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Meta-Analysis

Effects of higher versus lower protein intake in critically ill patients: a systematic review and meta-analysis.

Li S et al., 2026 · 33 studies included

Summary

Thirty-three RCTs, 11,622 participants; higher versus lower protein as allocated in each trial, search through July 2026.

Conclusion

Overall mortality RR 1.02 (95% CI 0.97–1.08), with no demonstrated ventilation/ICU-stay benefit. AKI and rehabilitation subgroup findings are not causal proof or a universal dose prescription; heterogeneity and subgroup limitations inform low editorial certainty.

Low certainty