Evidence map›Paper›PMID 30423896›Full record

ArticleNutrients2018

Targeted Energy Intake Is the Important Determinant of Clinical Outcomes in Medical Critically Ill Patients with High Nutrition Risk.

Chen-Yu Wang, Pin-Kuei Fu, Chun-Te Huang, Chao-Hsiu Chen, Bor-Jen Lee, Yi-Chia Huang

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  5. Examining the Nutrition, Oral Mucositis, and Gastrointestinal System Symptoms of Intensive Care Units Patients Receiving Enteral and Parenteral Nutrition.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  6. Article
  7. Article
  8. Article
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  10. 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

6 authors at 3 institutions in 1 country.

Chen-Yu WangDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan. chestmen@gmail.com.ORCID 0000-0002-6716-0565
Pin-Kuei FuDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan. yetquen@gmail.com.ORCID 0000-0002-9416-4094
Chun-Te HuangDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan. huangchunte@gmail.com.ORCID 0000-0003-0725-4938
Chao-Hsiu ChenDepartment of Food and Nutrition, Taichung Veterans General Hospital, Taichung 40705, Taiwan. hsiu@vghtc.gov.tw.
Bor-Jen LeeDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan. borjenlee@gmail.com.
Yi-Chia HuangDepartment of Nutrition, Chung Shan Medical University, Taichung 40201, Taiwan. ych@csmu.edu.tw.ORCID 0000-0003-2234-4464
Taichung Veterans General Hospital · TWChina Medical University · TWChung Shan Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical conditions of critically ill patients are highly heterogeneous; therefore, nutrient requirements should be personalized based on the patient's nutritional status. However, nutritional status is not always considered when evaluating a patient's nutritional therapy in the medical intensive care unit (ICU). We conducted a retrospective cross-sectional study to assess the effect of ICU patients' nutrition risk status on the association between energy intake and clinical outcomes (i.e., hospital, 14-day and 28-day mortality). The nutrition risk of critically ill patients was classified as either high- or low-nutrition risk using the modified Nutrition Risk in the Critically Ill score. There were 559 (75.3%) patients in the high nutrition risk group, while 183 patients were in the low nutrition risk group. Higher mean energy intake was associated with lower hospital, 14-day and 28-day mortality rates in patients with high nutrition risk; while there were no significant associations between mean energy intake and clinical outcomes in patients with low nutrition risk. Further examination of the association between amount of energy intake and clinical outcomes showed that patients with high nutrition risk who consumed at least 800 kcal/day had significantly lower hospital, 14-day and 28-day mortality rates. Although patients with low nutrition risk did not benefit from high energy intake, patients with high nutrition risk are suggested to consume at least 800 kcal/day in order to reduce their mortality rate in the medical ICU.

Indexed as

Critical IllnessEnergy IntakeIntensive Care UnitsMalnutritionNutritional RequirementsNutritional StatusAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHospital MortalityHumansMaleMiddle AgedRetrospective Studiescritically ill patientsenergy intakemedical ICUmortalitynutrition risk

Identifiers

PMID30423896
PMCPMC6266394
OpenAlexW2900293367

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.