The influence of severe malnutrition on rehabilitation in patients with severe head injury

Disability and Rehabilitation
Zoltán Dénes

Abstract

The purpose of the study was to evaluate the consequences of severe malnutrition in patients with severe head injury during rehabilitation. The data were collected from medical records of patients admitted to the neurorehabilitation unit over the last 5 years. Twenty of 1850 patients had severe malnutrition, the body mass index (BMI) of these patients were under 15 (10-14) kg/m2. The majority of patients suffered traumatic brain damage (17/20). Thirteen patients arrived with percutaneous endoscopic gastrotomy /PEG, three nasogastric tube in 3 cases we placed PEG. The nutritional strategy included a high-calorie diet, by means of bolus feeding five times during the day, continuous feeding during the night; the daily intake target being more than 2500 kcal. During rehabilitation treatment the majority of patients (13/20) revealed weight gain with a rate of 0.5-2 kg/week. The following complications were treated during the rehabilitation phase: 20 pressure sores, 20 contractures, 11 urinal infections, 6 cases of pneumonia, 2 of purulent bronchitis, 6 of sepsis, 1 penoscrotal abscess, epidydymitis, and 1 case of purulent arthritis. The patients required total assistance at the time of admission. At discharge 10 patients remained co...Continue Reading

References

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Citations

Jun 19, 2008·Critical Care : the Official Journal of the Critical Care Forum·Clare L ReidDavid K Menon
Jun 2, 2015·Pakistan Journal of Biological Sciences : PJBS·Ghazi DaradkehParvathy R Kumar
Mar 8, 2016·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Lee-Anne S ChappleMarianne J Chapman
Nov 11, 2008·Archives of Physical Medicine and Rehabilitation·Trine S HansenAase W Engberg
Feb 25, 2009·Archives of Physical Medicine and Rehabilitation·David T Burke, Andrew I Geller
Jul 3, 2013·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Pascal CrennPhilippe Azouvi
Feb 24, 2015·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Lena AadalJørgen Feldbæk Nielsen
Nov 27, 2008·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Aaron M CookBarbara Magnuson
Jan 8, 2021·Critical Care : the Official Journal of the Critical Care Forum·Sarah VollamPeter Watkinson

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