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Journal ArticleDOI

Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)

Jean Reignier, +113 more
- 13 Jan 2018 - 
- Vol. 391, Iss: 10116, pp 133-143
TLDR
In critically ill adults with shock, early isocaloric enteral nutrition did not reduce mortality or the risk of secondary infections but was associated with a greater risk of digestive complications compared with early isocallyoric parenteral nutrition.
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This article is published in The Lancet.The article was published on 2018-01-13. It has received 346 citations till now. The article focuses on the topics: Parenteral nutrition & Enteral administration.

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Citations
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Journal ArticleDOI

Early Enteral Nutrition or Not

TL;DR: The authors are clearly on the verge of a revolution in understanding outcomes and what works/what doesn’t work, giving new meaning to a century old quote from Sir William Osler: Medicine is a science of uncertainty and an art of probability.
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Reversal of Feed Intolerance by Prokinetics Improves Survival in Critically Ill Cirrhosis Patients

TL;DR: In this paper, the authors evaluated the role of prokinetics in reversal of feed intolerance and clinical outcomes in critically ill patients with cirrhosis in intensive care units (ICU).
Journal ArticleDOI

Enteral nutrition interruptions in the intensive care unit: A prospective study

TL;DR: In this paper , the causes and causes of enteral nutrition interruption (ENI) were investigated in the ICU patients and the prevalence of unplanned ENI was highest in the first 3 d of admission.
Journal ArticleDOI

Efficacy of prolonged elemental diet therapy after pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: A pilot prospective randomized trial (UMIN000004108).

TL;DR: This trial failed to show survival benefit of prolonged ED therapy but demonstrated its favorable effect on increased lymphocyte counts, reduced NLR, and prevention of complications necessitating readmission, those which may lead to survival benefit with some modifications.
Journal ArticleDOI

Editorial on "enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)".

TL;DR: The benefits of early enteral nutrition support have been well established in critically ill patients and early nutrition intervention, commencing within 24 hours of admission, has been associated with a decrease in mortality and infection complications.
References
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Journal ArticleDOI

The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine.

TL;DR: The ESICM developed a so-called sepsis-related organ failure assessment (SOFA) score to describe quantitatively and as objectively as possible the degree of organ dysfunction/failure over time in groups of patients or even in individual patients.
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Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. analysis and examples.

TL;DR: Efficient methods of analysis of randomized clinical trials in which the authors wish to compare the duration of survival among different groups of patients are described.
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A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study

J R Le Gall, +2 more
- 22 Dec 1993 - 
TL;DR: The SAPS II, based on a large international sample of patients, provides an estimate of the risk of death without having to specify a primary diagnosis, and is a starting point for future evaluation of the efficiency of intensive care units.
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016

Andrew Rhodes, +58 more
TL;DR: Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.
Journal ArticleDOI

Design and analysis of randomized clinical trials requiring prolonged observation of each patient. I. Introduction and design.

TL;DR: This report is the first simple account yet published for non-statistical physicians of how to analyse efficiently data from clinical trials of survival duration, and it may be preferable to use these statistical methods to study time to local recurrence of tumour, or toStudy time to detectable metastatic spread, in addition to studying total survival.
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