Enteral versus parenteral nutrition in critically ill patients with severe pancreatitis: a meta-analysis
Whether enteral nutrition (EN) is superior to parenteral nutrition (PN) in critically ill patients with severe acute pancreatitis remains unknown. The objective of this meta-analysis was to assess the effects of EN versus PN on clinical outcomes in a subgroup of pancreatitis patients. Relevant rando...
Gespeichert in:
| Veröffentlicht in: | European journal of clinical nutrition 2018-01, Vol.72 (1), p.66-68 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 68 |
|---|---|
| container_issue | 1 |
| container_start_page | 66 |
| container_title | European journal of clinical nutrition |
| container_volume | 72 |
| creator | Yao, H He, C Deng, L Liao, G |
| description | Whether enteral nutrition (EN) is superior to parenteral nutrition (PN) in critically ill patients with severe acute pancreatitis remains unknown. The objective of this meta-analysis was to assess the effects of EN versus PN on clinical outcomes in a subgroup of pancreatitis patients. Relevant randomized controlled trials (RCTs) were searched in Scopus, PubMed and Web of Science from inception to August 2016. Ultimately, five RCTs including 348 patients were enrolled in this analysis. Compared with PN, EN was associated with a significant reduction in overall mortality (risk ratio (RR)=0.36, 95% confidence interval (CI) 0.20–0.65,
P
=0.001) and the rate of multiple organ failure (RR=0.39, 95% CI 0.21–0.73,
P
=0.003). EN should be recommended as the preferred route of nutrition for critically ill patients with severe acute pancreatitis. |
| doi_str_mv | 10.1038/ejcn.2017.139 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1938603172</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A522210231</galeid><sourcerecordid>A522210231</sourcerecordid><originalsourceid>FETCH-LOGICAL-c496t-adf51340285af8c522260fa8fa06882e9415030560f071cbcae676816eb10d2c3</originalsourceid><addsrcrecordid>eNptkkGLFDEQhYMo7rh69CoNguylx0rSnU57W5ZdFRa86DlkMtUzGdLpMUkr8-9NcHRXaXJIePVV8ag8Ql5TWFPg8j0ejF8zoN2a8v4JWdGmE3UrGnhKVtC3Tc0BugvyIsYDQC527Dm5YLIHynm7IvtbnzBoV_3AEOdYHXXAs-LnFGyyk6-sr0x5Gu3cqbLOZSzZzMXqp037KmLuxix6EzBXko0fKl2NmHStvXanaONL8mzQLuKr831Jvt3dfr35VN9_-fj55vq-Nk0vUq23Q0t5A0y2epCmZYwJGLQcNAgpGfYNbYFDm0XoqNkYjaITkgrcUNgywy_J1e-5xzB9nzEmNdpo0DntcZqjoj2XAjjtWEbf_ocepjlkv4WSgooWqHigdtqhsn6YUtCmDFXXxR4Fxmmm6gVqh76scvI42Cz_w68X-Hy2OFqz2PDuUcMetUv7OLm5fFBcdGLCFGPAQR2DHXU4KQqqREaVyKgSGZUjk_k35y3MmxG3f-k_GXmwGnPJ7zA8WtPixF-ZOMki</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1986165016</pqid></control><display><type>article</type><title>Enteral versus parenteral nutrition in critically ill patients with severe pancreatitis: a meta-analysis</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Yao, H ; He, C ; Deng, L ; Liao, G</creator><creatorcontrib>Yao, H ; He, C ; Deng, L ; Liao, G</creatorcontrib><description>Whether enteral nutrition (EN) is superior to parenteral nutrition (PN) in critically ill patients with severe acute pancreatitis remains unknown. The objective of this meta-analysis was to assess the effects of EN versus PN on clinical outcomes in a subgroup of pancreatitis patients. Relevant randomized controlled trials (RCTs) were searched in Scopus, PubMed and Web of Science from inception to August 2016. Ultimately, five RCTs including 348 patients were enrolled in this analysis. Compared with PN, EN was associated with a significant reduction in overall mortality (risk ratio (RR)=0.36, 95% confidence interval (CI) 0.20–0.65,
P
=0.001) and the rate of multiple organ failure (RR=0.39, 95% CI 0.21–0.73,
P
=0.003). EN should be recommended as the preferred route of nutrition for critically ill patients with severe acute pancreatitis.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/ejcn.2017.139</identifier><identifier>PMID: 28901335</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308 ; 692/699/1503/1712/1714/2754 ; Clinical Nutrition ; Clinical trials ; Confidence intervals ; Critical care ; Critical Illness ; Critically ill persons ; Enteral Nutrition ; Epidemiology ; Evidence-Based Medicine ; Food and nutrition ; Health aspects ; Humans ; Internal Medicine ; Medicine ; Medicine & Public Health ; Meta-analysis ; Metabolic Diseases ; Mortality ; Multiple Organ Failure - epidemiology ; Multiple Organ Failure - etiology ; Multiple Organ Failure - mortality ; Multiple Organ Failure - prevention & control ; Nutrition ; Nutrition research ; Pancreatitis ; Pancreatitis - mortality ; Pancreatitis - physiopathology ; Pancreatitis - therapy ; Parenteral Nutrition ; Patient outcomes ; Patients ; Public Health ; Randomized Controlled Trials as Topic ; Reproducibility of Results ; review ; Risk ; Severity of Illness Index</subject><ispartof>European journal of clinical nutrition, 2018-01, Vol.72 (1), p.66-68</ispartof><rights>Macmillan Publishers Limited, part of Springer Nature. 2018</rights><rights>COPYRIGHT 2018 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-adf51340285af8c522260fa8fa06882e9415030560f071cbcae676816eb10d2c3</citedby><cites>FETCH-LOGICAL-c496t-adf51340285af8c522260fa8fa06882e9415030560f071cbcae676816eb10d2c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ejcn.2017.139$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ejcn.2017.139$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28901335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yao, H</creatorcontrib><creatorcontrib>He, C</creatorcontrib><creatorcontrib>Deng, L</creatorcontrib><creatorcontrib>Liao, G</creatorcontrib><title>Enteral versus parenteral nutrition in critically ill patients with severe pancreatitis: a meta-analysis</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Whether enteral nutrition (EN) is superior to parenteral nutrition (PN) in critically ill patients with severe acute pancreatitis remains unknown. The objective of this meta-analysis was to assess the effects of EN versus PN on clinical outcomes in a subgroup of pancreatitis patients. Relevant randomized controlled trials (RCTs) were searched in Scopus, PubMed and Web of Science from inception to August 2016. Ultimately, five RCTs including 348 patients were enrolled in this analysis. Compared with PN, EN was associated with a significant reduction in overall mortality (risk ratio (RR)=0.36, 95% confidence interval (CI) 0.20–0.65,
P
=0.001) and the rate of multiple organ failure (RR=0.39, 95% CI 0.21–0.73,
P
=0.003). EN should be recommended as the preferred route of nutrition for critically ill patients with severe acute pancreatitis.</description><subject>692/308</subject><subject>692/699/1503/1712/1714/2754</subject><subject>Clinical Nutrition</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Critical care</subject><subject>Critical Illness</subject><subject>Critically ill persons</subject><subject>Enteral Nutrition</subject><subject>Epidemiology</subject><subject>Evidence-Based Medicine</subject><subject>Food and nutrition</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Metabolic Diseases</subject><subject>Mortality</subject><subject>Multiple Organ Failure - epidemiology</subject><subject>Multiple Organ Failure - etiology</subject><subject>Multiple Organ Failure - mortality</subject><subject>Multiple Organ Failure - prevention & control</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Pancreatitis</subject><subject>Pancreatitis - mortality</subject><subject>Pancreatitis - physiopathology</subject><subject>Pancreatitis - therapy</subject><subject>Parenteral Nutrition</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Public Health</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Reproducibility of Results</subject><subject>review</subject><subject>Risk</subject><subject>Severity of Illness Index</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkkGLFDEQhYMo7rh69CoNguylx0rSnU57W5ZdFRa86DlkMtUzGdLpMUkr8-9NcHRXaXJIePVV8ag8Ql5TWFPg8j0ejF8zoN2a8v4JWdGmE3UrGnhKVtC3Tc0BugvyIsYDQC527Dm5YLIHynm7IvtbnzBoV_3AEOdYHXXAs-LnFGyyk6-sr0x5Gu3cqbLOZSzZzMXqp037KmLuxix6EzBXko0fKl2NmHStvXanaONL8mzQLuKr831Jvt3dfr35VN9_-fj55vq-Nk0vUq23Q0t5A0y2epCmZYwJGLQcNAgpGfYNbYFDm0XoqNkYjaITkgrcUNgywy_J1e-5xzB9nzEmNdpo0DntcZqjoj2XAjjtWEbf_ocepjlkv4WSgooWqHigdtqhsn6YUtCmDFXXxR4Fxmmm6gVqh76scvI42Cz_w68X-Hy2OFqz2PDuUcMetUv7OLm5fFBcdGLCFGPAQR2DHXU4KQqqREaVyKgSGZUjk_k35y3MmxG3f-k_GXmwGnPJ7zA8WtPixF-ZOMki</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Yao, H</creator><creator>He, C</creator><creator>Deng, L</creator><creator>Liao, G</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180101</creationdate><title>Enteral versus parenteral nutrition in critically ill patients with severe pancreatitis: a meta-analysis</title><author>Yao, H ; He, C ; Deng, L ; Liao, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-adf51340285af8c522260fa8fa06882e9415030560f071cbcae676816eb10d2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>692/308</topic><topic>692/699/1503/1712/1714/2754</topic><topic>Clinical Nutrition</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Critical care</topic><topic>Critical Illness</topic><topic>Critically ill persons</topic><topic>Enteral Nutrition</topic><topic>Epidemiology</topic><topic>Evidence-Based Medicine</topic><topic>Food and nutrition</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Metabolic Diseases</topic><topic>Mortality</topic><topic>Multiple Organ Failure - epidemiology</topic><topic>Multiple Organ Failure - etiology</topic><topic>Multiple Organ Failure - mortality</topic><topic>Multiple Organ Failure - prevention & control</topic><topic>Nutrition</topic><topic>Nutrition research</topic><topic>Pancreatitis</topic><topic>Pancreatitis - mortality</topic><topic>Pancreatitis - physiopathology</topic><topic>Pancreatitis - therapy</topic><topic>Parenteral Nutrition</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Public Health</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Reproducibility of Results</topic><topic>review</topic><topic>Risk</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yao, H</creatorcontrib><creatorcontrib>He, C</creatorcontrib><creatorcontrib>Deng, L</creatorcontrib><creatorcontrib>Liao, G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yao, H</au><au>He, C</au><au>Deng, L</au><au>Liao, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enteral versus parenteral nutrition in critically ill patients with severe pancreatitis: a meta-analysis</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>72</volume><issue>1</issue><spage>66</spage><epage>68</epage><pages>66-68</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Whether enteral nutrition (EN) is superior to parenteral nutrition (PN) in critically ill patients with severe acute pancreatitis remains unknown. The objective of this meta-analysis was to assess the effects of EN versus PN on clinical outcomes in a subgroup of pancreatitis patients. Relevant randomized controlled trials (RCTs) were searched in Scopus, PubMed and Web of Science from inception to August 2016. Ultimately, five RCTs including 348 patients were enrolled in this analysis. Compared with PN, EN was associated with a significant reduction in overall mortality (risk ratio (RR)=0.36, 95% confidence interval (CI) 0.20–0.65,
P
=0.001) and the rate of multiple organ failure (RR=0.39, 95% CI 0.21–0.73,
P
=0.003). EN should be recommended as the preferred route of nutrition for critically ill patients with severe acute pancreatitis.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28901335</pmid><doi>10.1038/ejcn.2017.139</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0954-3007 |
| ispartof | European journal of clinical nutrition, 2018-01, Vol.72 (1), p.66-68 |
| issn | 0954-3007 1476-5640 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1938603172 |
| source | MEDLINE; SpringerLink Journals |
| subjects | 692/308 692/699/1503/1712/1714/2754 Clinical Nutrition Clinical trials Confidence intervals Critical care Critical Illness Critically ill persons Enteral Nutrition Epidemiology Evidence-Based Medicine Food and nutrition Health aspects Humans Internal Medicine Medicine Medicine & Public Health Meta-analysis Metabolic Diseases Mortality Multiple Organ Failure - epidemiology Multiple Organ Failure - etiology Multiple Organ Failure - mortality Multiple Organ Failure - prevention & control Nutrition Nutrition research Pancreatitis Pancreatitis - mortality Pancreatitis - physiopathology Pancreatitis - therapy Parenteral Nutrition Patient outcomes Patients Public Health Randomized Controlled Trials as Topic Reproducibility of Results review Risk Severity of Illness Index |
| title | Enteral versus parenteral nutrition in critically ill patients with severe pancreatitis: a meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T08%3A23%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Enteral%20versus%20parenteral%20nutrition%20in%20critically%20ill%20patients%20with%20severe%20pancreatitis:%20a%20meta-analysis&rft.jtitle=European%20journal%20of%20clinical%20nutrition&rft.au=Yao,%20H&rft.date=2018-01-01&rft.volume=72&rft.issue=1&rft.spage=66&rft.epage=68&rft.pages=66-68&rft.issn=0954-3007&rft.eissn=1476-5640&rft_id=info:doi/10.1038/ejcn.2017.139&rft_dat=%3Cgale_proqu%3EA522210231%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1986165016&rft_id=info:pmid/28901335&rft_galeid=A522210231&rfr_iscdi=true |