Evidence map›Paper›PMID 29713147›Full record

Trial reportClinical interventions in aging2018

Effects of oral amino acid supplementation on Multidimensional Prognostic Index in hospitalized older patients: a multicenter randomized, double-blind, placebo-controlled pilot study.

Stefano Volpato, Romina Custureri, Matteo Puntoni, Lara Bianchi, Julia Daragjati, Sara Garaboldi, Matteo Simonato, Antonio Greco, Emanuele Rizzo, Pierluigi Dal Santo and 4 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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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

14 authors at 5 institutions in 1 country.

Stefano VolpatoDepartment of Medical Science, University of Ferrara, Ferrara, Italy.
Romina CustureriDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova, Italy.
Matteo PuntoniClinical Trial Unit, Scientific Directorate, E.O. Galliera Hospital, Genoa, Italy.
Lara BianchiDepartment of Medical Science, University of Ferrara, Ferrara, Italy.
Julia DaragjatiGeriatrics Unit, San Antonio Hospital, ULSS 6 Euganea, Padova, Italy.
Sara GaraboldiDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova, Italy.
Matteo SimonatoGeriatrics Unit, San Antonio Hospital, ULSS 6 Euganea, Padova, Italy.
Antonio GrecoGeriatrics Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Emanuele RizzoGeriatrics Unit, ULSS 2 Marca Trevigiana, Montebelluna, Italy.
Pierluigi Dal SantoGeriatrics Unit, ULSS 5 Polesana, Rovigo, Italy.
Antonio MangiacottiGeriatrics Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Ekaterini ZigouraDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova, Italy.
Giacomo SiriClinical Trial Unit, Scientific Directorate, E.O. Galliera Hospital, Genoa, Italy.
Alberto PilottoDepartment of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Genova, Italy.
Ente Ospedaliero Ospedali Galliera · ITAULSS 2 Marca Trevigiana · ITCasa Sollievo della Sofferenza · ITOspedale Sant Antonio · ITUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is not known whether amino acid supplementations may influence health status in hospitalized older acutely ill patients.

aimThe aim of this study was to determine whether nutritional supplementation with amino acids (Aminoglutam

methodsIn this randomized, double-blind, placebo-controlled pilot clinical trial, 126 patients aged ≥65 years were enrolled from 6 Italian geriatric wards. A multidimensional assessment to calculate the MPI was performed at baseline and after 4 weeks of treatment with nutritional supplementation (96 kcal, 12 g amino acids, 0.18 g fat, 11.6 g carbohydrate, and vitamins B1, B6, and C) or placebo administered twice a day. Logistic regression modeling was applied to determine the effect of treatment on the improvement of MPI (vs no-change/worsening), adjusting for gender, age, and MPI at baseline. Treatment's interactions with age, gender, and MPI at baseline were tested adding the appropriate interaction parameter in the regression models.

resultsOf the 126 patients included, 117 patients (93%) completed the study. A significant improvement in the MPI score was detected in the overall population (mean difference post-pretreatment: -0.03,

conclusionA 4-week amino acid supplementation improved the MPI significantly in hospitalized older male patients but not in female patients. Further studies are needed to confirm the gender effect of amino acid supplementation on MPI in older patients.

Indexed as

Acute DiseaseAdministration, OralAgedAged, 80 and overAmino AcidsDietary SupplementsDouble-Blind MethodElder Nutritional Physiological PhenomenaFemaleHealth Status DisparitiesHumansMaleNutrition AssessmentPilot ProjectsPrognosisTreatment OutcomeAmino Acidsagingamino acidshospitalizationMultidimensional Prognostic Indexoral supplementation

Identifiers

PMID29713147
PMCPMC5908340
OpenAlexW2797077051

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Registered trials

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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.