PMID: 6411792Jan 1, 1983Paper

Nutritional assessment and preliminary report on early support of the trauma patient

Journal of the American College of Nutrition
E E Moore, T N Jones

Abstract

The high nitrogen demands imposed by severe trauma may quickly render the injured patient malnourished. Nutritional assessment of these patients is confused by tissue damage, shock, blood loss, operation, and anesthesia. Consequently, standard nutritional markers do not correlate well with immunocompetence and postoperative morbidity. For this reason we devised an abdominal trauma index (ATI) based on the anatomical severity of injury. The ATI is calculated by assigning a risk factor (1-5) to each organ injured and then multiplying this by a severity-of-injury estimate (1-5). The sum of the individual organ scores comprises the final ATI. The incidence of postlaparotomy complications is low (5%) with an ATI less than 15, intermediate (15%) with 15-25, and high (50%) with greater than 25. Having identified the high-risk trauma patient, we initiated a prospective randomized study to assess the cost-benefit of early nutritional support. Patients with an ATI greater than 15 were allocated to a control group (no supplemental nutrition during first five postoperative days) or enteral-fed group. The enteral group had a needle catheter jejunostomy (NCJ) placed at laparotomy. The constant infusion of an elemental diet (Vivonex HN) was b...Continue Reading

References

Jan 1, 1977·JPEN. Journal of Parenteral and Enteral Nutrition·G L BlackburnM F Smith
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Citations

Oct 1, 1984·World Journal of Surgery·J B Moore, E E Moore
Jul 1, 1985·American Journal of Surgery·J T HayashiC C Calvert
Feb 1, 1997·Burns : Journal of the International Society for Burn Injuries·T RaffG Germann
Dec 9, 1994·Clinical Intensive Care : International Journal of Critical & Coronary Care Medicine·F A MooreJ B Haenel
Apr 17, 1999·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·S Bengmark
Mar 1, 1990·American Journal of Surgery·M M MeguidW G Hammond
Aug 16, 2011·International Journal of Pediatric Otorhinolaryngology·Müslim YurtçuOsman Cağlayan
Jun 29, 2006·JPEN. Journal of Parenteral and Enteral Nutrition·Danny E C van HoornKlaske van Norren
May 20, 2017·The Cochrane Database of Systematic Reviews·Joshua FeinbergJanus C Jakobsen
Dec 1, 1991·Journal of the American College of Nutrition·E E Moore, F A Moore

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