Evidence map›Paper›PMID 27875279›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition2018

Biochemical Markers of Nutrition Support in Critically Ill Trauma Victims.

Brodie Parent, Max Seaton, Grant E O'Keefe

Open access · greenAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
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  9. Article
  10. Biomarkers in critical care nutrition.Critical care (London, England) · 2020
    Review
  11. Observational
  12. Article
  13. Increasing Enteral Protein Intake in Critically Ill Trauma and Surgical Patients.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Brodie ParentHarborview Department of General Surgery, University of Washington, Seattle, Washington.
Max SeatonDepartment of General Surgery, University of Maryland, Baltimore, Maryland.
Grant E O'KeefeDepartment of General Surgery, University of Washington, Seattle, Washington.
Harborview Medical Center · USUniversity of Maryland, Baltimore · USUniversity of Washington · US

Funding

TRAUMA AND BURNST32GM007037 · NIGMS · UNIVERSITY OF WASHINGTON · PI O'KEEFE, GRANT E · 1985 to 2014
$3.3M
Gene Polymorphisms, Inflammation and Outcome from TraumaR01GM066946 · NIGMS · UNIVERSITY OF WASHINGTON · PI O'KEEFE, GRANT E · 2003 to 2007
$1.6M
NIGMS NIH HHS R01 GM066946NIGMS NIH HHS T32 GM007037
6 · The paper itself

Abstract

backgroundIn critically ill patients, plasma serum albumin and transthyretin concentrations are thought to reflect the effects of acute illness, including resuscitation and inflammation. Their use as markers for preexisting nutrition status is, therefore, not recommended. Whether they can be used to assess subsequent effectiveness of artificial nutrition support is unclear. We sought to determine if these biomarkers are associated with enteral caloric intake in critically ill trauma patients. MATERIALS AND

methodsWe analyzed data from adult trauma victims who required ≥2 days of mechanical ventilation and ≥7 days of intensive care. We categorized patients into low, middle, or high enteral calorie delivery groups (2, 9, or 17 kcal/kg/d during the first week). We compared serial concentrations of serum albumin, transthyretin, and C-reactive protein. Multiple linear and Poisson regression were used to determine relationships between calorie intake and nutrition biomarkers.

resultsIn total, 1056 patients were analyzed. Their median age was 44 (interquartile range [IQR], 28-57) years, and median injury severity score was 34 (IQR, 26-41). Calorie intake during the first week was not related to biomarkers during the first or second week. However, by the beginning of the third week, the highest calorie group showed greater changes in concentrations of transthyretin (+3.0 mg/dL relative to initial concentration, P = .01) and serum albumin (+0.17 g/dL, P = .05) compared with the lowest calorie group.

conclusionsIn trauma patients requiring 1 or more weeks of intensive care, changes in transthyretin were associated with enteral caloric intake. Our data suggest that transthyretin could be used to monitor nutrition support after 2 weeks in intensive care.

Indexed as

AdultBiomarkersC-Reactive ProteinCritical CareCritical IllnessEnergy IntakeEnteral NutritionFemaleHumansMaleMiddle AgedNutritional StatusPrealbuminProspective StudiesSerum AlbuminWounds and InjuriesBiomarkersC-Reactive ProteinPrealbuminSerum Albumincritical careenteral nutritionnutrition assessmentoutcomes research/qualitysurgerytrauma

Identifiers

PMID27875279
PMCPMC10337092
OpenAlexW2527979315

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

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.