Determination of calorie and protein intake among acute and sub-acute traumatic brain injury patients
| Autor: | Muhammad Khalis Jasmiad, Kartini Abdul Karim, Nooraini Yusoff, Sharifah Wajihah Wafa, Mohd Ibrahim Abdullah, Nujaimin Udin, Aryati Ahmad, Ahmad Zubaidi A. Latif |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Risk Pediatrics medicine.medical_specialty Calorie Traumatic brain injury 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic medicine Humans Orthopedics and Sports Medicine Medical nutrition therapy lcsh:R5-920 030222 orthopedics business.industry Malnutrition Dietary management Glasgow Coma Scale 030208 emergency & critical care medicine Nutrients Recovery of Function Length of Stay medicine.disease Hospitalization Cross-Sectional Studies Protein intake Hypermetabolism Female Original Article Surgery Observational study Dietary Proteins Calorie intake lcsh:Medicine (General) Energy Intake business |
| Zdroj: | Chinese Journal of Traumatology Chinese Journal of Traumatology, Vol 23, Iss 5, Pp 290-294 (2020) |
| ISSN: | 1008-1275 |
| DOI: | 10.1016/j.cjtee.2020.04.004 |
| Popis: | Purpose Malnutrition is a common problem among hospitalized patients, especially among traumatic brain injury (TBI) patients. It is developed from hypermetabolism and the condition may worsen under the circumstance of underfeeding or incompatible dietary management. However, the data of nutrient intake especially calorie and protein among TBI patients were scarce. Hence, this study aimed to determine the calorie and protein intake among acute and sub-acute TBI patients receiving medical nutrition therapy in hospital Sultanah Nur Zahirah, Terengganu. Methods This observational study involved 50 patients recruited from the neurosurgical ward. Method of 24 h dietary recall was utilized and combined with self-administered food diaries for 2–8 days. Food consumptions including calorie intake and protein intake were analyzed using Nutritionist PRO™ (Woodinville, USA) and manual calculation based on the Malaysian food composition database (2015). Results Patients consisted of 56% males and 44% females with the median age of 28.0 (IQR = 22.8-36.5) years, of which 92% were diagnosed as mild TBI and the remaining (8%) as moderate TBI. The Glasgow coma scale (GCS) was adopted to classify TBI severity with the score 13–15 being mild and 9–12 being moderate. The median length of hospital stay was 2 (IQR = 2.0–3.3) days. Calorie and protein intake improved significantly from day 1 to discharge day. However, the intake during discharge day was still considered as suboptimal, i.e. 75% of calorie requirement, whilst the median protein intake was only 61.3% relative to protein requirement. Moreover, the average percentages of calorie and protein intakes throughout hospitalization were remarkably lower, i.e. 52.2% and 41.0%, respectively. Conclusion Although the calorie and protein intakes had increased from baseline, hospitalized TBI patients were still at a risk to develop malnutrition as the average intakes were considerably low as compared to their requirements. Optimum nutrient intakes especially calorie and protein are crucial to ensure optimum recovery process as well as to minimize risks of infection and complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|