Evidence map›Paper›PMID 37324871›Full record

ArticleFood science & nutrition2023

The effect of low dietary inflammatory index score formula on inflammatory, metabolic, and clinical outcomes in critically ill traumatic brain injury patients: A single-blind randomized controlled pilot study.

Sajedeh Jandari, Reza Rezvani, Sajedeh Yousefian, Negin Mosalmanzadeh, Mohammad Bagherniya, Davood Soleimani, Seyedeh Zeynab Mousavian, Nitin Shivappa, James R Hébert, Ali Jafarzadeh Esfahani and 3 more

Abstract read
In one paragraph

Article in Food science & nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

13 authors.

Sajedeh JandariDepartment of Nutrition, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran.
Reza RezvaniDepartment of Nutrition, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran.ORCID https://orcid.org/0000-0003-3585-9854
Sajedeh YousefianDepartment of Nutrition Sciences Varastegan Institute for Medical Sciences Mashhad Iran.
Negin MosalmanzadehDepartment of Nutrition Sciences Varastegan Institute for Medical Sciences Mashhad Iran.
Mohammad BagherniyaDepartment of Community Nutrition, School of Nutrition and Food Science Isfahan University of Medical Sciences Isfahan Iran.
Davood SoleimaniDepartment of Nutritional Sciences, School of Nutritional Sciences Kermanshah University of Medical Sciences Kermanshah Iran.
Seyedeh Zeynab MousavianDepartment of Nutritional Sciences, School of Nutritional Sciences Kermanshah University of Medical Sciences Kermanshah Iran.
Nitin ShivappaCancer Prevention and Control Program University of South Carolina Columbia South Carolina USA.
James R HébertCancer Prevention and Control Program University of South Carolina Columbia South Carolina USA.
Ali Jafarzadeh EsfahaniDepartment of Nutrition, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran.
Abass AkhgariTargeted Drug Delivery Research Center Pharmaceutical Technology Institute, Mashhad University of Medical Sciences Mashhad Iran.
Lida JarahiDepartment of Nutrition, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran.
Mohammad SafarianDepartment of Nutrition, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In traumatic brain injury (TBI) patients, a complex cascade of inflammatory responses are frequently observed following trauma. Numerous dietary agents have long been found to have potential in modulating inflammatory responses. This pilot study, designed an enteral formula with low inflammatory properties based on the dietary inflammatory index (DII®) and evaluated its effect on inflammatory and metabolic factors in critically ill TBI patients. This single-blind randomized controlled pilot study was conducted at the Neurosurgical ICU of Shahid Kamyab Hospital (Mashhad, Iran). A total of 20 TBI patients were randomly assigned to receive either low-DII score or standard formula at the intensive care unit (ICU). The primary outcomes of the study included clinical status, inflammatory biomarkers, APACHE II, SAPS II, SOFA, and NUTRIC scores. The trial groups did not differ significantly in baseline values. Following 14 days of intervention, there was a statistically significant decrease in the APACHE II, SAPS II, and NUTRIC scores and a significant increase in the GCS score in the low-DII score formula group compared to the standard formula group. Over 2 weeks, high sensitivity C-reactive protein (hs-CRP) values of -2.73 (95% CI: -3.67, -1.79) mg/dL in the low-DII score formula group versus 0.65 (95% CI: -0.29, 1.58) mg/dL in controls were obtained. Moreover, the length of hospital stay was longer for the standard formula group than for the low-DII score formula group. The low-DII score formula improves inflammatory factors (serum hs-CRP) and metabolic biomarkers (LDL-c and FBS). Furthermore, clinical outcomes, including the length of hospital stay and disease severity, appear to be enhanced.

Indexed as

dietary inflammatory indexenteral nutritionformulainflammationtraumatic brain injury

Identifiers

PMID37324871
PMCPMC10261799

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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.