Pediatric anesthesia & critical care

Early Enteral Nutrition and Clinical Outcomes in Critically Ill Pediatric Populations: A Systematic Review and Meta-Analysis

Crit Care MedPublished Systematic review and meta-analysis

Pooled result · Mortality, severity-adjusted analysisResult — go to the resultAdjusted odds ratio 0.36 95% CI 0.14–0.91

Authors' conclusion

EEN was associated with beneficial outcomes.

Study context

Population
Critically ill children
Participants
9,829 children · 18 studies
Comparison
Early enteral nutrition (EN) vs delayed EN
Outcome
Mortality (adjusted for illness severity)
Methodological detailsrandom-effects models, Grading of Recommendations Assessment, Development, and Evaluation (GRADE) assessment
  • Random-effects models
  • GRADE assessment

Pooled result

Mortality, severity-adjusted analysis

Adjusted odds ratio

0.36

95% CI 0.14–0.91

EEN vs DEN
aOR 0.36 (95% CI 0.14–0.91)

As reported in the abstract

Further pooled results

LOS, invasive respiratory support duration, nutrition adequacy, maximum pediatric logistic organ dysfunction score, infection (qualitative review)

EEN associated with reduced LOS, length of invasive respiratory support, improved nutrition adequacy, reduced maximum pediatric logistic organ dysfunction score, and infection

Safety

No harmful effects of EEN found after adjusting for confounding variables

Original publication

Early Enteral Nutrition and Clinical Outcomes in Critically Ill Pediatric Populations: A Systematic Review and Meta-Analysis. Crit Care Med. Published 17 September 2025. doi:10.1097/ccm.0000000000006859

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