Organ support & nutrition

The effect of high protein dosing in critically ill patients: an exploratory, secondary Bayesian analyses of the EFFORT Protein trial

Br J AnaesthPublished Secondary Bayesian analysis of the EFFORT Protein randomised trial

Primary result · 60-day all-cause mortalityResult — go to the resultAbsolute difference 2.5 % points 95% CrI −6.9 to 12.4

Authors' conclusion

We found moderate to high probabilities of harm with high protein doses compared with usual protein in ICU patients for the primary and secondary outcomes.

Study context

Population
Adult ICU patients with organ failure
Comparison
High vs usual protein dosing
Methodological detailsexploratory, weakly informative priors
  • Exploratory
  • Weakly informative priors

Primary result

60-day all-cause mortality · 60 days

Absolute difference

2.5 % points

95% CrI −6.9 to 12.4

High protein vs Usual protein
absolute difference 2.5 % points (95% CrI −6.9 to 12.4)

As reported in the abstract

Secondary outcomes

OutcomeHR (95% CrI)
Time to discharge alive from hospitalCrI; 92% probability of harm · CrI0.91 (0.80–1.04)

Heterogeneity in treatment effects (HTE) on mortality by baseline serum creatinine and SOFA score (subgroup)

Probability of positive interaction with serum creatinine
97%
Probability of positive interaction with SOFA score
95%
Potentially relatively higher mortality of high protein doses with higher baseline serum creatinine or SOFA scores

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The effect of high protein dosing in critically ill patients: an exploratory, secondary Bayesian analyses of the EFFORT Protein trial. Br J Anaesth. Published 24 October 2024. doi:10.1016/j.bja.2024.08.033

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