Análisis crítico de un artículo: critical appraisal: enteral nutrition is better than parenteral nutrition for patients with acute pancreatitis.

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dc.catalogadorpau
dc.contributor.authorManríquez, Juan Jorge
dc.contributor.authorLetelier Saavedra, Luz María
dc.date.accessioned2023-05-18T19:49:40Z
dc.date.available2023-05-18T19:49:40Z
dc.date.issued2005
dc.description.abstractObjective To compare the safety and clinical outcomes of enteral and parenteral nutrition in patients with acute pancreatitis. Data sources Medline, Embase, Cochrane controlled trials register, and citation review of relevant primary and review articles. Study selection Randomized controlled studies that compared enteral nutrition with parenteral nutrition in patients with acute pancreatitis. From 117 articles screened, six were identified as randomized controlled trials and were included for data extraction. Data extraction Six studies with 263 participants were analyzed. Descriptive and outcome data were extracted. Main outcome measures were infections, complications other than infections, operative interventions, length of hospital stay, and mortality. The metaanalysis was performed with the random effects model. Data synthesis Enteral nutrition was associated with a significantly lower incidence of infections (relative risk 0.45; 95% confidence interval 0.26 to 0.78, P= 0.004), reduced surgical interventions to control pancreatitis (0.48, 0.22 to 1.0, P= 0.05), and a reduced length of hospital stay (mean reduction 2.9 days, 1.6 days to 4.3 days, P <0.001). There were no significant differences in mortality (relative risk 0.66, 0.32 to 1.37, P = 0.3) or non-infectious complications (0.61, 0.31 to 1.22, P= 0.16) between the two groups of patients. Conclusions Enteral nutrition should be the preferred route of nutritional support in patients with acute pancreatitis.
dc.format.extent3
dc.fuente.origenORCID
dc.identifier.doi10.4067/s0034-98872005000200016
dc.identifier.issn0034-9887
dc.identifier.urihttps://doi.org/10.4067/s0034-98872005000200016
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/67082
dc.information.autorucEscuela de Medicina ; Letelier Saavedra, Luz María ; 0000-0002-4150-2985 ; 52245
dc.issue.numero2
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final252
dc.pagina.inicio250
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.titleAnálisis crítico de un artículo: critical appraisal: enteral nutrition is better than parenteral nutrition for patients with acute pancreatitis.
dc.typeartículo de revisión
dc.volumen133
sipa.codpersvinculados52245
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