Evidence map›Paper›PMID 37386525›Full record

ArticleJournal of anesthesia, analgesia and critical care2021

Do we need a 6D's Framework of Nutritional Stewardship in critical care?

Dafne Pisani, Paolo Navalesi, Silvia De Rosa

Abstract readLetter
In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2021. 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.

  1. Trial
  2. Article
  3. Review
  4. 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

3 authors.

Dafne PisaniDepartment of Emergency and Organ Transplantation, University of Bari "Aldo Moro", Bari, Italy.
Paolo NavalesiDepartment of Medicine, Anesthesia and Critical Care Unit, Padua University Hospital, Padua, Italy.
Silvia De RosaDepartment of Anesthesiology and Intensive Care, San Bortolo Hospital, Vicenza, Italy. derosa.silvia@ymail.com.ORCID http://orcid.org/0000-0001-8987-4596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent European Society for Clinical Nutrition and Metabolism (ESPEN) guideline on clinical nutrition in the intensive care unit had as ultimate goal the achievement of optimal nutritional support for critically ill patients and to illuminate the gaps in knowledge in order to provide priorities for future clinical research. Although malnutrition is a vital part of the treatment of patients with critical illness and injury, nutrition in the critically ill is not one size fits all. Both clinical nutrition guidelines and ICU experts have recognized the need for a new, individualized approach to nutrition. Nutrition stewardship, analog to antimicrobial and fluid stewardship, could be defined as the "ongoing effort by a healthcare institution to optimise artificial nutrition use in order to improve patient outcomes, ensure cost effective therapy and reduce adverse sequelae." A robust nutrition stewardship program could gain reputation if the concept will spread to various national programs and regulatory guidelines released in the recent past.

Indexed as

Critical careNutritional statusNutrition stewardshipNutrition support

Identifiers

PMID37386525
PMCPMC10208446

What OpenQuestion holds

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LicenceCC BY
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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.