Table 62Parenteral vs enteral nutrition: abdominal trauma

Bibliographic referenceStudy TypeEvidence levelNo. of patientsPatients characteristicsInterventionComparisonLength of follow upOutcome measuresEffect sizeComments (including source of funding)
Seri and Aquilio 1984313RCT18 patients

Intervention: n=8

Comparison: n=10
Early nutritional support in patients with acute abdominal traumaReceived glucose- amino acids infusion by peripheral vein. Calories nitrogen ratio was 150:1Enteral nutrition

Was started 12hrs post-op reaching 3000kcal/day within 72hrs
7 daysAMCAMC(% normal)
Day 7
Intervention: 99±4
Comparison:105±6 [no sig diff]
For uniformity the enteral group was called the control group by the reviewer

Nutritional assessment was preformed within 12hrs after laparotomy and repeated on day 7
Septic complicationsSepsis
Comparison:10% [no sig diff]
N2 balanceN2 balance
Intervention: −6.5±0.8
Comparison: +2.9±0.6 [p<0.01]
Albumin Complement 3 Transferrin

From: Appendix Four, Evidence Tables

Cover of Nutrition Support for Adults
Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition.
NICE Clinical Guidelines, No. 32.
National Collaborating Centre for Acute Care (UK).
Copyright © 2006, National Collaborating Centre for Acute Care.

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