Nutritional Status of Brain-Injured Patients

Author/Year/ Country/Study Design/N

Methods

Outcomes

Krakau et al.
(2007)
Sweden
Retrospective Review
N=64

 

Population: TBI; Mean Age=35yr; Gender: Male=53, Female=11; GCS Score Range=3-8.
Treatment: Data was extracted from patient files covering the period from the onset of injury until the patients became nutritionally independent, or until 6 mo post injury.
Outcome Measure: Duration of parenteral nutrition (PN) and enteral nutrition (EN), use of gastrostomy, course of assisted feeding, Malnutrition Universal Screening Tool . Malnourishment was: Body Mass Index (BMI)=18.5-20kg/m2 AND involuntary weight loss of 5-10% over 3-6 mo; BMI<18.5kg/m2; or involuntary weight loss >10%.).

  1. While in intensive care, patients received nutrition PN for mean of 19 d. 
  2. Most patients (86%) also received EN which was started on average 4 d after injury.
  3. Patients received EN from 1-178 d post PN.
  4. Of the 55 patients receiving EN, 14 received a gastrostomy approximately 1 mo post injury (4 patients continued to depend on gastrostomy at 6 mo).
  5. By 6 mo post-injury, 54 (84%) patients were nutritionally independent.
  6. Of the 56 patients assessed for malnourishment, 38 (68%) met the criteria.

French and Merriman
(1999)
UK
Observational
N=33

Population: ABI; Mean Age=33.2yr; Gender: Male=31, Female=2; Mean Time Post Injury= 5.75yr.
Treatment:  Height, weight and skin fold thickness were measured for inpatients with brain injury enrolled in rehabilitation.
Outcome Measure: Skin Fold measurements, Dietary assessment.

  1. There were no incidences of malnutrition.
  2. The incidence of obesity was comparable to the healthy normal population. 
  3. Subjects consumed a nutritionally adequate diet except for non-starch polysaccharides (fibre).