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Published in: Intensive Care Medicine 8/2022

27-05-2022 | Visceral Ischemia | Correspondence

Effect modification in a clinical trial should be assessed through interaction terms, not prognostic modelling

Authors: Roberta M. L. Roepke, Pedro V. Mendes, Luis C. M. Cardozo Junior, Marcelo Park, Bruno A. M. P. Besen

Published in: Intensive Care Medicine | Issue 8/2022

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Excerpt

We read with interest the secondary analysis of the NUTRIREA-2 trial published in Intensive Care Medicine [1]. It has been discussed by colleagues because of the concern that it could lead to wrong conclusions and less utilization of enteral nutrition in patients on vasopressors, given a low risk of severe gastrointestinal adverse events [2]. Despite the authors’ rebuttal [3], we are still afraid a wrong message could be passed to the readers with a spin in the trial interpretation due to this secondary analysis. …
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go back to reference Piton G, Le Gouge A, Boisrame-Helms J, Anguel N, Argaud L, Asfar P, Botoc V, Bretagnol A, Brisard L, Bui HN, Canet E, Chatelier D, Chauvelot L, Darmon M, Das V, Devaquet J, Djibre M, Ganster F, Garrouste-Orgeas M, Gaudry S, Gontier O, Groyer S, Guidet B, Herbrecht JE, Hourmant Y, Lacherade JC, Letocart P, Martino F, Maxime V, Mercier E, Mira JP, Nseir S, Quenot JP, Richecoeur J, Rigaud JP, Roux D, Schnell D, Schwebel C, Silva D, Sirodot M, Souweine B, Thieulot-Rolin N, Tinturier F, Tirot P, Thevenin D, Thiery G, Lascarrou JB, Reignier J, Clinical Research in Intensive C, Sepsis G (2022) Factors associated with acute mesenteric ischemia among critically ill ventilated patients with shock: a post hoc analysis of the NUTRIREA2 trial. Intensive Care Med 48:458–466CrossRef Piton G, Le Gouge A, Boisrame-Helms J, Anguel N, Argaud L, Asfar P, Botoc V, Bretagnol A, Brisard L, Bui HN, Canet E, Chatelier D, Chauvelot L, Darmon M, Das V, Devaquet J, Djibre M, Ganster F, Garrouste-Orgeas M, Gaudry S, Gontier O, Groyer S, Guidet B, Herbrecht JE, Hourmant Y, Lacherade JC, Letocart P, Martino F, Maxime V, Mercier E, Mira JP, Nseir S, Quenot JP, Richecoeur J, Rigaud JP, Roux D, Schnell D, Schwebel C, Silva D, Sirodot M, Souweine B, Thieulot-Rolin N, Tinturier F, Tirot P, Thevenin D, Thiery G, Lascarrou JB, Reignier J, Clinical Research in Intensive C, Sepsis G (2022) Factors associated with acute mesenteric ischemia among critically ill ventilated patients with shock: a post hoc analysis of the NUTRIREA2 trial. Intensive Care Med 48:458–466CrossRef
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Metadata
Title
Effect modification in a clinical trial should be assessed through interaction terms, not prognostic modelling
Authors
Roberta M. L. Roepke
Pedro V. Mendes
Luis C. M. Cardozo Junior
Marcelo Park
Bruno A. M. P. Besen
Publication date
27-05-2022
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 8/2022
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-022-06741-x

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