Evidence map›Paper›PMID 39503062›Full record

SynthesisJPEN. Journal of parenteral and enteral nutrition2025

Energy and protein nutrition adequacy in general wards among intensive care unit survivors: A systematic review and meta-analysis.

Zenzi Rosseel, Pieter-Jan Cortoos, Lynn Leemans, Arthur R H van Zanten, Claudine Ligneel, Elisabeth De Waele

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in JPEN. Journal of parenteral and enteral nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Article
  7. Core outcome sets and trials of nutrition and metabolism interventions.Current opinion in clinical nutrition and metabolic care · 2026
    Review
  8. Artificial intelligence-guided nutritional therapy in the ICU.Current opinion in clinical nutrition and metabolic care · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. 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

6 authors.

Zenzi RosseelDepartment of Pharmacy, Universitair Ziekenhuis Brussel (UZ Brussel), Jette, Belgium.ORCID 0000-0002-0182-6440
Pieter-Jan CortoosDepartment of Pharmacy, Universitair Ziekenhuis Brussel (UZ Brussel), Jette, Belgium.ORCID 0000-0003-3998-6586
Lynn LeemansDepartment of Clinical Nutrition, Universitair Ziekenhuis Brussel (UZ Brussel), Jette, Belgium.ORCID 0000-0001-5440-6506
Arthur R H van ZantenDepartment of Intensive Care Medicine, Gelderse Vallei Hospital, Ede, The Netherlands.ORCID 0000-0001-6276-7192
Claudine LigneelDepartment of Pharmacy, Universitair Ziekenhuis Brussel (UZ Brussel), Jette, Belgium.
Elisabeth De WaeleDepartment of Clinical Nutrition, Universitair Ziekenhuis Brussel (UZ Brussel), Jette, Belgium.ORCID 0000-0002-5126-3500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate energy and protein provision is mandatory to optimize survival chances in critical illness, prevent loss of muscle mass, and reduce length of stay. Data are available concerning feeding adequacy in intensive care unit (ICU) participants, but little is known about the adequacy in post-ICU participants. This systematic review aimed to evaluate feeding adequacy in post-ICU participants and addressed causes of feeding interruption leading to suboptimal adequacy.

methodsFor this systematic review, a bibliographic search was performed in PubMed, Scopus, and Web of Science. Randomized controlled studies, non-randomized controlled studies, and observational studies conducted between January 1990 and November 2023 fulfilling the inclusion criteria were withheld.

resultsEight studies were included. Outcomes reported were energy and protein adequacy, barriers, and feeding routes. Energy and protein requirements were determined in various ways, including indirect calorimetry and standardized and weight-based formulas. Energy adequacy ranged from 52% to 102% and protein adequacy between 63% and 86%. Participants were mainly fed with enteral nutrition (EN) or a combination of oral nutrition and EN. The main barrier reported for inadequate nutrition intake was feeding tube removal.

conclusionNext to different ways in calculating targets and reporting results, a wide range in energy and protein adequacy was observed, but with constant protein underfeeding. Participants fed with EN or a combination of EN and oral nutrition had the best adequacy; inappropriate tube removal is a common barrier leading to inadequate therapy. Standardized reporting and larger studies are needed to guide nutrition care for post-ICU participants.

Indexed as

Critical IllnessDietary ProteinsEnergy IntakeEnteral NutritionIntensive Care UnitsNutritional RequirementsSurvivorsCritical CareHumansNutritional StatusNutritional SupportDietary Proteinsenergyenteral nutritionfeeding adequacyparenteral nutritionproteinsurvivors

Identifiers

PMID39503062
PMCPMC11717489

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.