Evidence Summary of Early Enteral Nutrition Support for Adult Patients with Extracorporeal Membrane Oxygenation (ECMO)
Bibliographic record
Abstract
Jixiang Guo,1,2 Zhiyi Wang,2 Aiqun Liang,1 Zhi Qu,2 Hanru Bao,1,2 Kexi Pei,3 Xiaoping Luo1 1Surgery and Anesthesiology Department 1, Zhongshan People’s Hospital, Zhongshan, Guangdong, 528403, People’s Republic of China; 2School of Nursing and Health, Henan University, Kaifeng, Henan, 475004, People’s Republic of China; 3Medical Intensive Care Unit, Zhongshan People’s Hospital, Zhongshan, Guangdong, 528403, People’s Republic of ChinaCorrespondence: Xiaoping Luo, Surgery and Anesthesiology Department 1, Zhongshan People’s Hospital, 2 Sun Wen East Road, Zhongshan, Guangdong, People’s Republic of China, Email 13549855746@163.comObjective: This study aims to systematically review and summarize the evidence on early enteral nutrition (EEN)support for Extracorporeal Membrane Oxygenation (ECMO)patients, Offer evidence-based guidance to healthcare professionals, including doctors and nurses, to inform their clinical practices.Methods: Using the “ 6S”evidence-based model, we searched multiple databases including UpToDate, Best Practice, Guideline International Network (GIN), National Guideline Clearinghouse (NGC),Registered Nurses’ Association of Ontario (RNAO), Joanna Briggs Institute (JBI), Evidence-Based Healthcare Center database, the Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI),Wanfang Database, and Chinese Biomedical Literature Database (CBM). Aiming to find evidence on early enteral nutrition support for adult patients with extracorporeal membrane oxygenation. The search included clinical decisions, guidelines, systematic reviews, evidence summaries, and expert consensus. The time frame for the search was from the inception of the databases to September 10, 2024.Two researchers evaluated the quality of the collected literature and extracted data and summarized evidence from publications that met the quality criteria.Results: We retrieved 13 relevant documents, consisting of 6 guidelines, 3 expert consensus papers, 2 clinical decision-making articles, and 2 cohort studies. Through summarization and induction, a total of 26 best evidence pieces were obtained across five aspects: the establishment of nutritional support plans; strategies and risk assessment for enteral nutrition; the implementation of early enteral nutrition supplementation strategies; the amount and composition of nutrients reaching standard intake; and prevention of enteral nutrition-related complications.Conclusion: This study has summarized the evidence regarding early enteral nutrition support for adult patients with extracorporeal membrane oxygenation (ECMO). It provides an evidence-based foundation for the practice of nursing and assists medical staff in developing personalized nutrition management plans for enteral nutrition support in ECMO patients.Keywords: extracorporeal membrane oxygenation, ECMO, early enteral nutrition, nutrition support, evidence summary
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.047 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.005 | 0.008 |
| Bibliometrics | 0.008 | 0.006 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".