Evidence map›Paper›PMID 31604481›Full record

ArticleTrials2019

Comparison of the effect of three different protein content enteral diets on serum levels of proteins, nitrogen balance, and energy expenditure in critically ill infants: study protocol for a randomized controlled trial.

Reyes Fernández, Javier Urbano, Ángel Carrillo, Ana Vivanco, María José Solana, Corsino Rey, Jesús López-Herce

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03901742 (Effect of the Administration of an Enteral Milk Supplemented With Proteins to Infants Admitted in a Pediatric Intensive Care Unit), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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.

NCT03901742 naunknown statusnot on this map

Effect of the Administration of an Enteral Milk Supplemented With Proteins to Infants Admitted in a Pediatric Intensive Care Unit

TypeinterventionalSponsorHospital General Universitario Gregorio MarañonRan2016 to 2020Enrolled90ConditionsProtein-Energy MalnutritionArmsProtein-enriched nutrition, High Protein-enriched Nutrition, Standard Enteral Nutrition
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 2 countries.

Reyes FernándezPediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, Oviedo, Spain.
Javier UrbanoPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Health Research Institute (IISGM), Madrid, Spain. javierurbanovillaescusa@gmail.com.ORCID http://orcid.org/0000-0002-3511-2905
Ángel CarrilloPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Health Research Institute (IISGM), Madrid, Spain.
Ana VivancoPediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, Oviedo, Spain.
María José SolanaPediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Health Research Institute (IISGM), Madrid, Spain.
Corsino ReyPediatric Intensive Care Unit, Department of Pediatrics, Hospital Universitario Central de Asturias, Oviedo, Spain.
Jesús López-HercePediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Health Research Institute (IISGM), Madrid, Spain.
Universidad Complutense de Madrid · ESHospital Universitario Central de Asturias · ESInstituto de Salud Carlos III · ESUniversidad de Oviedo · ES

Funding

Instituto de Salud Carlos III RD16/0022/0007
6 · The paper itself

Abstract

backgroundNutritional support is essential in the care of critically ill children since malnutrition in this population is associated with increased morbidity and mortality. Injury in patients admitted to pediatric intensive care units (PICU) results in a catabolic state and augmented protein breakdown, leading to a negative protein balance. Current recommendations about protein prescription in the PICU are fundamentally based on expert opinions, and the minimum threshold is 1.5 g/kg per day of protein, although protein needs could be higher in certain subgroups of patients. The main objectives of the present study are to examine whether the administration of a protein-enriched infant formula increases the serum levels of total proteins, albumin, prealbumin, transferrin, and retinol and improves nitrogen balance and to analyze the effect of the high-protein diet on energy expenditure. A secondary objective is to register possible secondary effects of the protein-enriched diet.

methodsA multicenter prospective randomized controlled trial (RCT) will be performed in three hospitals. Patients meeting inclusion criteria will be randomly allocated to one of three enteral feeding formulae with different protein contents. Blood and urine test, nitrogen balance assessment, and energy expenditure testing by indirect calorimetry will be performed at the beginning of the nutrition regimen and at 24 h, 72 h and 5-7 days after initiation. The sample size for this trial is estimated to be 90 participants (about 30 participants in each group). The data analysis will be by intention to treat. DISCUSSION: This RCT will provide new data about the amount of protein needed to improve levels of serum protein and nitrogen balance, a surrogate of protein balance, in critically ill infants receiving enteral nutrition.

trial registrationClinicalTrials.gov identifier: NCT03901742 . Registered April 1, 2019 - Retrospectively registered.

Indexed as

Bottle FeedingDiet, High-ProteinEnergy MetabolismEnteral NutritionInfant FormulaInfant Nutritional Physiological PhenomenaBlood ProteinsChild, PreschoolCritical IllnessEnergy IntakeFemaleHumansInfantMaleMulticenter Studies as TopicNitrogenBlood ProteinsNitrogenChildrenEnteral feedingIntensive careNutritionProtein balanceProtein intake

Identifiers

PMID31604481
PMCPMC6787979
OpenAlexW2979485934

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.