Effects of standardized enteral nutrition process in critically ill patients: a Meta-analysis
10.3760/cma.j.cn115682-20190815-02940
- VernacularTitle:肠内营养规范化流程在重症患者中应用效果的Meta分析
- Author:
Xianghong YE
1
;
Xuemei GONG
;
Huijun WANG
;
Yangyang XUE
;
Weiqin LI
Author Information
1. 东部战区总医院普通外科研究所，南京 210002
- Keywords:
Critically ill patients;
Enteral nutrition;
Process;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2020;26(24):3279-3283
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of standardized enteral nutrition process in critically ill patients.Methods:We retrieved PubMed, EMBASE, MEDLINE, WanFang Data, China National Knowledge Infrastructure (CNKI) and China Biology Medicine (CBM) by computer to collect literatures on effects of standardized enteral nutrition process in critically ill patients from the establishment of database to May 31, 2019. RevMan 5.3 was used to statistical analysis.Results:Finally, 11 articles were included. Meta-analysis results showed that compared with conventional care, the standardized enteral nutrition process could increase the calorie compliance rate of critical ill patients on the seventh day [ OR=8.18, 95% CI (4.91, 11.45) , P<0.01], and reduce the incidence of feeding intolerance symptoms [ OR=0.36, 95% CI (0.23, 0.57) , P<0.01]. However, the standardized enteral nutrition process did not show obvious advantages in shortening mechanical ventilation, Intensive Care Unit (ICU) hospitalization time and reducing mortality, combined effects, the combined effect was not statistically significant ( P>0.05) . Conclusions:The standardized enteral nutrition process could effectively increase the calorie compliance rate of critical ill patients on the seventh day and reduce the incidence of feeding intolerance symptoms; however, it cannot significantly shorten the time of mechanical ventilation, ICU hospitalization time and reduce the mortality. Further research is needed for verification.
