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Permissive or Trophic Enteral Nutrition and Full Enteral Nutrition Had Similar Effects on Clinical Outcomes in Intensive Care: A Systematic Review of Randomized Clinical Trials.
Silva, Camila F A; de Vasconcelos, Simone G; da Silva, Thales A; Silva, Flávia M.
Afiliação
  • Silva CFA; Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
  • de Vasconcelos SG; Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
  • da Silva TA; Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
  • Silva FM; Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Nutr Clin Pract ; 33(3): 388-396, 2018 Jun.
Article em En | MEDLINE | ID: mdl-29377333
The aim of this study was to systematically review the effect of permissive underfeeding/trophic feeding on the clinical outcomes of critically ill patients. A systematic review of randomized clinical trials to evaluate the mortality, length of stay, and mechanical ventilation duration in patients randomized to either hypocaloric or full-energy enteral nutrition was performed. Data sources included PubMed and Scopus and the reference lists of the articles retrieved. Two independent reviewers participated in all phases of this systematic review as proposed by the Cochrane Handbook, and the review was reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 7 randomized clinical trials that included a total of 1,717 patients were reviewed. Intensive care unit length of stay and mechanical ventilation duration were not statistically different between the intervention and control groups in all randomized clinical trials, and mortality rate was also not different between the groups. In conclusion, hypocaloric enteral nutrition had no significantly different effects on morbidity and mortality in critically ill patients when compared with full-energy nutrition. It is still necessary to determine the safety of this intervention in this group of patients, the optimal amount of energy provided, and the duration of this therapy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Estado Terminal / Nutrição Enteral / Cuidados Críticos Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Humans Idioma: En Revista: Nutr Clin Pract Assunto da revista: CIENCIAS DA NUTRICAO / ENFERMAGEM Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estado Nutricional / Estado Terminal / Nutrição Enteral / Cuidados Críticos Tipo de estudo: Clinical_trials / Guideline / Systematic_reviews Limite: Humans Idioma: En Revista: Nutr Clin Pract Assunto da revista: CIENCIAS DA NUTRICAO / ENFERMAGEM Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos