Organ support & nutrition

The efficacy of fiber-supplemented enteral nutrition in critically ill patients: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis

Crit CarePublished Systematic review and meta-analysis of randomised trials

Pooled result · 12 studiesResult — go to the resultRelative risk 0.66 95% CI 0.47–0.92

Authors' conclusion

Very low-certainty evidence suggests that fiber-supplemented EN has clinical benefits.

Study context

Population
Adult critically ill patients
Participants
1,405 patients · 20 studies
Comparison
Fiber-supplemented enteral nutrition (EN) vs placebo or usual care
Outcome
Overall mortality
Methodological detailsrandom-effect meta-analysis, trial sequential analysis
  • Random-effect meta-analysis
  • Trial sequential analysis

Pooled result

12 studies

Relative risk

0.66

95% CI 0.47–0.92

P = 0.01

Fiber-supplemented EN vs Placebo or usual care
RR 0.66 (95% CI 0.47–0.92); P = 0.01

As reported in the abstract

Further pooled results

OutcomeRR (95% CI)P value
Diarrhea incidenceI2 = 51%; 11 studies0.70 (0.51–0.96)P = 0.03
  • Diarrhea incidence: very serious risk of bias; per trial sequential analysis (TSA) a type-1 error cannot be ruled out

Overall mortality (subgroup)

No subgroup differences found for the primary outcome

Original publication

The efficacy of fiber-supplemented enteral nutrition in critically ill patients: a systematic review and meta-analysis of randomized controlled trials with trial sequential analysis. Crit Care. Published 7 November 2024. doi:10.1186/s13054-024-05128-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.