Evidence map›Paper›PMID 28583157›Full record

ArticleCritical care (London, England)2017

Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery.

Christian Stoppe, Andreas Goetzenich, Glenn Whitman, Rika Ohkuma, Trish Brown, Roupen Hatzakorzian, Arnold Kristof, Patrick Meybohm, Jefferey Mechanick, Adam Evans and 15 more

Registry-linked trialOpen access · goldAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06146426 (Effects of Early Oral Diet After Cardiac Surgery), which is not on this map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 2% 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.

NCT06146426 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Early Oral Diet After Cardiac Surgery: an Open Label Randomized Controlled Trial

TypeinterventionalSponsorHamad Medical CorporationRan2023 to 2025Enrolled196ConditionsAdult Cardiac SurgeryArmsEarly diet resumption
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
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  12. Observational
  13. Comparison between the NUTRIC score and modified NUTRIC score to predict hospital mortality in patients undergoing cardiac surgery: A retrospective study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  14. Adequacy of oral intakes after cardiac surgery within an ERAS pathway: A prospective observational study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Observational
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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

25 authors at 17 institutions in 5 countries.

Christian StoppeDepartment of Intensive Care Medicine, University Hospital of the RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. christian.stoppe@gmail.com.ORCID 0000-0002-2028-2039
Andreas GoetzenichDepartment of Thoracic, Cardiac and Vascular Surgery, University Hospital, RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. agoetzenich@ukaachen.de.
Glenn WhitmanCardiac Surgical Intensive Care, Johns Hopkins Hospital Baltimore, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
Rika OhkumaCardiac Surgical Intensive Care, Johns Hopkins Hospital Baltimore, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
Trish BrownCardiac Surgical Intensive Care, Johns Hopkins Hospital Baltimore, Blalock 618, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
Roupen HatzakorzianDepartment of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, Montreal, Canada.
Arnold KristofDepartment of Microbiology and Immunology, McGill University Health Centre, Montreal, Canada.
Patrick MeybohmDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Jefferey MechanickDivision of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Adam EvansIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Daniel YehDepartment of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA.
Bernard McDonaldDivision of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, Ruskin Street H2410, Ottawa, ON, K1Y 4W7, Canada.
Michael ChourdakisDepartment of Medicine, Aristotle University of Thessaloniki, University Campus, Thessaloniki, 54124, Greece.
Philip JonesDepartments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics, University of Western Ontario, London, Canada.
Richard BartonDepartment of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Ravi TripathiDepartment of Anesthesiology, The Ohio State University College of Medicine, Columbus, OH, USA.
Gunnar ElkeDepartment of Anesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 Haus 12, 24105, Kiel, Germany.
Oliver LiakopoulosDepartment of Cardiothoracic Surgery, Heart Center, University of Cologne, Cologne, Germany.
Ravi AgarwalaDepartment of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
Vladimir LomivorotovDepartment of Anesthesiology and Intensive Care, Research Institute of Circulation Pathology, Novosibirsk, Russia.
Ekaterina NesterovaDepartment of Anesthesiology and Intensive Care Medicine, National Pirogov Surgical Medical Center, Moscow, Russia.
Gernot MarxDepartment of Intensive Care Medicine, University Hospital of the RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Carina BenstoemDepartment of Thoracic, Cardiac and Vascular Surgery, University Hospital, RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Margot LemieuxDepartment of Critical Care Medicine, Queen's University and Clinical Evaluation Research Unit, Angada 4, Kingston General Hospital, Kingston, ON, K7L 2V7, Canada.
Daren K HeylandDepartment of Critical Care Medicine, Queen's University and Clinical Evaluation Research Unit, Angada 4, Kingston General Hospital, Kingston, ON, K7L 2V7, Canada.
Johns Hopkins Hospital · USRWTH Aachen University · DEIcahn School of Medicine at Mount Sinai · USQueen's University · CAAristotle University of Thessaloniki · GRGoethe University Frankfurt · DEMassachusetts General Hospital · USMcGill University Health Centre · CANational Medical and Surgical Center named after N.I. Pirogov · RURoyal Victoria Regional Health Centre · CAThe Ohio State University · USUniversitätsklinikum Aachen · DEUniversity of Cologne · DEUniversity of Ottawa · CAUniversity of Utah · USWake Forest University · USWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nutrition support is a necessary therapy for critically ill cardiac surgery patients. However, conclusive evidence for this population, consisting of well-conducted clinical trials is lacking. To clarify optimal strategies to improve outcomes, an international multidisciplinary group of 25 experts from different clinical specialties from Germany, Canada, Greece, USA and Russia discussed potential approaches to identify patients who may benefit from nutrition support, when best to initiate nutrition support, and the potential use of pharmaco-nutrition to modulate the inflammatory response to cardiopulmonary bypass. Despite conspicuous knowledge and evidence gaps, a rational nutritional support therapy is presented to benefit patients undergoing cardiac surgery.

Indexed as

ConsensusAdultCardiac Surgical ProceduresCardiovascular DiseasesHumansInterdisciplinary CommunicationInternationalityMetabolismNutritional StatusNutritional SupportCardiopulmonary bypassEnteral nutritionHigh-risk cardiac surgeryNutrition risk stratificationOrgan dysfunctionsPharmaco-nutritionPostoperative nutritional managementSupplemental parenteral nutritionSystemic inflammatory responseUnderfeeding

Identifiers

PMID28583157
PMCPMC5460477
OpenAlexW2622607558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.