Cochrane · systematic review · CD008875
Post‐pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults
Alkhawaja, S, Martin, C, Butler, RJ, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 3 · 42.9%Moderate 3 · 42.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Post‐pyloric tube feeding compared with gastric tube feeding for critically ill adult patients
Population: critically ill adult patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pneumonia ( Post‐pyloric tube feeding vs gastric tube feeding | RR 0.65 [0.51, 0.84] | 9 studies · 819 participants | Moderate Downgraded: risk of bias |
Mortality ( Post‐pyloric tube feeding vs gastric tube feeding | RR 1.03 [0.83, 1.29] | 11 studies · 977 participants | Moderate Downgraded: risk of bias |
Percentage of total nutrition delivered to participant ( Post‐pyloric tube feeding vs gastric tube feeding | no estimate extracted | 7 studies · 692 participants | Low Downgraded: risk of bias, inconsistency |
Time required to achieve full nutritional target (in hours) ( Post‐pyloric tube feeding vs gastric tube feeding | no estimate extracted | 5 studies · 432 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Duration of mechanical ventilation in days ( Post‐pyloric tube feeding vs gastric tube feeding | no estimate extracted | 5 studies · 549 participants | Moderate Downgraded: risk of bias |
Complications related to tube insertion ( Post‐pyloric tube feeding vs gastric tube feeding | RR 0.51 [0.19, 1.36] | 4 studies · 324 participants | Low Downgraded: risk of bias, imprecision |
Complications related to tube maintenance ( Post‐pyloric tube feeding vs gastric tube feeding | RR 1.63 [0.93, 2.86] | 7 studies · 638 participants | Low Downgraded: risk of bias, inconsistency |