values for physical and cognitive performance at 6 and 12 months, with some improvement over time. Initial trophic versus full enteral feeding for the first 6 days after randomization did not affect physical and cognitive performance.

Indexed as

Activities of Daily LivingAcute Lung InjuryCognitionCognition DisordersCritical CareEnteral NutritionFemaleFollow-Up StudiesHumansMaleMiddle AgedNeuropsychological TestsTime FactorsTreatment Outcome

Identifiers

PMID23805899
PMCPMC3827703

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.