Evidence map›Paper›PMID 36088342›Full record

ArticleCritical care (London, England)2022

Clinical nutrition issues in 2022: What is missing to trust supplemental parenteral nutrition (SPN) in ICU patients?

Mette M Berger, Rosa Burgos, Michael P Casaer, Edoardo De Robertis, Juan Carlos Lopez Delgado, Vincent Fraipont, João Gonçalves-Pereira, Claude Pichard, Christian Stoppe

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06510348 (Achieving nuTritional Target in criticAlly Ill patieNts With iMpairEd gastroiNtesTinal Dysfunction), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT06510348 narecruitingnot on this mapstarted 2024, after this paper: background citation

Achieving nuTritional Target in criticAlly Ill patieNts With iMpairEd gastroiNtesTinal Dysfunction

TypeinterventionalSponsorRomanian Society for Enteral and Parenteral NutritionRan2024 to 2026Enrolled164ConditionsParenteral Nutrition, Gastroparesis, Gastrointestinal Dysfunction, Protein DeficiencyArmsSupplemental Parenteral Nutrition (SPN)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Longitudinal analysis of caloric requirements in critically ill trauma patients: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  7. Article
  8. Optimizing Nutrient Uptake in the Critically Ill: Insights into Malabsorption Management.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
    Article
  9. Review
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

9 authors at 9 institutions in 6 countries.

Mette M BergerLausanne University Hospital, 1011, Lausanne, Switzerland. mette.berger@unil.ch.ORCID 0000-0001-5427-1648
Rosa BurgosUniversity Hospital Vall d'Hebron, Barcelona, Spain.ORCID 0000-0003-3927-0887
Michael P CasaerLaboratory and Clinical Department of Intensive Care Medicine, KU Leuven, Leuven, Belgium.ORCID 0000-0001-9182-6964
Edoardo De RobertisIntensive Care Service, Department of Surgical and Biomedical Science, University of Perugia, Perugia, Italy.
Juan Carlos Lopez DelgadoArea de Vigilancia Intensiva (ICMiD), Hospital Clínic de Barcelona, Barcelona, Spain.ORCID 0000-0003-3324-1129
Vincent FraipontService of Intensive Care Medicine, Citadelle Hospital, Liège, Belgium.ORCID 0000-0002-0812-3617
João Gonçalves-PereiraIntensive Care Department, Vila Franca de Xira, Portugal.ORCID 0000-0002-7538-3777
Claude PichardClinical Nutrition, University Hospital, Geneva, Switzerland.ORCID 0000-0003-4978-6385
Christian StoppeDepartment of Intensive Care Medicine, Würzburg University, Würzburg, Germany.ORCID 0000-0002-2028-2039
Centre hospitalier régional de la Citadelle · BEHospital Clínic de Barcelona · ESHospital Vila Franca de Xira · PTKU Leuven · BEUniversity Hospital of Geneva · CHUniversity of Lausanne · CHUniversity of Perugia · ITUniversity of Würzburg · DEVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A multidisciplinary group of international physicians involved in the medical nutrition therapy (MNT) of adult critically ill patients met to discuss the value, role, and open questions regarding supplemental parenteral nutrition (SPN) along with oral or enteral nutrition (EN), particularly in the intensive care unit (ICU) setting. This manuscript summarizes the discussions and results to highlight the importance of SPN as part of a comprehensive approach to MNT in critically ill adults and for researchers to generate new evidence based on well-powered randomized controlled trials (RCTs). The experts agreed on several key points: SPN has shown clinical benefits, resulting in this strategy being included in American and European guidelines. Nevertheless, its use is heterogeneous across European countries, due to the persistence of uncertainties, such as the optimal timing and the risk of overfeeding in absence of indirect calorimetry (IC), which results in divergent opinions and barriers to SPN implementation. Education is also insufficient. The experts agreed on actions needed to increase evidence quality on SPN use in specific patients at a given time point during acute critical illness or recovery.

Indexed as

Critical IllnessTrustAdultCritical CareHumansIntensive Care UnitsParenteral NutritionClinical nutritionCritically illIntensive care unitNutrition careSupplemental parenteral nutrition

Identifiers

PMID36088342
PMCPMC9464377
OpenAlexW4295512147

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.