Evidence map›Paper›PMID 28933744›Full record

Observational studyNutrients2017

Energy and Protein in Critically Ill Patients with AKI: A Prospective, Multicenter Observational Study Using Indirect Calorimetry and Protein Catabolic Rate.

Alice Sabatino, Miriam Theilla, Moran Hellerman, Pierre Singer, Umberto Maggiore, Maria Barbagallo, Giuseppe Regolisti, Enrico Fiaccadori

Open access · goldAbstract readMulticenter StudyObservational StudyValidation Study
In one paragraph

Observational study in Nutrients, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Cells · 2020
    Review
  10. Indirect Calorimetry in Clinical Practice.Journal of clinical medicine · 2019
    Review
  11. Article
  12. Review
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

8 authors at 2 institutions in 2 countries.

Alice SabatinoAcute and Chronic Renal Failure Unit, Department of Clinical and Experimental Medicine Renal ICU, Parma University Hospital, Parma 43126, Italy. alice.sabatino86@gmail.com.ORCID 0000-0003-2098-7597
Miriam TheillaDepartment of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv 49100, Israel. miriamt@clalit.org.il.
Moran HellermanDepartment of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv 49100, Israel. moranhe@clalit.org.il.
Pierre SingerDepartment of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv 49100, Israel. psinger@clalit.org.il.
Umberto MaggioreKidney-Pancreas Transplant Unit, Parma University Hospital, Parma 43126, Italy. umberto_maggiore@hotmail.com.
Maria BarbagalloSurgical ICU, Anesthesia, Intensive Care and Pain Therapy, Parma University Hospital, Parma 43126, Italy. mbarbagallo@parmanesthesia.com.
Giuseppe RegolistiAcute and Chronic Renal Failure Unit, Department of Clinical and Experimental Medicine Renal ICU, Parma University Hospital, Parma 43126, Italy. giuregolisti@gmail.com.
Enrico FiaccadoriAcute and Chronic Renal Failure Unit, Department of Clinical and Experimental Medicine Renal ICU, Parma University Hospital, Parma 43126, Italy. enrico.fiaccadori@unipr.it.
University of Parma · ITTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal nutritional support in Acute Kidney Injury (AKI) still remains an open issue. The present study was aimed at evaluating the validity of conventional predictive formulas for the calculation of both energy expenditure and protein needs in critically ill patients with AKI. A prospective, multicenter, observational study was conducted on adult patients hospitalized with AKI in three different intensive care units (ICU). Nutrient needs were estimated by different methods: the Guidelines of the European Society of Parenteral and Enteral Nutrition (ESPEN) for both calories and proteins, the Harris-Benedict equation, the Penn-State and Faisy-Fagon equations for energy. Actual energy and protein needs were repeatedly measured by indirect calorimetry (IC) and protein catabolic rate (PCR) until oral nutrition start, hospital discharge or renal function recovery. Forty-two patients with AKI were enrolled, with 130 IC and 123 PCR measurements obtained over 654 days of artificial nutrition. No predictive formula was precise enough, and Bland-Altman plots wide limits of agreement for all equations highlight the potential to under- or overfeed individual patients. Conventional predictive formulas may frequently lead to incorrect energy and protein need estimation. In critically ill patients with AKI an increased risk for under- or overfeeding is likely when nutrient needs are estimated instead of measured.

Indexed as

Calorimetry, IndirectEnergy MetabolismNutritional StatusNutrition AssessmentAcute Kidney InjuryAgedAged, 80 and overCritical IllnessFemaleHospitalizationHumansIntensive Care UnitsIsraelItalyMaleMalnutritionProteinsacute kidney injuryartificial nutritionindirect calorimetryoverfeedingprotein catabolic rateunderfeeding

Identifiers

PMID28933744
PMCPMC5579596
OpenAlexW2736514143

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.