Enteral combined with parenteral nutrition improves clinical outcomes in patients with traumatic brain injury

• Published in: Nutritional neuroscience 2022-03, Vol.25 (3), p.530-536
• Main Authors: Li, Xiaomin, Yang, Yafeng, Ma, Zheng Feei, Gao, Shan, Ning, Yuan, Zhao, Ling, He, Zhangya, Luo, Xiaoqin
• Format: Article
• Language: English
• Subjects: Brain Injuries, Traumatic - complications; Brain Injuries, Traumatic - therapy; Enteral Nutrition; Glasgow coma score; Humans; Parenteral Nutrition; Quality of Life; Retrospective Studies; Traumatic brain injury
• ISSN: 1028-415X; 1476-8305
• DOI: 10.1080/1028415X.2020.1765114

Objective: To investigate the effect of nutritional support on nutritional status and clinical outcomes of patients with traumatic brain injury (TBI). Methods: Sixty-one patients with TBI from the intensive care unit and neurosurgery of Xianyang Central Hospital from 2017 to 2019 were retrospectively included. General and clinical data of the study subjects were collected. The control group (n = 28) received parenteral nutrition alone, and the observation group (n = 33) received parenteral nutrition combined with enteral nutrition. The general conditions and biochemical indicators of both groups of patients were divided into two groups of ≤8 and ≥9 for stratified analysis to compare the nutritional support status and infection complications during hospitalization Occurrence, ICU length of stay, total length of stay, total cost of stay, and prognostic indicators of the patients were analyzed and compared. Results: There were no significant differences in biochemical indicators between both groups of patients when they were discharged. Among patients with GCS ≤8 points, the incidence of lung infection in the observer was significantly higher than that in the control group (P