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70, 95% CI (0.44, 1.11), p=0.13]. The rates of adverse reactions, such as diarrhea RR=1.17, 95% CI (0.91, 1.5, p=0.23), emesis (RR=0.80, 95% CI (0.42, 1.55), p=0.51), feeding intolerance [RR=0.97, 95% CI (0.64, 1.48), p=0.9 were not significantly different between the two groups. The VBF protocol significantly improves the successive rate of enteral nutrition in critically ill patients. The VBF protocol significantly improves the successive rate of enteral nutrition in critically ill patients. Poor nutritional status is associated w