Evidence map›Paper›PMID 36839275›Full record

ArticleNutrients2023

Factors Associated with Interruptions of Enteral Nutrition and the Impact on Macro- and Micronutrient Deficits in ICU Patients.

Arezina N Kasti, Maria Theodorakopoulou, Konstantinos Katsas, Kalliopi D Synodinou, Maroulla D Nikolaki, Alice Efstathia Zouridaki, Stylianos Fotiou, Aliki Kapetani, Apostolos Armaganidis

Abstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  11. Observational
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  14. Article
  15. Feeding Intolerance in Critically Ill Patients with Enteral Nutrition: A Meta-Analysis and Systematic Review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
    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.

Arezina N KastiDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.ORCID 0000-0001-7282-4939
Maria Theodorakopoulou1st ICU Department, Evangelismos Hospital, Intensive Care Medicine, 10676 Athens, Greece.
Konstantinos KatsasDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.ORCID 0000-0002-3327-9330
Kalliopi D SynodinouDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.
Maroulla D NikolakiDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.ORCID 0000-0002-0546-722X
Alice Efstathia ZouridakiDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.
Stylianos FotiouDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.
Aliki KapetaniDepartment of Nutrition and Dietetics, Attikon University General Hospital, 12462 Athens, Greece.
Apostolos Armaganidis2nd ICU Department, Attikon University Hospital, Intensive Care Medicine, 12461 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimFeeding interruptions in critical care patients are often unjustified. We aimed to determine the causes, duration, and frequency of enteral nutrition interruptions (ENIs) and to assess macronutrients and antioxidant deficits according to European Society of Parenteral Enteral Nutrition (ESPEN) guidelines.

methodsWe prospectively enrolled Intensive Care Unit (ICU) patients admitted for more than 48 h with an inability to orally eat from April to December 2019. The type of enteral nutrition, the number of calories administered, the time of feeding initiation, the reasons for delaying feeding, and the causes for ENI were recorded.

results81 patients were enrolled, with a median duration of ENIs of 5.2 (3.4-7.4) hours/day. Gastric residual volume (GRV) monitoring-a highly controversial practice-was the most common cause of ENI (median duration 3 (2.3-3) hours/day). The mean energy intake was 1037 ± 281 kcal/day, while 60.5% of patients covered less than 65% of the total energy needs (1751 ± 295 kcal/day, according to mean Body Mass Index (BMI)). The median daily protein intake did not exceed 0.43 ± 0.3 gr/kg/day of the actual body weight (BW), whereas ESPEN recommends 1.3 gr/kg/day for adjusted BW (

conclusionENIs lead to substantial caloric, protein, and antioxidant deficits.

Indexed as

Enteral NutritionTrace ElementsAntioxidantsBody WeightCritical CareCritical IllnessEnergy IntakeHumansIntensive Care UnitsMicronutrientsAntioxidantsMicronutrientsTrace Elementsantioxidantscaloric deficitintensive careinterruption of enteral nutritionmalnutritionmicronutrients

Identifiers

PMID36839275
PMCPMC9959226

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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.