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

Kendell 1982.

Methods Randomised clinical trial, USA
Participants 24 hospitalised adults undergoing orthognathic surgery and maxillomandibular fixation, at nutritional risk due major surgery to decreased food intake
Male:Female = 5:17 (gender not reported for two participants)
Mean age = 25 years
Exclusion criteria: Participants who showed evidence of pathologic condition or systemic disease
Interventions Experimental group: Participants were instructed to consume a minimum of 50% of their calculated caloric requirements in the form of a nutritionally‐complete liquid supplement containing 1.5 cal/ml. The supplement consisted of 14.7% of calories as protein, 32% as fat and 53.3% as carbohydrates. The intervention lasted 6 weeks by mouth.(n = 12)
Control group: No intervention (n = 12)
Co‐interventions: Dextrose (5%) in water and ¼ normal saline solution were administered postoperatively at a rate consistent with each participant's requirement. Everyone consumed blenderised foods. All were required to refrain from consuming any other commercial supplement or vitamin preparation.
Outcomes Weight, mid‐arm muscle circumference, triceps skinfold, creatinine height index, serum albumin, transferrin, total lymphocyte count, urinary nitrogen and creatinine, serum chemistries, caloric intake, protein and carbohydrate intake, thiamine, niacin, zinc, folic acid and riboflavin intake and length of hospital stay
Study dates Not stated
Notes We could obtain no contact information for the authors.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not described
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There were complete data for all participants.
Selective reporting (reporting bias) Unclear risk No protocol could be obtained, and the trial did not report on all‐cause mortality or serious adverse events.
For‐profit bias Unclear risk It was unclear how the trial was funded.
Other bias Low risk The trial appeared to be free of other components that could put it at risk of bias.