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
Age:33.2
M/F:5/3

Comparison: n=10
Age:29.7
M/F:7/3
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
Intervention:25%
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.

Apart from any fair dealing for the purposes of research or private study, criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

The rights of National Collaborating Centre for Acute Care to be identified as Author of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act, 1988.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.