Evidence map›Paper›PMID 32998412›Full record

SynthesisNutrients2020

Effect of Supplemental Parenteral Nutrition Versus Enteral Nutrition Alone on Clinical Outcomes in Critically Ill Adult Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Dalal J Alsharif, Farah J Alsharif, Ghadeer S Aljuraiban, Mahmoud M A Abulmeaty

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  8. Review
  9. Review
  10. Diagnosis and Management of Acute Pancreatitis.Diagnostics (Basel, Switzerland) · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Nutritional care in patients undergoing laparoscopic/minimally invasive surgeries for gastrointestinal tumours.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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

4 authors.

Dalal J AlsharifDepartment of Community Health Sciences, Clinical Nutrition Program, King Saud University, Riyadh 11362, Saudi Arabia.
Farah J AlsharifDepartment of Community Health Sciences, Clinical Nutrition Program, King Saud University, Riyadh 11362, Saudi Arabia.
Ghadeer S AljuraibanDepartment of Community Health Sciences, Clinical Nutrition Program, King Saud University, Riyadh 11362, Saudi Arabia.ORCID 0000-0002-4866-5461
Mahmoud M A AbulmeatyDepartment of Community Health Sciences, Clinical Nutrition Program, King Saud University, Riyadh 11362, Saudi Arabia.ORCID 0000-0002-1779-0091

Funding

Deanship of Scientific Research, King Saud University Research Group No. 1439-78.
6 · The paper itself

Abstract

Enteral nutrition (EN) is considered the first feeding route for critically ill patients. However, adverse effects such as gastrointestinal complications limit its optimal provision, leading to inadequate energy and protein intake. We compared the clinical outcomes of supplemental parenteral nutrition added to EN (SPN + EN) and EN alone in critically ill adults. Electronic databases restricted to full-text randomized controlled trials available in the English language and published from January 1990 to January 2019 were searched. The risk of bias was evaluated using the Jadad scale, and the meta-analysis was conducted using the MedCalc software. A total of five studies were eligible for inclusion in the systematic review and meta-analysis. Compared to EN alone, SPN + EN decreased the risk of nosocomial infections (relative risk (RR) = 0.733,

Indexed as

Dietary SupplementsAdultCombined Modality TherapyCritical Care OutcomesCritical IllnessCross InfectionEnteral NutritionFemaleHospital MortalityHumansIntensive Care UnitsLength of StayMaleParenteral NutritionRandomized Controlled Trials as TopicTime Factorsclinical outcomesintensive caresupplemental parenteral nutrition

Identifiers

PMID32998412
PMCPMC7601814

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.