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. 2017 May 19;2017(5):CD011598. doi: 10.1002/14651858.CD011598.pub2

Comparison 22. Enteral ‐ All cause mortality ‐ maximum follow‐up.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 All‐cause mortality ‐ overall 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
2 All‐cause mortality ‐ bias 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
2.1 High risk of bias 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
2.2 Low risk of bias 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3 All‐cause mortality ‐ medical speciality 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
3.1 Cardiology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.2 Medical gastroenterology and hepatology 4 289 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.63, 1.21]
3.3 Geriatrics 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.4 Pulmonary disease 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.5 Endocrinology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.6 Infectious diseases 1 56 Risk Ratio (M‐H, Random, 95% CI) 1.61 [0.66, 3.92]
3.7 Rheumatology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.8 Haematology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.9 Nephrology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.10 Gastroenterologic surgery 15 1284 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.48, 1.16]
3.11 Trauma surgery 4 204 Risk Ratio (M‐H, Random, 95% CI) 0.58 [0.30, 1.11]
3.12 Ortopaedics 4 248 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.18, 3.75]
3.13 Plastic, reconstructive, and aesthetic surgery 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.14 Vascular surgery 1 13 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.15 Transplant surgery 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.16 Urology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.17 Thoracic surgery 2 548 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.03, 1.86]
3.18 Neurological surgery 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.19 Oro‐maxillo‐facial surgery 1 32 Risk Ratio (M‐H, Random, 95% CI) 3.38 [0.15, 77.12]
3.20 Anaesthesiology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.21 Emergency medicine 4 213 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.61, 1.89]
3.22 Psychiatry 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.23 Neurology 4 1172 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.31, 1.05]
3.24 Oncology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.25 Dermatology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.26 Gynaecology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.27 Mixed 2 153 Risk Ratio (M‐H, Random, 95% CI) 0.63 [0.18, 2.21]
4 All‐cause mortality ‐ based on adequacy of the amount of calories 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
4.1 Clearly adequate in intervention and clearly inadequate in control 10 954 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.46, 1.23]
4.2 Inadequate in the experimental or adequate in the control 7 410 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.28, 1.85]
4.3 Experimental group is overfed 3 174 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.49, 2.08]
4.4 Unclear intake in control or experimental 22 2674 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.67, 0.99]
5 All‐cause mortality ‐ different screening tools 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
5.1 NRS 2002 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
5.2 MUST 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
5.3 MNA 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
5.4 SGA 1 323 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.13, 4.44]
5.5 Other means 41 3889 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
6 All‐cause mortality ‐ participants characterised as 'at nutritional risk' due to one of the following conditions 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
6.1 Major surgery 20 1967 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.48, 1.06]
6.2 Stroke 4 1172 Risk Ratio (M‐H, Random, 95% CI) 0.57 [0.31, 1.05]
6.3 ICU participants including trauma 8 417 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.54, 1.26]
6.4 Frail elderly participants with less severe conditions known to increase protein requirements 2 126 Risk Ratio (M‐H, Random, 95% CI) 1.25 [0.01, 150.42]
6.5 Participants do not fall into one of the categories above 8 530 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.69, 1.25]
7 All‐cause mortality ‐ participants characterised as 'at nutritional risk' due to one of the following criteria 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
7.1 BMI less than 20.5 kg/m2 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7.2 Weight loss of at least 5% during the last three months 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7.3 Weight loss of at least 10% during the last six months 1 32 Risk Ratio (M‐H, Random, 95% CI) 3.38 [0.15, 77.12]
7.4 Insufficient food intake during the last week (50% of requirements or less) 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7.5 Participants characterised as 'at nutritional risk' by other means 41 4180 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
8 All‐cause mortality ‐ participants characterised as 'at nutritional risk' due to biomarkers or anthropometrics 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
8.1 Biomarkers 1 520 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.01, 2.84]
8.2 Anthropometric measures 2 122 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.24, 2.08]
8.3 Both anthropometrics and biomarkers 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
8.4 Characterised by other means 39 3570 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.75, 0.96]
9 All‐cause mortality ‐ randomisation year 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
9.1 Before 1960 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
9.2 1960 to 1979 1 26 Risk Ratio (M‐H, Random, 95% CI) 0.44 [0.02, 9.98]
9.3 1980 to 1999 24 2500 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.69, 1.08]
9.4 After 1999 17 1686 Risk Ratio (M‐H, Random, 95% CI) 0.76 [0.60, 0.96]
10 All‐cause mortality ‐ trials where the intervention lasts fewer than three days compared with trials where the intervention lasts three days or more 42 4212 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.75, 0.95]
10.1 Three days or more 34 3680 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.71, 0.94]
10.2 Less than three days 8 532 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.66, 1.63]
10.3 Unknown 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
11 All‐cause mortality ‐ 'best‐worst case' scenario 42 4269 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.63, 0.89]
12 All‐cause mortality ‐ 'worst‐best case' scenario 42 4269 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.68, 1.03]
13 All‐cause mortality co‐interventions 42 4212 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.73, 0.92]
13.1 received nutrition support as co‐intervention 5 262 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.66, 1.60]
13.2 did not receive nutrition support as co‐intervention 35 3797 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.71, 0.91]
13.3 delayed versus early nutrition support 2 153 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.17, 2.12]