J Korean Acad Adult Nurs.  2008 Feb;20(1):44-54.

Changing Pattern and Comparison of Nutritional States before and after Nasogastric Tube Feeding for the Severe Brain Injury Patients in Critical Period

• Park JS
• Oh HS
• Seo WS
• Seo YO

Abstract

PURPOSE: The purpose of the study were to examine the nutritional status of severe brain injury adult patients in critical period, and to compare the nutritional states before and after tube feeding.
METHODS
Data from 19 patients admitted to the SICU in a university hospital due to severe brain injury were analyzed. Nutritional states were measured by anthropometric and blood biochemical indicators.
RESULTS
MAC and MAMC were significantly decreased only at 7 days after admission compared with those on the day of admission. TSF was significantly decreased from 7 days to 14 days after admission. Fat rate was significantly decreased from 3 days to 14 days after admission. Hb was significantly decreased only at 3 days after admission. Albumin was significantly decreased from 3 days to 14 days after admission. However, lymphocyte was significantly increased at 14 days after admission. TSF and Albumin became significantly worse even after initiating tube feeding.
CONCLUSIONS
Nutritional status of severe brain injury patients in SICU became worse after admission whichever indicators were adopted to evaluate nutritional status, anthropometric or blood biochemical indicators, and became worse even after initiating tube feeding.

Keyword

Brain injuries; Nutrition assessment; Enteral nutrition

MeSH Terms

Adult
Brain
Brain Injuries
Critical Period (Psychology)
Enteral Nutrition
Humans
Lymphocytes
Nutrition Assessment
Nutritional Status
Tosyl Compounds
Tosyl Compounds