Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis
The utility of using indirect calorimetry (IC) to estimate energy needs and methods for its application to this purpose remain unclear. This systematic review investigated whether using IC to estimate energy expenditure in critically ill patients is more meaningful for improving survival than other...
Gespeichert in:
| Veröffentlicht in: | Nutrients 2024-05, Vol.16 (10), p.1452 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 10 |
| container_start_page | 1452 |
| container_title | Nutrients |
| container_volume | 16 |
| creator | Watanabe, Shinichi Izumino, Hiroo Takatani, Yudai Tsutsumi, Rie Suzuki, Takahiro Tatsumi, Hiroomi Yamamoto, Ryo Sato, Takeaki Miyagi, Tomoka Miyajima, Isao Nakamura, Kensuke Higashibeppu, Naoki Kotani, Joji |
| description | The utility of using indirect calorimetry (IC) to estimate energy needs and methods for its application to this purpose remain unclear. This systematic review investigated whether using IC to estimate energy expenditure in critically ill patients is more meaningful for improving survival than other estimation methods.
Comprehensive searches were conducted in MEDLINE using PubMed, Cochrane Central Register of Controlled Trials, and Igaku-Chuo-Zasshi up to March 2023.
Nine RCTs involving 1178 patients were included in the meta-analysis. The evidence obtained suggested that energy delivery by IC improved short-term mortality (risk ratio, 0.86; 95% confidence interval [CI], 0.70 to 1.06). However, the use of IC did not appear to affect the length of ICU stay (mean difference [MD], 0.86; 95% CI, -0.98 to 2.70) or the duration of mechanical ventilation (MD, 0.66; 95% CI, -0.39 to 1.72). Post hoc analyses using short-term mortality as the outcome found no significant difference by target calories in resting energy expenditure, whereas more frequent IC estimates were associated with lower short-term mortality and were more effective in mechanically ventilated patients.
This updated meta-analysis revealed that the use of IC may improve short-term mortality in patients with critical illness and did not increase adverse events. |
| doi_str_mv | 10.3390/nu16101452 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_3153617125</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A795477625</galeid><sourcerecordid>A795477625</sourcerecordid><originalsourceid>FETCH-LOGICAL-c454t-2ca03f6de5a4de7dc6723401e24ecec6a3c510c52c3a38c55bb7ed7fcbe051d43</originalsourceid><addsrcrecordid>eNqFkl1rFTEQhoMottTe-AMk4I0IW5PNV9e7w_G0FiqKH9dLNpmUlGy2JtnK4p9v1larIphcZJg88yaZvAg9peSIsY68ijOVlFAu2gdovyWqbaTk7OFv8R46zPmSrEMRJdljtMeOVcdlR_bR951zYErGk8O7COliwW8g-GtICz6dvQWLhwWfRetTxfBWhyn5EUrd9hFvky_e6BAqEgL-oIuHWPJrvMGfllxgrAmDP8K1h29YR4vfQdHNJuqwZJ-foEdOhwyHd-sB-nKy-7x925y_Pz3bbs4bwwUvTWs0YU5aEJpbUNZI1TJOKLQcDBipmRGUGNEaptmxEWIYFFjlzABEUMvZAXpxq3uVpq8z5NKPPhsIQUeY5twzKpikirbi_yiRhKnaxFX1-V_o5TSn-rSVEp1see32PXWhA_Q-uqkkbVbRfqM6wavWj2OP_kHVaWH0ZorgfM3_UfDytsCkKecErr-q36LT0lPSr77o731R4Wd3N52HEewv9KcL2A0CvLCv</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3059624707</pqid></control><display><type>article</type><title>Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Watanabe, Shinichi ; Izumino, Hiroo ; Takatani, Yudai ; Tsutsumi, Rie ; Suzuki, Takahiro ; Tatsumi, Hiroomi ; Yamamoto, Ryo ; Sato, Takeaki ; Miyagi, Tomoka ; Miyajima, Isao ; Nakamura, Kensuke ; Higashibeppu, Naoki ; Kotani, Joji</creator><creatorcontrib>Watanabe, Shinichi ; Izumino, Hiroo ; Takatani, Yudai ; Tsutsumi, Rie ; Suzuki, Takahiro ; Tatsumi, Hiroomi ; Yamamoto, Ryo ; Sato, Takeaki ; Miyagi, Tomoka ; Miyajima, Isao ; Nakamura, Kensuke ; Higashibeppu, Naoki ; Kotani, Joji</creatorcontrib><description>The utility of using indirect calorimetry (IC) to estimate energy needs and methods for its application to this purpose remain unclear. This systematic review investigated whether using IC to estimate energy expenditure in critically ill patients is more meaningful for improving survival than other estimation methods.
Comprehensive searches were conducted in MEDLINE using PubMed, Cochrane Central Register of Controlled Trials, and Igaku-Chuo-Zasshi up to March 2023.
Nine RCTs involving 1178 patients were included in the meta-analysis. The evidence obtained suggested that energy delivery by IC improved short-term mortality (risk ratio, 0.86; 95% confidence interval [CI], 0.70 to 1.06). However, the use of IC did not appear to affect the length of ICU stay (mean difference [MD], 0.86; 95% CI, -0.98 to 2.70) or the duration of mechanical ventilation (MD, 0.66; 95% CI, -0.39 to 1.72). Post hoc analyses using short-term mortality as the outcome found no significant difference by target calories in resting energy expenditure, whereas more frequent IC estimates were associated with lower short-term mortality and were more effective in mechanically ventilated patients.
This updated meta-analysis revealed that the use of IC may improve short-term mortality in patients with critical illness and did not increase adverse events.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu16101452</identifier><identifier>PMID: 38794690</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Bias ; Calorimetry ; Calorimetry, Indirect ; Clinical outcomes ; confidence interval ; Critical Illness - therapy ; Energy consumption ; energy expenditure ; Energy Intake ; Energy Metabolism ; Health aspects ; Health surveys ; Humans ; Intensive Care Units ; Intervention ; Length of Stay ; Medical prognosis ; Medical research ; Medicine, Experimental ; Meta-analysis ; Mortality ; Nutrition ; Nutritional Support - methods ; Performance evaluation ; Randomized Controlled Trials as Topic ; relative risk ; Respiration, Artificial ; Systematic review ; Ventilators</subject><ispartof>Nutrients, 2024-05, Vol.16 (10), p.1452</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c454t-2ca03f6de5a4de7dc6723401e24ecec6a3c510c52c3a38c55bb7ed7fcbe051d43</cites><orcidid>0000-0001-6362-5823 ; 0000-0001-8481-0294 ; 0000-0002-9688-6154</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38794690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watanabe, Shinichi</creatorcontrib><creatorcontrib>Izumino, Hiroo</creatorcontrib><creatorcontrib>Takatani, Yudai</creatorcontrib><creatorcontrib>Tsutsumi, Rie</creatorcontrib><creatorcontrib>Suzuki, Takahiro</creatorcontrib><creatorcontrib>Tatsumi, Hiroomi</creatorcontrib><creatorcontrib>Yamamoto, Ryo</creatorcontrib><creatorcontrib>Sato, Takeaki</creatorcontrib><creatorcontrib>Miyagi, Tomoka</creatorcontrib><creatorcontrib>Miyajima, Isao</creatorcontrib><creatorcontrib>Nakamura, Kensuke</creatorcontrib><creatorcontrib>Higashibeppu, Naoki</creatorcontrib><creatorcontrib>Kotani, Joji</creatorcontrib><title>Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>The utility of using indirect calorimetry (IC) to estimate energy needs and methods for its application to this purpose remain unclear. This systematic review investigated whether using IC to estimate energy expenditure in critically ill patients is more meaningful for improving survival than other estimation methods.
Comprehensive searches were conducted in MEDLINE using PubMed, Cochrane Central Register of Controlled Trials, and Igaku-Chuo-Zasshi up to March 2023.
Nine RCTs involving 1178 patients were included in the meta-analysis. The evidence obtained suggested that energy delivery by IC improved short-term mortality (risk ratio, 0.86; 95% confidence interval [CI], 0.70 to 1.06). However, the use of IC did not appear to affect the length of ICU stay (mean difference [MD], 0.86; 95% CI, -0.98 to 2.70) or the duration of mechanical ventilation (MD, 0.66; 95% CI, -0.39 to 1.72). Post hoc analyses using short-term mortality as the outcome found no significant difference by target calories in resting energy expenditure, whereas more frequent IC estimates were associated with lower short-term mortality and were more effective in mechanically ventilated patients.
This updated meta-analysis revealed that the use of IC may improve short-term mortality in patients with critical illness and did not increase adverse events.</description><subject>Bias</subject><subject>Calorimetry</subject><subject>Calorimetry, Indirect</subject><subject>Clinical outcomes</subject><subject>confidence interval</subject><subject>Critical Illness - therapy</subject><subject>Energy consumption</subject><subject>energy expenditure</subject><subject>Energy Intake</subject><subject>Energy Metabolism</subject><subject>Health aspects</subject><subject>Health surveys</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Intervention</subject><subject>Length of Stay</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Meta-analysis</subject><subject>Mortality</subject><subject>Nutrition</subject><subject>Nutritional Support - methods</subject><subject>Performance evaluation</subject><subject>Randomized Controlled Trials as Topic</subject><subject>relative risk</subject><subject>Respiration, Artificial</subject><subject>Systematic review</subject><subject>Ventilators</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkl1rFTEQhoMottTe-AMk4I0IW5PNV9e7w_G0FiqKH9dLNpmUlGy2JtnK4p9v1larIphcZJg88yaZvAg9peSIsY68ijOVlFAu2gdovyWqbaTk7OFv8R46zPmSrEMRJdljtMeOVcdlR_bR951zYErGk8O7COliwW8g-GtICz6dvQWLhwWfRetTxfBWhyn5EUrd9hFvky_e6BAqEgL-oIuHWPJrvMGfllxgrAmDP8K1h29YR4vfQdHNJuqwZJ-foEdOhwyHd-sB-nKy-7x925y_Pz3bbs4bwwUvTWs0YU5aEJpbUNZI1TJOKLQcDBipmRGUGNEaptmxEWIYFFjlzABEUMvZAXpxq3uVpq8z5NKPPhsIQUeY5twzKpikirbi_yiRhKnaxFX1-V_o5TSn-rSVEp1see32PXWhA_Q-uqkkbVbRfqM6wavWj2OP_kHVaWH0ZorgfM3_UfDytsCkKecErr-q36LT0lPSr77o731R4Wd3N52HEewv9KcL2A0CvLCv</recordid><startdate>20240511</startdate><enddate>20240511</enddate><creator>Watanabe, Shinichi</creator><creator>Izumino, Hiroo</creator><creator>Takatani, Yudai</creator><creator>Tsutsumi, Rie</creator><creator>Suzuki, Takahiro</creator><creator>Tatsumi, Hiroomi</creator><creator>Yamamoto, Ryo</creator><creator>Sato, Takeaki</creator><creator>Miyagi, Tomoka</creator><creator>Miyajima, Isao</creator><creator>Nakamura, Kensuke</creator><creator>Higashibeppu, Naoki</creator><creator>Kotani, Joji</creator><general>MDPI AG</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>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><orcidid>https://orcid.org/0000-0001-6362-5823</orcidid><orcidid>https://orcid.org/0000-0001-8481-0294</orcidid><orcidid>https://orcid.org/0000-0002-9688-6154</orcidid></search><sort><creationdate>20240511</creationdate><title>Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis</title><author>Watanabe, Shinichi ; Izumino, Hiroo ; Takatani, Yudai ; Tsutsumi, Rie ; Suzuki, Takahiro ; Tatsumi, Hiroomi ; Yamamoto, Ryo ; Sato, Takeaki ; Miyagi, Tomoka ; Miyajima, Isao ; Nakamura, Kensuke ; Higashibeppu, Naoki ; Kotani, Joji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-2ca03f6de5a4de7dc6723401e24ecec6a3c510c52c3a38c55bb7ed7fcbe051d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Bias</topic><topic>Calorimetry</topic><topic>Calorimetry, Indirect</topic><topic>Clinical outcomes</topic><topic>confidence interval</topic><topic>Critical Illness - therapy</topic><topic>Energy consumption</topic><topic>energy expenditure</topic><topic>Energy Intake</topic><topic>Energy Metabolism</topic><topic>Health aspects</topic><topic>Health surveys</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Intervention</topic><topic>Length of Stay</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Meta-analysis</topic><topic>Mortality</topic><topic>Nutrition</topic><topic>Nutritional Support - methods</topic><topic>Performance evaluation</topic><topic>Randomized Controlled Trials as Topic</topic><topic>relative risk</topic><topic>Respiration, Artificial</topic><topic>Systematic review</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watanabe, Shinichi</creatorcontrib><creatorcontrib>Izumino, Hiroo</creatorcontrib><creatorcontrib>Takatani, Yudai</creatorcontrib><creatorcontrib>Tsutsumi, Rie</creatorcontrib><creatorcontrib>Suzuki, Takahiro</creatorcontrib><creatorcontrib>Tatsumi, Hiroomi</creatorcontrib><creatorcontrib>Yamamoto, Ryo</creatorcontrib><creatorcontrib>Sato, Takeaki</creatorcontrib><creatorcontrib>Miyagi, Tomoka</creatorcontrib><creatorcontrib>Miyajima, Isao</creatorcontrib><creatorcontrib>Nakamura, Kensuke</creatorcontrib><creatorcontrib>Higashibeppu, Naoki</creatorcontrib><creatorcontrib>Kotani, Joji</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>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</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 Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</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 China</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watanabe, Shinichi</au><au>Izumino, Hiroo</au><au>Takatani, Yudai</au><au>Tsutsumi, Rie</au><au>Suzuki, Takahiro</au><au>Tatsumi, Hiroomi</au><au>Yamamoto, Ryo</au><au>Sato, Takeaki</au><au>Miyagi, Tomoka</au><au>Miyajima, Isao</au><au>Nakamura, Kensuke</au><au>Higashibeppu, Naoki</au><au>Kotani, Joji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2024-05-11</date><risdate>2024</risdate><volume>16</volume><issue>10</issue><spage>1452</spage><pages>1452-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>The utility of using indirect calorimetry (IC) to estimate energy needs and methods for its application to this purpose remain unclear. This systematic review investigated whether using IC to estimate energy expenditure in critically ill patients is more meaningful for improving survival than other estimation methods.
Comprehensive searches were conducted in MEDLINE using PubMed, Cochrane Central Register of Controlled Trials, and Igaku-Chuo-Zasshi up to March 2023.
Nine RCTs involving 1178 patients were included in the meta-analysis. The evidence obtained suggested that energy delivery by IC improved short-term mortality (risk ratio, 0.86; 95% confidence interval [CI], 0.70 to 1.06). However, the use of IC did not appear to affect the length of ICU stay (mean difference [MD], 0.86; 95% CI, -0.98 to 2.70) or the duration of mechanical ventilation (MD, 0.66; 95% CI, -0.39 to 1.72). Post hoc analyses using short-term mortality as the outcome found no significant difference by target calories in resting energy expenditure, whereas more frequent IC estimates were associated with lower short-term mortality and were more effective in mechanically ventilated patients.
This updated meta-analysis revealed that the use of IC may improve short-term mortality in patients with critical illness and did not increase adverse events.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38794690</pmid><doi>10.3390/nu16101452</doi><orcidid>https://orcid.org/0000-0001-6362-5823</orcidid><orcidid>https://orcid.org/0000-0001-8481-0294</orcidid><orcidid>https://orcid.org/0000-0002-9688-6154</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2072-6643 |
| ispartof | Nutrients, 2024-05, Vol.16 (10), p.1452 |
| issn | 2072-6643 2072-6643 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3153617125 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Bias Calorimetry Calorimetry, Indirect Clinical outcomes confidence interval Critical Illness - therapy Energy consumption energy expenditure Energy Intake Energy Metabolism Health aspects Health surveys Humans Intensive Care Units Intervention Length of Stay Medical prognosis Medical research Medicine, Experimental Meta-analysis Mortality Nutrition Nutritional Support - methods Performance evaluation Randomized Controlled Trials as Topic relative risk Respiration, Artificial Systematic review Ventilators |
| title | Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T14%3A02%3A05IST&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=Effects%20of%20Energy%20Delivery%20Guided%20by%20Indirect%20Calorimetry%20in%20Critically%20Ill%20Patients:%20A%20Systematic%20Review%20and%20Meta-Analysis&rft.jtitle=Nutrients&rft.au=Watanabe,%20Shinichi&rft.date=2024-05-11&rft.volume=16&rft.issue=10&rft.spage=1452&rft.pages=1452-&rft.issn=2072-6643&rft.eissn=2072-6643&rft_id=info:doi/10.3390/nu16101452&rft_dat=%3Cgale_proqu%3EA795477625%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=3059624707&rft_id=info:pmid/38794690&rft_galeid=A795477625&rfr_iscdi=true |