Sepsis & infection

Early energy delivery and 28-day mortality in critically ill patients with sepsis: Post hoc analysis of a multicenter cluster-randomised controlled trial

J Crit CarePublished Post hoc analysis of the NEED cluster-randomised controlled trial

Primary result · 28-day mortality, high-risk (mNUTRIC ≥5)Result — go to the resultHazard ratio 0.588 95 % CI 0.388–0.891

Authors' conclusion

Early energy delivery ≥60 % of target is linked to lower 28-day mortality in high-risk sepsis patients, with no clear benefit in low-risk groups.

Study context

Population
Intensive care units (ICU) patients with sepsis and ≥ 7-day stays183 (15.7 %) died by day 28
Participants
1,162 patients
Comparison
≥60 % vs <60 %
Primary endpoint
28-day all-cause mortality
Follow-up
28 days
Methodological detailsmulticentre
  • Multicentre

Primary result

28-day mortality, high-risk (mNUTRIC ≥5)

Hazard ratio

0.588

95 % CI 0.388–0.891

≥60 % vs <60 %
HR 0.588 (95 % CI 0.388–0.891)

As reported in the abstract

Further findings

Subgroup analyses (subgroup)

No significant interactions in subgroup analyses

Mortality risk vs energy delivery, high-risk (restricted cubic spline)

Downward trend in mortality risk with increasing energy delivery
P-nonlinear = 0.063

Original publication

Early energy delivery and 28-day mortality in critically ill patients with sepsis: Post hoc analysis of a multicenter cluster-randomised controlled trial. J Crit Care. Published 18 September 2025. doi:10.1016/j.jcrc.2025.155265

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