PPT Slide
Results of literature review
Reference: Moore FA, Feliciano DV, Andrassy RJ, McArdle AH, Booth FV, Morgenstein-Wagner TB et al. Early enteral feeding, compared with parenteral, reduces postoperative septic complications. The results of a meta-analysis. Ann Surg. 1992;216:172-83.
Patients type / studies included: 8 studies comparing post-op nutrition (118 TEN pts to 112 TPN pts) in blunt trauma, penetrating trauma and non-trauma (high-risk) surgical pts
Best Level of Evidence: Level II Internal validity score: 2.5 / 6
A2 - patients receiving EN had fewer infectious complications (EN 16% vs. TPN 35%, p=0.01)
Caveats:-each study used different definitions of infectious complications
-no differences were reported with respect to mortality, LoS or costs