Evidence map›Paper›PMID 38978696›Full record

ArticleFrontiers in nutrition2024

Early versus delayed enteral nutrition in ICU patients with sepsis: a propensity score-matched analysis based on the MIMIC-IV database.

Fuchao Xu, Jianxin Xu, Jinjin Ma, Wenbo Xu, Shuangshuang Gu, Geng Lu, Jun Wang

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Article in Frontiers in nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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3 · Its place in the literature

Who cites it

9 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

7 authors.

Fuchao XuDepartment of Emergency Medicine, Nanjing Drum Tower Hospital, Nanjing, China.
Jianxin XuDepartment of Emergency Medicine, Drum Tower Hospital, Nanjing Medical University, Nanjing, China.
Jinjin MaDepartment of Rehabilitation Medicine, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Wenbo XuDepartment of Rehabilitation Medicine, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Shuangshuang GuDepartment of Emergency Medicine, Nanjing Drum Tower Hospital, Nanjing, China.
Geng LuDepartment of Emergency Medicine, Nanjing Drum Tower Hospital, Nanjing, China.
Jun WangDepartment of Emergency Medicine, Nanjing Drum Tower Hospital, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early enteral nutrition (EN) is recommended for sepsis management, but its optimal timing and clinical benefits remain uncertain. This study evaluates whether early EN improves outcomes compared to delayed EN in patients with sepsis. Methods: We analyzed data of septic patients from the MIMIC-IV 2.2 database, focusing on those in the Medical Intensive Care Unit (MICU) and Surgical Intensive Care Unit (SICU). Patients who initiated EN within 3 days were classified into the early EN group, while those who started EN between 3 and 7 days were classified into the delayed EN group. Propensity score matching was used to compare outcomes between the groups. Results: Among 1,111 patients, 786 (70.7%) were in the early EN group and 325 (29.3%) were in the delayed EN group. Before propensity score matching, the early EN group demonstrated lower mortality (crude OR = 0.694; 95% CI: 0.514-0.936; Conclusion: Early enteral nutrition may not significantly reduce overall mortality in sepsis patients but may shorten ICU stays and decrease the incidence of AKI stage 3. Further research is needed to identify specific patient characteristics that benefit most from early EN.

Indexed as

enteral nutritionMICUMIMIC-IVpropensity scoreSepsisSICU

Identifiers

PMID38978696
PMCPMC11228309

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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.