Trends and Development in Enteral Nutrition Application for Ventilator Associated Pneumonia: A Scientometric Research Study (1996-2018)
Trends and Development in Enteral Nutrition Application for Ventilator Associated Pneumonia: A Scientometric Research Study (1996-2018)
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DOI：
10.3389/fphar.2019.00246
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发表时间：
2019-03-20
影响因子：
5.6
通讯作者：
Hu, Hao
中科院分区：
文献类型：
--
作者：
Chen, Shengqi;Bie, Ruixue;Hu, Hao
背景资料：本研究旨在探讨肠内营养（EN）在呼吸机相关性肺炎（VAP）患者中临床应用研究的知识景观，并确定该领域的主题发展趋势和研究前沿。方法：通过分析1996 - 2018年Web of Science核心收集数据库中的文献记录进行科学计量学研究。采用CiteSpace软件进行文献共被引分析、关键词共现分析和合作网络分析。发现早期研究主要集中于VAP患者EN的喂养途径。广泛调查和报告了VAP患者EN干预相关的风险，包括胃营养不耐受和吸入性肺炎。虽然吸入性肺炎仍然是VAP患者EN干预领域的一个长期活跃的研究领域，但最近的研究更多地关注旨在改善EN支持和优化VAP患者EN使用的干预措施。看来，EN干预VAP患者的临床指南需要建立。结论：EN的VAP患者的优势已被认可，但仍需要进一步调查，规范使用。需要医院医生、大学研究人员和工业产品开发人员之间的战略合作，以建立临床指南，并继续开发创新的EN产品来应对VAP。
Background: This study aimed to explore the intellectual landscape of the studies investigating the clinical application of enteral nutrition (EN) in patients with ventilator associated pneumonia (VAP), and to identify thematic development trends and research frontiers in this area.Methods: Scientometric research was conducted by analyzing bibliographic records retrieved from the Web of Science Core Collection Database dated between 1996 and 2018. Reference co-citation analysis, key words co-occurrence analysis and cooperation network analysis were performed using CiteSpace software.Results: A total of 124 valid records were included in the final dataset. It was found that early studies were mainly focused on the feeding pathways of EN among VAP patients. The risks associated with EN intervention in VAP patients, including gastric nutrition intolerance and aspiration pneumonia, were extensively investigated and reported. While aspiration pneumonia has remained a long-term active research area in the field of EN interventions for VAP patients, with recent research focused more on interventions aiming to improve EN support and to optimize the use of EN for VAP patients. It seems that clinical guidelines on EN interventions for VAP patients need to be established.Conclusion: The advantages of EN for VAP patients have been recognized but still require further investigation on standardizing the use. Strategic cooperation among hospital physicians, university researchers and industrial product developers is required to establish clinical guidelines and to continue developing innovative EN products to tackle VAP.