scholarly journals Safety of using enteral nutrition formulations containing dietary fiber in hospitalized critical care patients: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Kelly Copeland Cara ◽  
Andrew R. Beauchesne ◽  
Taylor C. Wallace ◽  
Mei Chung
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Enteral Nutrition ◽  
Dietary Fiber ◽  
Meta Analysis ◽  
Critical Care Patients

scholarly journals Impact of Enteral Nutrition Formulations Containing Dietary Fiber on Diarrhea Outcomes in Hospitalized Critical Care Patients: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 842-842
Author(s):  
Kelly Cara ◽  
Andrew Beauchesne ◽  
Taylor Wallace ◽  
Mei Chung
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Enteral Nutrition ◽  
Dietary Fiber ◽  
Critically Ill ◽  
Random Effects ◽  
Critically Ill Patients ◽  
Outcome Data ◽  
Meta Analyses ◽  
Critical Care Patients

Abstract Objectives The objective is to conduct a systematic review on the safety of using enteral nutrition formulations containing dietary fiber in hospitalized critical care patients. Methods This systematic review was conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions (Version 6.1,2020). Searches were implemented in four databases on 4/20/20. Results were limited to English language studies conducted in humans. Any clinical study design or case study measuring adverse events (e.g., diarrhea and mortality) or health outcomes (as defined in each study) associated with enteral nutrition interventions containing dietary fiber in adult critically ill patients was considered. Random effects meta-analyses were conducted on outcomes assessed by three or more included studies. Results Altogether, 18 articles were included, and 11 randomized controlled trials assessed diarrhea outcomes (i.e., diarrhea score and number or frequency of events). Six studies used the Hart and Dobb (1988) diarrhea score, and random effects meta-analyses showed the mean diarrhea scores were lower for fiber compared to non-fiber groups (n = 4, pooled mean difference: −2.78, 95% confidence interval: −4.10, −1.47). Five of seven reported group comparisons showed fewer diarrhea events for fiber compared with non-fiber groups, although the overall difference was not statistically significant (n = 7, pooled risk ratio: 0.68, 95% CI: 0.45, 1.02). For three studies using other or unspecified scoring methods, pooled results showed significantly fewer diarrhea events in the fiber groups compared to non-fiber groups (n = 3, pooled RR: 0.42, 95% CI: 0.20, 0.89). Studies reported no difference in incidence of mortality due to fiber interventions (n = 7, pooled RR: 0.99, 95% CI: 0.66, 1.48). Risk of bias for diarrhea outcomes was high due to missing outcome data, and there was some concern for bias due to randomization, measurement of the outcome, and selection of reported results. Conclusions Enteral nutrition formulas with fiber may help reduce incidence and severity of diarrhea in critically ill patients without increasing incidence of mortality. As these results are subject to bias, more high-quality studies are needed to verify this conclusion. Funding Sources This study was supported by funding from an unrestricted educational grant from Nestle Health Sciences.

scholarly journals Gastric tonometry guided therapy in critical care patients: a systematic review and meta-analysis

Critical Care ◽  
2015 ◽  
Vol 19 (1) ◽  
pp. 22 ◽  
Author(s):  
Xin Zhang ◽  
Wei Xuan ◽  
Ping Yin ◽  
Linlin Wang ◽  
Xiaodan Wu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Meta Analysis ◽  
Gastric Tonometry ◽  
Critical Care Patients ◽  
Guided Therapy

scholarly journals Fluid Overload and Mortality in Adult Critical Care Patients—A Systematic Review and Meta-Analysis of Observational Studies*

2020 ◽  
Vol 48 (12) ◽  
pp. 1862-1870 ◽  
Author(s):  
Anna S. Messmer ◽  
Carina Zingg ◽  
Martin Müller ◽  
Joel Loic Gerber ◽  
Joerg Christian Schefold ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Observational Studies ◽  
Fluid Overload ◽  
Meta Analysis ◽  
Critical Care Patients

Spirituality and Anxiety in Critical Care Patients' Families: A Systematic Review

2021 ◽  
Vol 9 (1) ◽  
pp. 1-12
Author(s):  
Ninik Ambar Sari ◽  
Merina Widyastuti ◽  
Putri Aprilia Rifah
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Systematic Reviews ◽  
Meta Analysis ◽  
Google Scholar ◽  
Special Equipment ◽  
Eligibility Criteria ◽  
Good Family ◽  
Life Threatening ◽  
Critical Care Patients

The critical care room is an independent hospital with special staff and special equipment for observation, care and therapy of patients suffering from life-threatening illnesses, injuries or complications. Families in critical rooms usually experience anxiety, fear, and panic. One of the efforts to reduce anxiety is to get closer to God Almighty to increase spirituality. The review aims to obtain information about the spiritual level with anxiety in patients' families in critical care rooms at the hospital. A systematic review was carried out using the PRISMA (Prefered Reporting Items for Systematic Reviews and Meta-analysis) reporting technique with article selection using eligibility criteria. Search journals using Elsevier, PubMed, ScienceDirect, Google Scholar, Springer, and ProQuest databases from June to July 2021. Using English keywords, three journals are obtained; through Indonesian, six journals are obtained. The results of nine journals that have been analyzed by researchers as a whole are 57.5% of good family spiritual and 52.5% moderate family anxiety. This decrease in anxiety was caused by the spiritual services provided to respondents in the form of praying. The spiritual approach can be used as input for nurses to provide interventions to all patients' families in the hospital, especially those who experience anxiety.  

scholarly journals Iron supplementation to treat anaemia in adult critical care patients: a systematic review and meta-analysis

Critical Care ◽  
2016 ◽  
Vol 20 (1) ◽  
Author(s):  
Akshay Shah ◽  
Noémi B. Roy ◽  
Stuart McKechnie ◽  
Carolyn Doree ◽  
Sheila A. Fisher ◽  
...  
Keyword(s):  
Systematic Review ◽  
Critical Care ◽  
Iron Supplementation ◽  
Meta Analysis ◽  
Critical Care Patients
Sign in / Sign up

Export Citation Format

Share Document