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CI: Gastric vs. Small Bowel Feeding (2011)

Intervention
In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact mortality?
- Conclusion
  Small bowel feeding is unlikely to reduce mortality in adult critically ill patients. To date, adequately powered studies have not been conducted to demonstrate a significant difference in mortality when comparing gastric vs. small bowel feeding tube position in critically ill patients.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In adult critically ill patients, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact mortality?
- Search Plan and Results: CI: Gastric vs. Small Bowel Feeding Tube Placement 2011
In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact infectious complications (aspiration pneumonia)?
- Conclusion
  Clinical trials with the largest number of subjects having pneumonia as a primary outcome suggest that post-pyloric enteral nutrition (EN) reduces aspiration pneumonia in critically ill adult patients.
- Grade: II
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact infectious complications (aspiration pneumonia)?
- Search Plan and Results: CI: Gastric vs. Small Bowel Feeding Tube Placement 2011
In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact length of stay (LOS)?
- Conclusion
  Intensive care unit (ICU) or hospital length of stay (LOS) in adult critically ill patients do not differ when the feeding tube tip is placed in gastric vs. small bowel position. However, adequately powered studies have not been conducted.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact length of stay (LOS)?
- Search Plan and Results: CI: Gastric vs. Small Bowel Feeding Tube Placement 2011
In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact days on mechanical ventilation?
- Conclusion
  Days on mechanical ventilation in adult critically ill patients do not differ when the enteral nutrition (EN) feeding tube tip is placed in gastric vs. small bowel position. However, adequately powered studies have not been conducted.
- Grade: III
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact days on mechanical ventilation?
- Search Plan and Results: CI: Gastric vs. Small Bowel Feeding Tube Placement 2011
In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact cost of medical care?
- Conclusion
  No studies evaluating the impact of feeding tube tip placement on the cost of medical care in critically ill patients were located.
- Grade: V
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Search Plan and Results: CI: Gastric vs. Small Bowel Feeding Tube Placement 2011
In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact adequacy of nutrient delivery?
- Conclusion
  It is unclear whether site of enteral feeding tube tip in the gastric vs. small bowel position impacts adequacy of nutrient delivery in adult critically ill patients.
- Grade: II
  - Grade I means there is Good/Strong evidence supporting the statement;
  - Grade II is Fair;
  - Grade III is Limited/Weak;
  - Grade IV is Expert Opinion Only;
  - Grade V is Not Assignable.
  - High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
  - Moderate (B) means we are moderately confident in the effect estimate;
  - Low (C) means our confidence in the effect estimate is limited;
  - Very Low (D) means we have very little confidence in the effect estimate.
  - Ungraded means a grade is not assignable.
- Evidence Summary: In critically ill adults, does the site of enteral feeding tube tip in the gastric vs. small bowel position impact adequacy of nutrient delivery?
- Search Plan and Results: CI: Gastric vs. Small Bowel Feeding Tube Placement 2011