| Autor: |
Sonia Wu, Sameena Iqbal, Melanie Giroux, Norine Alam, Josie Campisi, Tarek Razek, Dan Deckelbaum, Jeremy Grushka, Katherine McKendy, Evan Wong, Judith Marcoux, Kosar A. Khwaja |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Canadian journal of surgery. Journal canadien de chirurgie. 65(3) |
| ISSN: |
1488-2310 |
| Popis: |
Nutritional assessment can be challenging in patients with traumatic brain injury (TBI), and indirect calorimetry may be a more suitable method than predictive equations. We compared the Penn State equation versus the gold standard of indirect calorimetry for the nutritional assessment of patients with TBI, and quantified the difference between nutritional requirements and actual patient intake.This single-centre, prospective cohort study included patients with moderate (Glasgow Coma Scale score 9-12) and severe (Glasgow Coma Scale score 3-8) TBI admitted to the Montreal General Hospital intensive care unit (ICU) between June 2018 and March 2019. Penn State equation estimates and indirect calorimetry measurements were collected, and actual intake was drawn from medical records. We compared the 2 assessment methods using a Spearman correlation coefficient.Twenty-three patients with TBI (moderate in 7 and severe in 16) were included in the study. Overall, there was a moderate positive correlation between the Penn State equation estimate and indirect calorimetry readings (correlation coefficient 0.457,Patients with moderate or severe TBI in the ICU received less than 50% of their nutritional requirements. The difference between the Penn State equation and indirect calorimetry assessments was most noticeable for patients with severe TBI, which indicates that indirect calorimetry may be a more suitable tool for assessment of nutritional needs in this population. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
