Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/18080
The Effect of Enteral Immunonutrition in the Intensive Care Unit: Does It Impact on Outcomes?
WOS ID: 000794671900001
Scopus EID: 2-s2.0-85130453327
Embase PUI: L2016565260
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AuthorLopez-Delgado, Juan Carlos; Grau-Carmona, Teodoro; Trujillano-Cabello, Javier; García-Fuentes, Carlos; Mor-Marco, Esther; Bordeje-Laguna, Maria Luisa; Portugal-Rodriguez, Esther; Lorencio-Cardenas, Carol; Vera-Artazcoz, Paula; Macaya-Redin, Laura; Martinez-Carmona, Juan Francisco; Mateu-Campos, Lidón; Gero-Escapa, Maria; Gastaldo-Simeon, Rosa; Vila-García, Belen; Flordelis-Lasierra, José Luis; Montejo-Gonzalez, Juan Carlos; Servia-Goixart, Lluís; The Enpic Study Group, null
Document typeresearch article
CitationLopez-Delgado JC, Grau-Carmona T, Trujillano-Cabello J, García-Fuentes C, Mor-Marco E, Bordeje-Laguna ML, et al. The Effect of Enteral Immunonutrition in the Intensive Care Unit: Does It Impact on Outcomes? Nutrients. 2022 May 1;14(9):1904.
The present research aimed to evaluate the effect on outcomes of immunonutrition (IMN) enteral formulas during the intensive care unit (ICU) stay. A multicenter prospective observational study was performed. Patient characteristics, disease severity, nutritional status, type of nutritional therapy and outcomes, and laboratory parameters were collected in a database. Statistical differences were analyzed according to the administration of IMN or other types of enteral formulas. In total, 406 patients were included in the analysis, of whom 15.02% (61) received IMN. Univariate analysis showed that patients treated with IMN formulas received higher mean caloric and protein intake, and better 28-day survival (85.2% vs. 73.3%; p = 0.014. Unadjusted Hazard Ratio (HR): 0.15; 95% CI (Confidence Interval): 0.06-0.36; p < 0.001). Once adjusted for confounding factors, multivariate analysis showed a lower need for vasopressor support (OR: 0.49; 95% CI: 0.26-0.91; p = 0.023) and continuous renal replacement therapies (OR: 0.13; 95% CI: 0.01-0.65; p = 0.049) in those patients who received IMN formulas, independently of the severity of the disease. IMN use was also associated with higher protein intake during the administration of nutritional therapy (OR: 6.23; 95% CI: 2.59-15.54; p < 0.001), regardless of the type of patient. No differences were found in the laboratory parameters, except for a trend toward lower triglyceride levels (HR: 0.97; 95% CI: 0.95-0.99; p = 0.045). The use of IMN formulas may be associated with better outcomes (i.e., lower need for vasopressors and continuous renal replacement), together with a trend toward higher protein enteral delivery during the ICU stay. These findings may ultimately be related to their modulating effect on the inflammatory response in the critically ill. NCT Registry: 03634943.
MeSHIntensive Care Units
Unidades de Cuidados Intensivos