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. 2009 Apr 15;2009(2):CD003288. doi: 10.1002/14651858.CD003288.pub3

Bourdel 2000.

Methods Method of randomisation: Cluster randomised 
 Assessor blinding: no 
 Intention to treat: carried out 
 Lost to follow‐up: intervention 0; control 0 
 Timing of the intervention: 15 days or less if discharged 
 Length of follow‐up: 15 days
Participants Location: Bordeaux, France 
 672 patients 
 Inclusion criteria: Ward had >40% of patients >65years, patients in an acute phase of critical illness, unable to move by themselves, unable to eat independently at admission 
 Exclusion criteria: patients with pressure ulcers on admission 
 Sex: 437 female, 235 male 
 Age: 83.6 (SD7.3), 83.0 (7.1)
Interventions a: 2 x 200 kcal commercial supplements with breakfast and mid afternoon (400 kcal, 30g protein) and assistance with meals 
 b: usual nutritional care 
 Allocated: 295/377 (Cluster randomised) 
 Assessed: 295/377
Outcomes Main outcomes: mortality, pressure ulcers 
 Additional outcomes: Measures of dietary intake ‐energy and protein intake
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear