Evidence map›Paper›PMID 42199747›Full record

ArticleFrontiers in nutrition2026

The impact of early enteral nutrition on 28-day mortality in septic shock: a cohort study.

Min Mo, Jianfeng Xie, Changde Wu, Ling Liu, Hui Chen, Yi Yang

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Min MoJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Jianfeng XieJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Changde WuJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Ling LiuJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Hui ChenJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Yi YangJiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Enteral nutrition (EN) in septic shock patients is a double-edged sword. The impact of early enteral nutrition (EEN) on mortality in septic shock patients remains uncertain, and whether this association is modified by vasopressor dosage is also unclear. Objective: The study aimed to investigate the association between EEN and 28-day in-hospital mortality in patients with septic shock and to explore whether the association varied across different dosages of vasopressors during the first 24 h. Methods: Data were extracted from the Chinese Database in Intensive Care (CDIC). Adult septic patients who received vasopressors within 24 h of intensive care unit (ICU) admission were eligible for inclusion. The primary exposure was whether patients received early nutrition within the first 24 h after ICU admission (the EEN group). The primary outcome was 28-day mortality. Multivariate Cox regression models were employed to assess the association between the EEN group and 28-day mortality in the overall population and in patients receiving different vasopressor dosing intensity (VDI) levels. VDI was defined as the total vasopressor dose expressed in norepinephrine equivalents (NEEs), calculated as the time-weighted average over the first 24 h. Results: A total of 26,478 patients were screened and, ultimately, 1855 patients met the inclusion criteria. The median Sequential Organ Failure Assessment (SOFA) score was 11 [interquartile range (IQR): 8-14], and the Acute Physiology and Chronic Health Evaluation (APACHE) II score was 20 (IQR: 15-26). The 28-day in-hospital mortality rate was 19.7%. Compared to patients in the EEN group, those in the late enteral nutrition (LEN) group required higher vasopressor doses (8.7 vs. 10.6 ug/min, Conclusion: Early enteral nutrition was not associated with a lower 28-day mortality risk in patients with septic shock, and it only demonstrated a trend in patients receiving low doses of vasopressors.

Indexed as

early enteral nutritionmortalitysepsisseptic shockvasopressor dose

Identifiers

PMID42199747
PMCPMC13199022

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