PPT Slide
Results of literature review
Reference: Heyland DK, Novak F, Drover JW, Jain M, Su X, Suchner U. Should immunonutrition become routine in critically ill patients? A systematic review of the evidence. JAMA 2001;286:944-53.
Patients type / studies included: 22 RCTs with 2,419 critically ill and elective Sx pts: 9 studies of 1,030 elective surgery pts comparing standard EN to EN enhanced supplemented with immune-enhancing nutrients (arginine, glutamine, omega-3 fas, fish oil and nucleotides)
Best Level of Evidence: Level II Internal validity score: 6 / 6
(Grade) Recommendations (Sx studies only):
A2 - number of infectious complications was significantly lower with iEN
(RR 0.53 95%CI 0.42 to 0.68)
A2 - significantly reduced LoS with iEN (-0.76 days, 95%CI -1.14 to -0.37 days)