Cochrane · systematic review · CD013503
Enteral tube feeding for people with severe dementia
Davies, N, Barrado-Martín, Y, Vickerstaff, V, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Dementia and Cognitive ImprovementAMSTAR 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
18
current version
GRADE rated
10
No studies
8
Included studies
NR
No studies 8 · 44.4%Ungraded 0 · 0%Very low 8 · 44.4%Low 1 · 5.6%Moderate 1 · 5.6%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
PEG compared to no enteral tube feeding for people with severe dementia
Population: people with severe dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Survival timea PEG vs no enteral tube feeding | no estimate extracted | 4 studies · 36816 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Mortalityc PEG vs no enteral tube feeding | no estimate extracted | 2 studies · 6445 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Quality of life PEG vs no enteral tube feeding | no estimate extracted | NR | No studies |
Pressure ulcerse PEG vs no enteral tube feeding | no estimate extracted | 1 study · 4421 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Pain and comfort PEG vs no enteral tube feeding | no estimate extracted | NR | No studies |
Improvement of nutritional status PEG vs no enteral tube feeding | no estimate extracted | NR | No studies |
Nasogastric tubes compared to no enteral tube feeding for people with severe dementia
Population: people with severe dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Survival time Nasogastric tubes vs no enteral tube feeding | no estimate extracted | NR | No studies |
Mortalitya Nasogastric tubes vs no enteral tube feeding | no estimate extracted | 2 studies · 236 participants | Very low Downgraded: risk of bias, inconsistency |
Quality of life Nasogastric tubes vs no enteral tube feeding | no estimate extracted | NR | No studies |
Pressure ulcers Nasogastric tubes vs no enteral tube feeding | no estimate extracted | NR | No studies |
Pain and comfort Nasogastric tubes vs no enteral tube feeding | no estimate extracted | NR | No studies |
Improvement of nutritional parameters (nutrition)d Nasogastric tubes vs no enteral tube feeding | no estimate extracted | 1 study · 67 participants | Very low Downgraded: risk of bias, inconsistency |
Mixed (nasogastric or PEG) or unspecified enteral tube feeding for people with severe dementia
Population: people with severe dementia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Survival timea | no estimate extracted | 4 studies · 1696 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Mortalityd | no estimate extracted | 2 studies · 234 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Quality of Life | no estimate extracted | NR | No studies |
Pressure ulcersf | no estimate extracted | 3 studies · 351 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pain and comforth No | no estimate extracted | 1 study · 117 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Improvement of nutritional parameters (Nutrition)j | no estimate extracted | 1 study · 167 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |