Critical Illness

CI: Enteral Nutrition Energy Delivery (2012)

Intervention
In adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with reduced mortality?
- Conclusion
  Whether a specific threshold of enteral nutrition (EN) actually delivered within the first week of hospitalization affects mortality in critically ill adult patients is unknown, because the evidence is inconsistent.
- 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 adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with reduced mortality?
- Search Plan and Results: Enteral Nutrition Energy Delivery 2011
In adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with fewer infectious complications?
- Conclusion
  Actual delivery of >60% of enteral nutrition (EN) goal within the first week of hospitalization is associated with fewer infectious complications 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 adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with fewer infectious complications?
- Search Plan and Results: Enteral Nutrition Energy Delivery 2011
In adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with reduced length of hospital stay (LOS)?
- Conclusion
  Whether a specific threshold of enteral nutrition (EN) actually delivered within the first week of hospitalization affects length of hospital stay (LOS) in critically ill adult patients is unknown, because the evidence is inconsistent.
- 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 adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with reduced length of hospital stay (LOS)?
- Search Plan and Results: Enteral Nutrition Energy Delivery 2011
In adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with fewer days on mechanical ventilation?
- Conclusion
  Whether a specific threshold of enteral nutrition (EN) actually delivered within the first week of hospitalization affects days on mechanical ventilation in critically ill adult patients is unknown, because the evidence is inconsistent.
- 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 patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with fewer days on mechanical ventilation?
- Search Plan and Results: Enteral Nutrition Energy Delivery 2011
In adult patients who are critically ill, what average amount of enteral nutrition (EN) intake actually delivered is associated with reduced cost of care?
- Conclusion
  There were no studies evaluating cost of medical care in relation to enteral nutrition (EN) delivery in critically ill adult patients.
- 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: Enteral Nutrition Energy Delivery 2011