Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Immunonutrition in critical illness: still fishing for the truth. | Available online at http content 13 3 305 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Immunonutrition in critical illness still fishing for the truth Adam Peterik1 Eric B. Milbrandt2 and Joseph M Darby3 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 3 Professor Departments of Critical Care Medicine and Surgery University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 12th June 2009 This article is online at http content 13 3 305 2009 BioMed Central Ltd Critical Care 2009 13 305 DOI cc7899 Expanded Abstract Citation Marik PE Zaloga GP. Immunonutrition in critically ill patients a systematic review and analysis of the literature. Intensive Care Med 2008 34 1980-1990 1 . Background The role of immuno-modulating diets IMD s in critically ill patients is controversial. Methods Objective The goal of this meta-analysis was to determine the impact of IMD s on hospital mortality nosocomial infections and length of stay LOS in critically ill patients. Outcome was stratified according to type of IMD and patient setting. Data Sources MEDLINE Embase Cochrane Register of Controlled Trials. Study Selection RCT s that compared the outcome of critically ill patients randomized to an IMD or a control diet. Data Synthesis Twenty-four studies with a total of 3013 patients were included in the meta-analysis 12 studies included ICU patients 5 burn patients and 7 trauma patients. Four of the studies used formulas supplemented with arginine two with arginine and glutamine nine with arginine and fish oil FO two with arginine glutamine and FO six with glutamine alone and three studies used
