Associations between enteral nutrition and outcomes in the SUP ‐ICU trial: Results of exploratory post hoc analyses
Article Swipe
Mark Borthwick
,
Anders Granholm
,
Søren Marker
,
Mette Krag
,
Theis Lange
,
Matt P. Wise
,
Stepani Bendel
,
Frederik Keus
,
Anne Berit Guttormsen
,
Joerg C. Schefold
,
Jørn Wetterslev
,
Anders Perner
,
Morten Hylander Møller
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/aas.14471
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/aas.14471
Background Enteral nutrition may affect risks of gastrointestinal bleeding, pneumonia and mortality in critically ill patients and may also modify the effects of pharmacological stress ulcer prophylaxis. We undertook post hoc analyses of the stress ulcer prophylaxis in the intensive care unit trial to assess for any associations and interactions between enteral nutrition and pantoprazole. Methods Extended Cox models with time‐varying co‐variates and competing events were used to assess potential associations, adjusted for baseline severity of illness. Potential interactions between daily enteral nutrition and allocation to pantoprazole on outcomes were similarly assessed. Results Enteral nutrition was associated with lower risk of clinically important gastrointestinal bleeding (cause‐specific hazard ratio [HR]: 0.29, 95% confidence interval: [CI] 0.19–0.44, p < .001), higher risk of pneumonia (HR: 1.44, 95% CI: 1.14–1.82, p = .003), and lower risk of all‐cause mortality (HR: 0.22, 95% CI: 0.18–0.27, p < .001). Enteral nutrition with allocation to pantoprazole was associated with a lower risk of mortality (HR: 0.27, 95% CI: 0.21–0.35, p < .001), similar to enteral nutrition with allocation to placebo (HR: 0.17, 95% CI: 0.13–0.23, p < .001). Allocation to pantoprazole with no enteral nutrition had little effect on mortality (HR: 0.83, 95% CI: 0.63–1.09, p = .179), whilst allocation to pantoprazole and receipt of enteral nutrition was mostly compatible with increased all‐cause mortality (HR: 1.27, 95% CI: 0.99–1.64, p = .061). The test of interaction between enteral nutrition and pantoprazole treatment allocation for all‐cause mortality was statistically significant ( p = .024). Conclusions Enteral nutrition was associated with an increased risk of pneumonia and a reduced risk of gastrointestinal bleeding. The interaction between pantoprazole and enteral nutrition suggesting an increased risk of mortality requires further study.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/aas.14471
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aas.14471
- OA Status
- hybrid
- Cited By
- 3
- References
- 54
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399614661
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399614661Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/aas.14471Digital Object Identifier
- Title
-
Associations between enteral nutrition and outcomes in the
SUP ‐ICU trial: Results of exploratory post hoc analysesWork title - Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-12Full publication date if available
- Authors
-
Mark Borthwick, Anders Granholm, Søren Marker, Mette Krag, Theis Lange, Matt P. Wise, Stepani Bendel, Frederik Keus, Anne Berit Guttormsen, Joerg C. Schefold, Jørn Wetterslev, Anders Perner, Morten Hylander MøllerList of authors in order
- Landing page
-
https://doi.org/10.1111/aas.14471Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aas.14471Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aas.14471Direct OA link when available
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Medicine, Post-hoc analysis, Enteral administration, Post hoc, Parenteral nutrition, Intensive care medicine, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 1, 2024: 2Per-year citation counts (last 5 years)
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54Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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