What is the Measure • Hazard Ratio: measure of the relative probability of an event in two groups over time. • Control Event Rate: a measure of how often a particular statistical event occurs within the control group • Experimental Event Rate: a measure of how often a particular statistical event occurs within the experimental group • Relative Risk Reduction: he relative decrease in the risk of an adverse event in the exposed group compared to an unexposed group. • Absolute Risk Reduction: absolute difference in outcome rates between the control and treatment groups • Number Needed to Treat: the number of patients you need to treat to prevent one additional bad outcome How Large was the Treatment Effect Undernourished New Infection Hazard Ratio: 0.39 Late PN decreases the risk of new infection Control Event Rate: 0.22 Absolute benefit of Late PN is a 11% Experimental Event Rate: 0.11 reduction in the new infection rate Absolute Risk Reduction: 0.11 Late PN reduced the risk of new Relative Risk Reduction: 50 infection by 50% relative to Early PN Number Needed to Treat: 9.09 (9) Need to treat 9 people for 1 week in order to prevent death How Large was the Treatment Effect Undernourished Duration of PICU stay median (IQR) Early PN: 6 days (3-11) Late PN is associated with shortened Late PN: 4 days (2-8) duration of PICU stay, with a higher Odds Ratio (95% CI): 1.37 (1.06- likelihood of an earlier live discharge 1.75) In UNDERNOURISHED Children P Value: .01 How Large was the Treatment Effect Severely Undernourished Duration of PICU stay median (IQR) Early PN: 5 days (3-8) Late PN: 4 days (2-6) Odds Ratio (95% CI): 1.49 (1.04-2.13) P Value: .05
Late PN is associated with shortened
duration of PICU stay, with a higher likelihood of an earlier live discharge In SEVERLY UNDERNOURISHED Children How Precise was the estimate of the treatment?
Late PN reduced the risk of new infections by an absolute 11% (p
=.02), with an adjusted odds ratio for new infections of 0.39 (95% CI, 0.19-0.78; P: .01)