KMID : 1143720230190020177
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Korean Journal of Neurotrauma 2023 Volume.19 No. 2 p.177 ~ p.184
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Nutrition Therapy for Patients With Traumatic Brain Injury: A Narrative Review
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Jeong Hee-Won
Kim Jae-Hyun Choo Yoon-Hee Kim Moinay Lee Seung-Joo Ha Eun-Jin Oh Ji-Woong
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Abstract
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Traumatic brain injury (TBI) is a global health and socio-economic problem, resulting in significant disability and mortality. Malnutrition is common in TBI patients and is associated with increased vulnerability to infection, higher morbidity and mortality rates, as well as longer stays in the intensive care unit and hospital. Following TBI, various pathophysiological mechanisms, such as hypermetabolism and hypercatabolism, affect patient outcomes. It is crucial to provide adequate nutrition therapy to prevent secondary brain damage and promote optimal recovery. This review includes a literature review and discusses the challenges encountered in clinical practice regarding nutrition in TBI patients. The focus is on determining energy requirements, timing and methods of nutrition delivery, promoting enteral tolerance, providing enteral nutrition to patients receiving vasopressors, and implementing trophic enteral nutrition. Enhancing our understanding of the current evidence regarding appropriate nutrition practices will contribute to improving overall outcomes for TBI patients.
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KEYWORD
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Traumatic brain injury, Nutrition therapy, Enteral nutrition, Parenteral nutrition
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