Evidence map›Paper›PMID 42525684›Full record

Trial reportPloS one2026

Use of a hypercaloric and hyperprotein supplement enriched with immunonutrients in multi-pathological malnourished patients to improve the incidence and prevalence of pressure sores: A randomized controlled trial.

Eduardo Sánchez-Sánchez, Jara Díaz-Jiménez, Alejandro García-García, Alejandro Úbeda-Iglesias, Borja Muñoz-Tejada, Javier Martínez-Diegues, Cristina Sánchez-Fernández, Marina Erola-Moreno, Borja Vallecillo-Rico, Cristina Jiménez-Vázquez and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06726486 (Use of a Hypercaloric and Hyperprotein Supplement Enriched with Immunonutrients in Multi-pathological Malnourished Patients to Improve the Incidence and Prevalence of Pressure Sores), which is not on this map. Not yet cited in PubMed.

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

NCT06726486 phase4completednot on this map

Use of a Hypercaloric and Hyperprotein Supplement Enriched with Immunonutrients in Multi-pathological Malnourished Patients to Improve the Incidence and Prevalence of Pressure Sores: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CadizRan2022 to 2023Enrolled69ConditionsMultimorbidity, Comorbidity, Malnutrition, Pressure Ulcer PreventionArmsAtémpero, Control (Standard treatment)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Eduardo Sánchez-SánchezDepartment of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain.ORCID https://orcid.org/0000-0002-2333-9109
Jara Díaz-JiménezBiomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, University of Cadiz, Cadiz, Spain.
Alejandro García-GarcíaBiomedical Research and Innovation Institute of Cadiz (INiBICA), Puerta del Mar University Hospital, University of Cadiz, Cadiz, Spain.
Alejandro Úbeda-IglesiasCritical Care Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Borja Muñoz-TejadaInternal Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Javier Martínez-DieguesInternal Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Cristina Sánchez-FernándezDepartment of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain.
Marina Erola-MorenoInternal Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Borja Vallecillo-RicoInternal Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Cristina Jiménez-VázquezInternal Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Blanca Bohorquez-AlmagroInternal Medicine Department, Punta de Europa University Hospital, Algeciras, Spain.
Sol-Paula Cortés de MiguelPharmacy Department, Punta de Europa University Hospital, Algeciras, Spain.
Antonio-Jesús Marín-PazDepartment of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredisposing factors for the development of pressure-related injuries (PRIs) include the presence of chronic diseases, polypharmacy, immobility and malnutrition. Nutrients such as arginine play an essential role in wound healing. METHODS AND

findingsA single-blind randomized controlled trial was carried out. Intervention group received a complete hyperproteic and hypercaloric oral nutritional supplement with a fiber mixture enriched in omega 3, L-arginine and nucleotides, providing vitamin C and Zinc, and the control group received a hyperproteic and hypercaloric oral nutritional supplement with fiber mixture.

resultsDescriptive analysis indicated a lower frequency of PRIs at 15 and 30 days in the Atémpero® group compared to the control group, although these differences did not reach statistical significance. However, both improved at the end of the study. In addition, the high risk decreased in both groups, with a higher decrease in the Atémpero® group (72.5% vs 40.9%), as well as the categorization and parameters of the PUSH scale, with a reduction of the same in the Atémpero® group.

conclusionsWhile statistical significance was not achieved, the observed trends in PUSH scale scores and clinical observations within the Atémpero® group suggest areas for further investigation. These preliminary data highlight a potential avenue for the nutritional management of multi-pathological patients, establishing a solid foundation for future large-scale confirmatory trials to validate the efficacy of immunonutrient-enriched ONS in pressure injury care. Trial registration. ClinicalTrials.gov NCT06726486.

Indexed as

Dietary SupplementsMalnutritionPressure UlcerAgedFemaleHumansIncidenceMaleMiddle AgedPrevalenceSingle-Blind Method

Identifiers

PMID42525684
PMCPMC13419236

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Registered trials

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.