Effects of Energy Delivery Guided by Indirect Calorimetry in Critically Ill Patients: A Systematic Review and Meta-Analysis

被引：9

作者：

Watanabe, Shinichi ^{[1
]}

Izumino, Hiroo ^{[2
]}

Takatani, Yudai ^{[3
]}

Tsutsumi, Rie ^{[4
]}

Suzuki, Takahiro ^{[5
]}

Tatsumi, Hiroomi ^{[6
]}

Yamamoto, Ryo ^{[7
]}

Sato, Takeaki ^{[8
]}

Miyagi, Tomoka ^{[9
]}

Miyajima, Isao ^{[10
]}

Nakamura, Kensuke ^{[11
]}

Higashibeppu, Naoki ^{[12
]}

Kotani, Joji ^{[13
]}

机构：

[1] Gifu Univ Hlth Sci, Fac Rehabil, Dept Phys Therapy, 2-92 Higashiuzura, Gifu 5008281, Japan

[2] Nagasaki Univ Hosp, Acute & Crit Care Ctr, 1-7-1 Sakamoto, Nagasaki 8528501, Japan

[3] Kyoto Univ Hosp, Dept Primary Care & Emergency Med, 54 Shogoin Kawahara cho,Sakyo ku, Kyoto 6068507, Japan

[4] Tokushima Univ, Inst Biomed Sci, Dept Nutr & Metab,Grad Sch, 3-18-15 Kuramoto, Tokushima 7708503, Japan

[5] St Lukes Int Hosp, Dept Cardiovasc Med, 9-1 Akashi-cho,Chuo ku, Tokyo 1048560, Japan

[6] Sapporo Med Univ, Dept Intens Care Med, Sch Med, S1 W17,Chuo ku, Sapporo 0608556, Japan

[7] Keio Univ, Sch Med, Dept Emergency & Crit Care Med, 35 Shinanomachi,Shinju ku, Tokyo 1608582, Japan

[8] Tohoku Univ Hosp, Emergency Ctr, 1-1 Seiryo machi,Aoba ku, Sendai 9808574, Japan

[9] Yokosuka Gen Hosp, Dept Nutr, 2-36 Uwamachi, Yokosuka 2388567, Japan

[10] Chikamori Hosp, Dept Clin Nutr, 1-1-16 Okawasuzi, Kochi 7808522, Japan

[11] Yokohama City Univ Med, Dept Intens Care, 3 9 Fukuura,Kanazawa ku, Yokohama 2360064, Japan

[12] Kobe City Med Ctr Gen Hosp, Dept Anesthesiol & Nutr Support Team, 2-1-1 Minatojima Minamimachi,Chuo ku, Kobe 6500047, Japan

[13] Kobe Univ, Dept Surg Related, Div Disaster & Emergency Med, Grad Sch Med, 7-5-1 Kusunoki-cho,Chuo ku, Kobe 6500017, Japan

来源：

NUTRIENTS | 2024年 / 16卷 / 10期

关键词：

critically ill patients; indirect calorimetry; meta-analysis; FORM HEALTH SURVEY; POSITION PAPER; CARE; NUTRITION; NEEDS;

D O I：

10.3390/nu16101452

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Background: The utility of using indirect calorimetry (IC) to estimate energy needs and methods for its application to this purpose remain unclear. This systematic review investigated whether using IC to estimate energy expenditure in critically ill patients is more meaningful for improving survival than other estimation methods. Methods: Comprehensive searches were conducted in MEDLINE using PubMed, Cochrane Central Register of Controlled Trials, and Igaku-Chuo-Zasshi up to March 2023. Results: Nine RCTs involving 1178 patients were included in the meta-analysis. The evidence obtained suggested that energy delivery by IC improved short-term mortality (risk ratio, 0.86; 95% confidence interval [CI], 0.70 to 1.06). However, the use of IC did not appear to affect the length of ICU stay (mean difference [MD], 0.86; 95% CI, -0.98 to 2.70) or the duration of mechanical ventilation (MD, 0.66; 95% CI, -0.39 to 1.72). Post hoc analyses using short-term mortality as the outcome found no significant difference by target calories in resting energy expenditure, whereas more frequent IC estimates were associated with lower short-term mortality and were more effective in mechanically ventilated patients. Conclusions: This updated meta-analysis revealed that the use of IC may improve short-term mortality in patients with critical illness and did not increase adverse events.

引用

页数：11

共 37 条

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