Evidence map›Paper›PMID 40847103›Full record

Trial reportScientific reports2025

Effects of enteral nutrition protocols on nutritional indicators and prognosis in neurological ICU patients: a randomized controlled trial.

Xia Zhang, Jun Zhang, Zhi-Bo You, Guo-Fang Zhang, Ya Chen, Xue-Jiao Zhou, Yuan-Hua Si, Zhong Luo, Zu-Cai Xu, Ben-Hai Yao and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. 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. Review
  2. Long-term impact of gastrointestinal risk stratification management on perioperative digestive complications in elderly osteoporotic vertebral fracture patients: a 10-year interrupted time series study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    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.

Xia Zhang *Department of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Jun Zhang *Department of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Zhi-Bo YouDepartment of Neurosurgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Guo-Fang ZhangDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Ya ChenDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Xue-Jiao ZhouDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Yuan-Hua SiDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Zhong LuoDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Zu-Cai XuDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
Ben-Hai YaoDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China. 244391378@qq.com.
Piao CaoDepartment of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China. 1757368586@qq.com.

Funding

Guizhou Provincial Science and Technology Programme 202242940112230149
6 · The paper itself

Abstract

This study investigates the effects of adding whey protein powder and Bifidobacterium quadruplex live bacterial tablets to enteral nutrition on nutritional indicators, complications, and prognosis in neurological ICU patients. Between April 2022 and December 2023, 100 patients requiring enteral nutrition in our hospital's Neurology ICU were randomly assigned to four groups (25 each): EN1 (enteral nutrition only), EN2 (enteral nutrition + Bifidobacterium), EN3 (enteral nutrition + Bifidobacterium + whey protein), and EN4 (enteral nutrition + whey protein). Nutritional indicators (albumin, total protein, prealbumin), complication rates (diarrhea, constipation, gastric issues), prognosis indicators (hospital stay, ventilator use, lung infections, antibiotic use), and APACHE II scores were compared. This study has been approved by the Ethics Committee of the Affiliated Hospital of Zunyi Medical University, NO: KLL-2021-112. We confirm that all experiments were performed in accordance with relevant guidelines and regulations. After 7 days, EN3 and EN4 groups showed significantly improved nutritional indicators compared to EN1, with EN3 outperforming EN2. Diarrhea and gastric mucosal bleeding were less frequent in EN2 and EN3 compared to EN1 and EN4. APACHE II scores improved significantly in EN3 and EN4 post-treatment. EN3 had the lowest pulmonary infection rate and reduced antibiotic use, but hospitalization time differences were not significant across groups. Metabolic indicators showed no significant differences between groups. Supplementing enteral nutrition with whey protein powder and Bifidobacterium quadruplex improves nutritional status, reduces gastrointestinal complications, and enhances prognosis in critically ill neurological patients. Trial registration: ChiCTR2300079322, (30/12/2023); Website where it was obtained: https://www.chictr.org.cn/bin/home.

Indexed as

Enteral NutritionNervous System DiseasesWhey ProteinsAdultAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedNutritional StatusPrognosisWhey ProteinsEnteral nutritionMicroecologicsNeurological intensive care unitWhey protein powder

Identifiers

PMID40847103
PMCPMC12373874

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.