Initial trophic vs full enteral feeding in patients with acute lung injury: the EDEN randomized trial.

TitleInitial trophic vs full enteral feeding in patients with acute lung injury: the EDEN randomized trial.
Publication TypeJournal Article
Year of Publication2012
AuthorsRice, TW, Wheeler, AP, Thompson, TB, Steingrub, J, Hite, DR, Moss, M, Morris, A, Dong, N, Rock, P
Corporate AuthorsNational Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network,
JournalJAMA
Volume307
Issue8
Pagination795-803
Date Published2012 Feb 22
ISSN1538-3598
KeywordsAcute Lung Injury, Adult, Aged, Energy Intake, Enteral Nutrition, Female, Gastrointestinal Tract, Humans, Infection, Male, Middle Aged, Prospective Studies, Respiration, Artificial, Time Factors, Treatment Outcome
Abstract

CONTEXT: The amount of enteral nutrition patients with acute lung injury need is unknown.

OBJECTIVE: To determine if initial lower-volume trophic enteral feeding would increase ventilator-free days and decrease gastrointestinal intolerances compared with initial full enteral feeding.

DESIGN, SETTING, AND PARTICIPANTS: The EDEN study, a randomized, open-label, multicenter trial conducted from January 2, 2008, through April 12, 2011. Participants were 1000 adults within 48 hours of developing acute lung injury requiring mechanical ventilation whose physicians intended to start enteral nutrition at 44 hospitals in the National Heart, Lung, and Blood Institute ARDS Clinical Trials Network.

INTERVENTIONS: Participants were randomized to receive either trophic or full enteral feeding for the first 6 days. After day 6, the care of all patients who were still receiving mechanical ventilation was managed according to the full feeding protocol.

MAIN OUTCOME MEASURES: Ventilator-free days to study day 28.

RESULTS: Baseline characteristics were similar between the trophic-feeding (n = 508) and full-feeding (n = 492) groups. The full-feeding group received more enteral calories for the first 6 days, about 1300 kcal/d compared with 400 kcal/d (P < .001). Initial trophic feeding did not increase the number of ventilator-free days (14.9 [95% CI, 13.9 to 15.8] vs 15.0 [95% CI, 14.1 to 15.9]; difference, -0.1 [95% CI, -1.4 to 1.2]; P = .89) or reduce 60-day mortality (23.2% [95% CI, 19.6% to 26.9%] vs 22.2% [95% CI, 18.5% to 25.8%]; difference, 1.0% [95% CI, -4.1% to 6.3%]; P = .77) compared with full feeding. There were no differences in infectious complications between the groups. Despite receiving more prokinetic agents, the full-feeding group experienced more vomiting (2.2% vs 1.7% of patient feeding days; P = .05), elevated gastric residual volumes (4.9% vs 2.2% of feeding days; P < .001), and constipation (3.1% vs 2.1% of feeding days; P = .003). Mean plasma glucose values and average hourly insulin administration were both higher in the full-feeding group over the first 6 days.

CONCLUSION: In patients with acute lung injury, compared with full enteral feeding, a strategy of initial trophic enteral feeding for up to 6 days did not improve ventilator-free days, 60-day mortality, or infectious complications but was associated with less gastrointestinal intolerance.

TRIAL REGISTRATION: clinicaltrials.gov Identifiers: NCT00609180 and NCT00883948.

DOI10.1001/jama.2012.137
Short TitleJAMA: The Journal of the American Medical Association
Alternate JournalJAMA
PubMed ID22307571