Observational studyCritical care (London, England)2017
Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study.
Observational study in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection.Clinical nutrition (Edinburgh, Scotland) · 2020Guideline
- Nutritional strategies for noninvasively ventilated critically ill patients: results from the NUTRINIV retrospective study.BMC nutrition · 2026Article
- Prediction of noninvasive ventilation failure: a narrative review.Annals of intensive care · 2026Review
- Nutritional adequacy in critically ill adults receiving noninvasive ventilation: A descriptive cohort study.JPEN. Journal of parenteral and enteral nutrition · 2025Article
- Effect of nutrition support team on 28-day mortality in Korean patients with acute respiratory failure.Acute and critical care · 2025Article
- Nutrition therapy in non-intubated patients with acute respiratory failure: a narrative review.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2024Review
- A Retrospective Study of Complications of Enteral Feeding in Critically Ill Children on Noninvasive Ventilation.Nutrients · 2023Article
- Enteral Feeding for Children on Bilevel Positive Pressure Ventilation for Status Asthmaticus.Journal of pediatric intensive care · 2023Article
- Various Aspects of Non-Invasive Ventilation in COVID-19 Patients: A Narrative Review.Iranian journal of medical sciences · 2022Review
- Nutrition Management for Critically Ill Adult Patients Requiring Non-Invasive Ventilation: A Scoping Review.Nutrients · 2022Article
- Nutrition Therapy in Non-intubated Patients with Acute Respiratory Failure.Current nutrition reports · 2021Review
- A Retrospective Analysis of Feeding Practices and Complications in Patients with Critical Bronchiolitis on Non-Invasive Respiratory Support.Children (Basel, Switzerland) · 2021Article
- Reflux events detected by multichannel bioimpedance smart feeding tube during high flow nasal cannula oxygen therapy and enteral feeding: First case report.Journal of critical care · 2020Article
- Article
- To eat or to breathe? The answer is both! Nutritional management during noninvasive ventilation.Critical care (London, England) · 2018Article
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients starting noninvasive ventilation (NIV) to treat acute respiratory failure are often unable to eat and therefore remain in the fasting state or receive nutritional support. Maintaining a good nutritional status has been reported to improve patient outcomes. In the present study, our primary objective was to describe the nutritional management of patients starting first-line NIV, and our secondary objectives were to assess potential associations between nutritional management and outcomes.
methodsObservational retrospective cohort study of a prospective database fed by 20 French intensive care units. Adult medical patients receiving NIV for more than 2 consecutive days were included and divided into four groups on the basis of nutritional support received during the first 2 days of NIV: no nutrition, enteral nutrition, parenteral nutrition only, and oral nutrition only.
resultsOf the 16,594 patients admitted during the study period, 1075 met the inclusion criteria; of these, 622 (57.9%) received no nutrition, 28 (2.6%) received enteral nutrition, 74 (6.9%) received parenteral nutrition only, and 351 (32.7%) received oral nutrition only. After adjustment for confounders, enteral nutrition (vs. no nutrition) was associated with higher 28-day mortality (adjusted HR, 2.3; 95% CI, 1.2-4.4) and invasive mechanical ventilation needs (adjusted HR, 2.1; 95% CI, 1.1-4.2), as well as with fewer ventilator-free days by day 28 (adjusted relative risk, 0.7; 95% CI, 0.5-0.9).
conclusionsNearly three-fifths of patients receiving NIV fasted for the first 2 days. Lack of feeding or underfeeding was not associated with mortality. The optimal route of nutrition for these patients needs to be investigated.
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