Evidence map›Paper›PMID 39599600›Full record

ArticleNutrients2024

Nutritional Intake in Venovenous ECMO Patients: A Single-Center Study in a North American PICU.

Annika Lintvedt, Isabella Purosky, Benjamin Kogelschatz, Megan Brackmann, Erika Heinze, Jessica Parker, Brooke Dudick, Jamie Mcdiarmid, Elizabeth Rosner, Brian Boville and 1 more

Abstract read
In one paragraph

Article in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Annika LintvedtDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
Isabella PuroskyDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
Benjamin KogelschatzDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.ORCID 0009-0004-2518-9644
Megan BrackmannDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
Erika HeinzeCorewell Health, Grand Rapids, MI 49503, USA.
Jessica ParkerCorewell Health, Grand Rapids, MI 49503, USA.
Brooke DudickCorewell Health, Grand Rapids, MI 49503, USA.
Jamie McdiarmidPediatric Critical Care Medicine, Helen DeVos Children's Hospital, Grand Rapids, MI 49503, USA.
Elizabeth RosnerDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
Brian BovilleDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
Mara L Leimanis-LaurensDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.ORCID 0000-0003-0595-4578

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesMultiple independent variables were analyzed to determine total nutritional intake (caloric and protein), while reviewing vasoactive inotrope scores (VISs).

methodsRetrospective data were collected for nutritional intake (N = 64), daily VISs, extracorporeal membrane oxygenation (ECMO) complications, delays in nutritional intake (>48 h), reason for delay, and interruptions in nutrition support.

resultsVISs and ECMO characteristics analyzed by box-whisker plots demonstrated that ECMO complications prior to 24 h, cardiac arrest 24 h prior to ECMO, pediatric ECMO patients, venoarterial ECMO type, having a cardiac ECMO indication, and ECMO centrifugal pump had higher VISs. A regression analysis revealed that venovenous ECMO patients and the centrifugal pump type had higher caloric and protein intake; subsequently, for each increase in VIS, caloric intake decreased by -0.54. Sixteen patients did not receive nutritional support while on ECMO (9/16; 56% cardiac); 12/48 (25%) had a delay, with the cardiac patients nearing statistical significance.

conclusionVenovenous ECMO (non-cardiac) correlated with higher nutritional intake. The enteral administration of nutrition had a lower VIS on average compared to the other three groupings, namely enteral vs. parenteral; enteral vs. both enteral and parenteral; enteral vs. no nutrition. This study provides additional clinical insight on nutritional intake in ECMO patients.

Indexed as

Energy IntakeExtracorporeal Membrane OxygenationIntensive Care Units, PediatricAdolescentChildChild, PreschoolDietary ProteinsEnteral NutritionFemaleHumansInfantMaleNutritional StatusNutritional SupportParenteral NutritionRetrospective StudiesDietary Proteinscritical caredelay and interruption of nutritional supportextracorporeal membrane oxygenationfeeding tolerancenutritional supportpediatric intensive care unitpediatric nutritionvasoactive inotrope scorevenarterialvenovenous

Identifiers

PMID39599600
PMCPMC11597126

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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.