Evidence map›Paper›PMID 29743765›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2018

Practice Guidelines for Nutrition in Critically Ill Patients: A Relook for Indian Scenario.

Yatin Mehta, J D Sunavala, Kapil Zirpe, Niraj Tyagi, Sunil Garg, Saswati Sinha, Bhuvaneshwari Shankar, Sanghamitra Chakravarti, M N Sivakumar, Sambit Sahu and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. An Observational Study of Nutritional Assessment, Prescription, Practices, and Its Outcome among Critically Ill Patients Admitted to an Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  11. Review
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Nutritional optic neuropathy: Diagnostic dilemma.Indian journal of ophthalmology · 2022
    Article
  18. Article
  19. Assessment of Nutritional Status in the Critically Ill.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Review
  20. Safety of Enteral Nutrition Practices: Overcoming the Contamination Challenges.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    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

14 authors at 4 institutions in 1 country.

Yatin MehtaDepartment of Critical Care, Institute of Critical Care and Anesthesiology, Medanta the Medicity, Gurugram, Haryana, India.
J D SunavalaDepartment of Critical Care Medicine, Jaslok Hospital, Mumbai, India.
Kapil ZirpeDepartment of Critical Care Medicine, Intensive Care and Neurotrauma - Stroke Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
Niraj TyagiDepartment of Intensive Care and Emergency Medicine, Sir Gangaram Hospital, New Delhi, India.
Sunil GargDepartment of Critical Care Medicine, Max Hospital, New Delhi, India.
Saswati SinhaDepartment of Critical Care Medicine, AMRI Hospitals, Kolkata, West Bengal, India.
Bhuvaneshwari ShankarDepartment of Nutrition and Dietetics, Apollo Hospitals, Chennai, India.
Sanghamitra ChakravartiDepartment of Nutrition and Dietetics, Medica Superspeciality Hospital, Kolkata, West Bengal, India.
M N SivakumarDepartment of Critical Care Medicine, KMCH, Coimbatore, Tamil Nadu, India.
Sambit SahuDepartment of Critical care Medicine, KIMS Hospital, Hyderabad, Telangana, India.
Pradeep RangappaDepartment of Intensive Care Medicine, Columbia Asia Hospitals, Bengaluru, Karnataka, India.
Tanmay BanerjeeDepartment of Intensive Care Medicine, Medica Institute of Critical Care, Medica Super speciality Hospital, Kolkata, West Bengal, India.
Anshu JoshiDepartment of Scientific and Medical Affairs, Abbott Nutrition International, ANI-, Mumbai, India.
Ganesh KadheDepartment of Scientific and Medical Affairs, Abbott Nutrition International, ANI-, Mumbai, India.
Abbott (India) · INJaslok Hospital · INKovai Medical Center and Hospital · INMax Healthcare · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimIntensive-care practices and settings may differ for India in comparison to other countries. While international guidelines are available to direct the use of enteral nutrition (EN), there are no recommendations specific to Indian settings. Advisory board meetings were arranged to develop the practice guidelines specific to Indian context, for the use of EN in critically ill patients and to overcome challenges in this field.

methodsVarious existing guidelines, meta-analyses, randomized controlled trials, controlled trials, and review articles were reviewed for their contextual relevance and strength. A systematic grading of practice guidelines by advisory board was done based on strength of the supporting evidence. Wherever Indian studies were not available, references were taken from the international guidelines.

resultsBased on the literature review, the recommendations for developing the practice guidelines were made as per the grading criteria agreed upon by the advisory board. The recommendations were to address challenges regarding EN versus parenteral nutrition; nutrition screening and assessment; nutrition in hemodynamically unstable; route of nutrition; tube feeding and challenges; tolerance; optimum calorie-protein requirements; selection of appropriate enteral feeding formula; micronutrients and immune-nutrients; standard nutrition in hepatic, renal, and respiratory diseases and documentation of nutrition practices.

conclusionThis paper summarizes the optimum nutrition practices for critically ill patients. The possible solutions to overcome the challenges in this field are presented as practice guidelines at the end of each section. These guidelines are expected to provide guidance in critical care settings regarding appropriate critical-care nutrition practices and to set up Intensive Care Unit nutrition protocols.

Indexed as

Critically ill patientsenteral nutritionguidelinesscientific formulatube feeding

Identifiers

PMID29743765
PMCPMC5930530
OpenAlexW2802324427

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.