Enteral Nutrition for Patients With Traumatic Brain Injury in the Rehabilitation Setting: Associations With Patient Preinjury and Injury Characteristics and Outcomes.
Enteral Nutrition for Patients With Traumatic Brain Injury in the Rehabilitation Setting: Associations With Patient Preinjury and Injury Characteristics and Outcomes.
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DOI：
10.1016/j.apmr.2014.06.024
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发表时间：
2015-08
影响因子：
4.3
通讯作者：
Barrett RS
中科院分区：
文献类型：
--
作者：
Horn SD;Kinikini M;Moore LW;Hammond FM;Brandstater ME;Smout RJ;Barrett RS
To determine the association of enteral nutrition (EN) with patient pre-injury and injury characteristics and outcomes for patients receiving inpatient brain injury rehabilitation. Prospective observational study using propensity scores to isolate the effect of EN 9 rehabilitation centers in the US Patients (n=1701) admitted for first full inpatient rehabilitation after a TBI index injury Not applicable Functional Independence Measure (FIM) at rehabilitation discharge, length of stay (LOS), weight loss, and presence of infections. There were many significant differences in pre-injury and injury characteristics for patients who received EN compared to patients who did not. After matching patients with a propensity score >40% for the likely use of EN, patients with greater than 25% of their rehabilitation stay receiving EN with either standard or high protein formulas (greater than 20% of calories coming from protein) had better FIM Motor and FIM Cognitive scores at rehabilitation discharge and less weight loss than similar patients not receiving EN. For patients receiving inpatient rehabilitation following TBI and matched on a propensity to use EN of >40%, clinicians should strongly consider, when possible, EN for at least 25% of the patient’s stay and especially with a formula that contains at least 20% protein rather than a standard formula.
