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

Comparison 26. Parenteral ‐ 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 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
2 All‐cause mortality ‐ bias 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
2.1 High risk of bias 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
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 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
3.1 Cardiology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.2 Medical gastroenterology and hepatology 7 254 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.74, 1.42]
3.3 Geriatrics 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.4 Pulmonary disease 1 25 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.01, 4.08]
3.5 Endocrinology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.6 Infectious diseases 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
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 24 2104 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.68, 1.28]
3.11 Trauma surgery 2 45 Risk Ratio (M‐H, Random, 95% CI) 1.22 [0.66, 2.25]
3.12 Ortopaedics 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
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 15 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.15 Transplant surgery 2 47 Risk Ratio (M‐H, Random, 95% CI) 0.56 [0.22, 1.42]
3.16 Urology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.17 Thoracic surgery 1 44 Risk Ratio (M‐H, Random, 95% CI) 1.6 [0.40, 6.32]
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 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.20 Anaesthesiology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.21 Emergency medicine 7 5208 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.84, 1.12]
3.22 Psychiatry 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.23 Neurology 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
3.24 Oncology 6 379 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.87, 1.21]
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 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
4 All‐cause mortality ‐ based on adequacy of the amount of calories 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
4.1 Clearly adequate in intervention and clearly inadequate in control 7 5641 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.88, 1.10]
4.2 Inadequate in the experimental or adequate in the control 4 165 Risk Ratio (M‐H, Random, 95% CI) 1.17 [0.80, 1.72]
4.3 Experimental group is overfed 4 272 Risk Ratio (M‐H, Random, 95% CI) 0.56 [0.23, 1.34]
4.4 Unclear intake in control or experimental 36 2043 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.80, 1.22]
5 All‐cause mortality ‐ different screening tools 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
5.1 NRS 2002 1 4640 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.85, 1.18]
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 49 3158 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.88, 1.11]
6 All‐cause mortality ‐ participants characterised as 'at nutritional risk' due to one of the following conditions 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
6.1 Major surgery 30 2381 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.67, 1.15]
6.2 Stroke 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
6.3 ICU participants including trauma 7 5209 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.86, 1.14]
6.4 Frail elderly participants with less severe conditions known to increase protein requirements 1 34 Risk Ratio (M‐H, Random, 95% CI) 3.35 [0.15, 76.93]
6.5 Participants do not fall into one of the categories above 13 497 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.88, 1.18]
7 All‐cause mortality ‐ participants characterised as 'at nutritional risk' due to one of the following criteria 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
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 2 92 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.78]
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 49 8029 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
8 All‐cause mortality ‐ participants characterised as 'at nutritional risk' due to biomarkers or anthropometrics 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
8.1 Biomarkers 5 169 Risk Ratio (M‐H, Random, 95% CI) 0.47 [0.10, 2.12]
8.2 Anthropometric measures 3 137 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.32, 2.75]
8.3 Both anthropometrics and biomarkers 3 75 Risk Ratio (M‐H, Random, 95% CI) 0.66 [0.14, 3.07]
8.4 Characterised by other means 40 7740 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
9 All‐cause mortality ‐ randomisation year 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
9.1 Before 1960 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
9.2 1960 to 1979 4 151 Risk Ratio (M‐H, Random, 95% CI) 1.50 [0.56, 4.03]
9.3 1980 to 1999 41 2446 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.88, 1.12]
9.4 After 1999 6 5524 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.84, 1.13]
10 All‐cause mortality ‐ trials where the intervention lasts fewer than three days compared with trials where the intervention lasts three days or more 51 8121 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.90, 1.09]
10.1 Three days or more 49 8014 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.89, 1.08]
10.2 Less than three days 1 80 Risk Ratio (M‐H, Random, 95% CI) 1.2 [0.59, 2.45]
10.3 Unknown 1 27 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
11 All‐cause mortality ‐ 'best‐worst case' scenario 51 8240 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.74, 1.02]
12 All‐cause mortality ‐ 'worst‐best case' scenario 51 8240 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.95, 1.19]
13 All‐cause mortality co‐interventions 51 8121 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.87, 1.09]
13.1 received nutrition support as co‐intervention 5 5044 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.84, 1.13]
13.2 did not receive nutrition support as co‐intervention 45 2997 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.81, 1.14]
13.3 delayed versus early nutrition support 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.2 [0.59, 2.45]