Placement of Surgical Feeding Tubes Among Patients With Severe Traumatic Brain Injury Requiring Exploratory Abdominal Surgery : Better Early Than Late

The American Surgeon
Peter I ChaJoseph D Forrester

Abstract

The purpose of this study was to identify trauma patients who would benefit from surgical placement of an enteral feeding tube during their index abdominal trauma operation. We performed a retrospective analysis of all patients admitted to 2 level I trauma centers between January 2013 and February 2018 requiring urgent exploratory abdominal surgery. Six-hundred and one patients required exploratory abdominal surgery within 24 hours of admission after trauma activation. Nineteen (3% of total) patients underwent placement of a feeding tube after their initial exploratory surgery. On multivariate analysis, an intracranial Abbreviated Injury Scale ≥4 (odds ratio [OR] = 9.24, 95% CI 1.09-78.26, P = .04) and a Glasgow Coma Scale ≤8 (OR = 4.39, 95% CI 1.38-13.95, P = .01) were associated with increased odds of requiring a feeding tube. All patients who required a feeding tube had an Injury Severity Score ≥15. While not statistically significant, patients with an open surgical feeding tube compared with interventional radiology/percutaneous endoscopic gastrostomy placement had lower median intensive care unit length of stay, fewer ventilator days, and shorter median total hospital length of stay. Trauma patients with severe intracrania...Continue Reading

References

May 19, 2005·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Stéphane VilletMette M Berger
Oct 11, 2005·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Judy MartineauSarah Cohen
Nov 11, 2006·Critical Care Medicine·Michael L CheathamMatthew W Lube
Aug 23, 2007·JPEN. Journal of Parenteral and Enteral Nutrition·Bryan CollierJose Diaz
Oct 29, 2008·Journal of the American College of Surgeons·Sharmila DissanaikeJoseph Cuschieri
Jul 19, 2013·Nutritional Neuroscience·Sanghee Kim, Youngsoon Byeon
Dec 4, 2014·Stroke; a Journal of Cerebral Circulation·Roland FaigleRebecca F Gottesman
Jul 5, 2017·Journal of Intensive Care Medicine·Christa O'Hana S NoblezaRomergryko G Geocadin
May 21, 2019·Annals of the American Thoracic Society·Anica C LawAllan J Walkey
Nov 2, 2019·Neurosurgical Focus·Fatima KhalidJohn N Lorenz

❮ Previous
Next ❯

Methods Mentioned

BETA
ISS

Software Mentioned

Stata

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.