Evidence map›Paper›PMID 31313290›Full record

ArticleDevelopmental medicine and child neurology2020

Optimal clinical management of children receiving ketogenic parenteral nutrition: a clinical practice guide.

Elles van der Louw, Vanessa Aldaz, Jessica Harvey, Marian Roan, Dorine van den Hurk, J Helen Cross, Stéphane Auvin, Review Group

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Developmental medicine and child neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07496749 (Ketogenic Diet Treatment for Super-refractory Status Epilepticus), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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.

NCT07496749 narecruitingnot on this mapstarted 2025, after this paper: background citation

Ketogenic Diet Treatment for Super-refractory Status Epilepticus: a Multicenter, Prospective, Randomized, Controlled Trial

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2025 to 2027Enrolled84ConditionsSuper-refractory Status EpilepticusArmsthe ketogenic diet, Standard Medical Therapy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 4 countries.

Elles van der LouwErasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0003-3245-0471
Vanessa AldazRady Children's Hospital, San Diego, CA, USA.
Jessica HarveyCincinnati Children's Hospital, Cincinnati, OH, USA.
Marian RoanUCSF Benioff Children's Hospital, Oakland, CA, USA.
Dorine van den HurkUniversity Medical Hospital Utrecht Wilhelmina Children's Hospital, Utrecht, the Netherlands.
J Helen CrossUCL Great Ormond Street Hospital for Children NHS Trust, London, UK.
Stéphane AuvinHȏpital Universitaire Robert-Debré, Assistance Publique Hȏpitaux de Paris, Paris, France.
Review Group
Assistance Publique – Hôpitaux de Paris · FRCincinnati Children's Hospital Medical Center · USErasmus MC - Sophia Children’s Hospital · NLGreat Ormond Street Hospital · GBKleijnen Systematic Reviews (United Kingdom) · GBRady Children's Hospital-San Diego · USUCSF Benioff Children's Hospital · USWilhelmina Children's Hospital · NL

Funding

Medical Research Council MC_PC_14140
6 · The paper itself

Abstract

aimTo give evidence-based recommendations on the application of ketogenic diet parenteral nutrition (KD-PN) in emergency situations.

methodAn international group of experts (n=14) researched the literature and distributed a survey among 150 expert centers. International accepted guidelines (European Society for Clinical Nutrition and Metabolism/European Society for Paediatric Gastroenterology Hepatology and Nutrition and the American Society for Parenteral and Enteral Nutrition) and handbooks for parenteral nutrition were considered general standards of care.

resultsIn the literature, we identified 35 reports of patients treated by KD-PN. International guidelines and handbooks provided some conflicting information. Twenty-four expert teams from nine countries responded to the survey, reflecting the limited clinical experience.

interpretationThis paper highlights 23 consensus-based recommendations for safe and effective KD-PN (e.g. diet initiation, calculation, application, monitoring, and evaluation) based on the best evidence available and expert opinions. WHAT THIS PAPER ADDS: In acute settings, ketogenic diet therapy (KDT) can be administered parenterally. Parenteral administration of KDT should be started only at the intensive care unit. Initiate ketogenic parenteral nutrition stepwise to the highest ratio possible with the lowest level of complications. Evaluate the risk-benefit ratio of parenteral administration continuously. Restart enteral feeding as soon as appropriate.

Indexed as

Acute DiseaseChildCritical CareDiet, KetogenicHumansParenteral NutritionPractice Guidelines as Topic

Identifiers

PMID31313290
PMCPMC6916385
OpenAlexW2957819218

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.