Table 2 |
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|
Results of randomized trails of nutrition and nosocomial pneumonia |
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|
Intervention (author [reference]) |
Pneumonia rates |
Relative risk (95% Cl) |
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|
|
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|
Nasogastric enteral nutrition vs parenteral nutrition (Young [22]) |
TPN: 6/23 (26%) |
1.23 (0.51–2.95) |
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|
EN: 9/28 (32%) |
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|
Jejunostomy feeding vs total parenteral nutrition (Moore [23]) |
TPN: 6/30 (20%) |
Undefined |
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|
EN: 0/29 (0%) |
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|
Jejunostomy feeding vs total parenteral nutrition (Kudsk [24]) |
TPN: 14/45 (31%) |
0.38 (0.16–0.90) |
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|
EN: 6/51 (12%) |
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|
Jejunostomy feeding vs total parenteral nutrition (Borzotta [25]) |
TPN: 9/23 (39%) |
1.06 (0.56–2.02) |
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|
EN: 15/36 (42%) |
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|
Early nasoduodenal vs late nasoduodenal feeding (Eyer [26]) |
Late: 4/19 (21%) |
2.00 (0.72–5.54) |
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|
Early: 8/19 (42%) |
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|
Jejunal vs gastric feeding (Montecalvo [27]) |
Gastric: 2/19 (11%) |
Undefined |
|||||
|
Jejunal: 0/19 (0%) |
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|
Intermittent enteral feeding vs continuous enteral feeding (Bonten [28]) |
CEF: 5/30 (17%) |
1.0 (0.32–3.10) |
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|
IEF: 5/30 (17%) |
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|
Modular tube feeding (MTF) vs Osmolite vs Traumacal (Gottschlich [29]) |
Osmolite: 6/14 (43%) |
0.27 (0.07–1.15)* |
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|
Traumacal: 9/19 (47%) |
0.25 (0.06-0.99)† |
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|
MTF: 2/17 (12%) |
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|
Immun-Aid vs Vivonex (Moore [30]) |
Vivonex: 4/47 (9%) |
0.92 (0.24–3.48) |
|||||
|
Immun-Aid: 4/51 (8%) |
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|
Immun-Aid vs Promote (Kudsk [31]) |
Promote: 3/17 (18%) |
Undefined |
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|
Immun-Aid: 0/16 (0%) |
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|
|
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|
Abbreviations: EN = enteral nutrition; TPN = total parenteral nutrition; CEF = continuous enteral feeding; IEF = intermittent enteral feeding. * Osmolite compared to MTF. † Traumacal compared to MTF. |
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|
Cook et al. Critical Care 1997 1:3 doi:10.1186/cc1 |
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