Early enteral nutrition and clinical outcomes of severe traumatic brain injury patients in acute stage: a multi-center cohort study.

Abstract:

:Guidelines for patients with severe traumatic brain injury (sTBI) published in 2007 recommend providing early nutrition after trauma. Early enteral nutrition (EN) started within 48 h post-injury reduces clinical malnutrition, prevents bacterial translocation from the gastrointestinal tract, and improves outcome in sTBI patients sustaining hypermetabolism and hypercatabolism. The aim of this study was to examine the effect of early EN support on survival rate, Glasgow Coma Scale (GCS) score, and clinical outcome of sTBI patients. Medical records of sTBI patients with GCS scores 4-8 were recruited from 18 hospitals in Taiwan, excluding patients with GCS scores ≤3. During 2002-2010, data from 145 EN patients receiving appropriate calories and nutrients within 48 h post-trauma were collected and compared with 152 non-EN controls matched for gender, age, body weight, initial GCS score, and operative status. The EN patients had a greater survival rate and GCS score on the 7th day in the intensive care unit (ICU), and a better outcome at 1 month post-injury. After adjusting for age, gender, initial GCS score, and recruitment period, the non-EN patients had a hazard ratio of 14.63 (95% CI 8.58-24.91) compared with EN patients. The GCS score during the first 7 ICU days was significantly improved among EN patients with GCS scores of 6-8 compared with EN patients with GCS scores of 4-5 and non-EN patients with GCS scores of 6-8. This finding demonstrates that EN within 48 h post-injury is associated with better survival, GCS recovery, and outcome among sTBI patients, particularly in those with a GCS score of 6-8.

journal_name

J Neurotrauma

journal_title

Journal of neurotrauma

authors

Chiang YH,Chao DP,Chu SF,Lin HW,Huang SY,Yeh YS,Lui TN,Binns CW,Chiu WT

doi

10.1089/neu.2011.1801

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

75-80

issue

1

eissn

0897-7151

issn

1557-9042

journal_volume

29

pub_type

杂志文章,多中心研究
  • Therapeutic vaccination for closed head injury.

    abstract::Closed head injury often has a devastating outcome, partly because the insult, like other injuries to the central nervous system (CNS), triggers self-destructive processes. During studies of the response to other CNS insults, it was unexpectedly discovered that the immune system, if well controlled, provides protectio...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/089771503767168483

    authors: Kipnis J,Nevo U,Panikashvili D,Alexandrovich A,Yoles E,Akselrod S,Shohami E,Schwartz M

    更新日期:2003-06-01 00:00:00

  • The health and life priorities of individuals with spinal cord injury: a systematic review.

    abstract::Determining the priorities of individuals with spinal cord injury (SCI) can assist in choosing research priorities that will ultimately improve their quality of life. This systematic review examined studies that directly surveyed people with SCI to ascertain their health priorities and life domains of importance. Twen...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,评审

    doi:10.1089/neu.2011.2226

    authors: Simpson LA,Eng JJ,Hsieh JT,Wolfe DL,Spinal Cord Injury Rehabilitation Evidence Scire Research Team.

    更新日期:2012-05-20 00:00:00

  • Development of a database for translational spinal cord injury research.

    abstract::Efforts to understand spinal cord injury (SCI) and other complex neurotrauma disorders at the pre-clinical level have shown progress in recent years. However, successful translation of basic research into clinical practice has been slow, partly because of the large, heterogeneous data sets involved. In this sense, tra...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2014.3399

    authors: Nielson JL,Guandique CF,Liu AW,Burke DA,Lash AT,Moseanko R,Hawbecker S,Strand SC,Zdunowski S,Irvine KA,Brock JH,Nout-Lomas YS,Gensel JC,Anderson KD,Segal MR,Rosenzweig ES,Magnuson DS,Whittemore SR,McTigue DM,Popovic

    更新日期:2014-11-01 00:00:00

  • Multiple Mild Traumatic Brain Injuries Lead to Visual Dysfunction in a Mouse Model.

    abstract::Visual dysfunction is a common occurrence after traumatic brain injury (TBI). We investigated in this study effects of single or multiple mild TBI on visual function in mice using a closed head injury model that permits unconstrained head movement after impact. Adult mice were briefly anesthetized with isoflurane and ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2019.6602

    authors: Desai A,Chen H,Kim HY

    更新日期:2020-01-15 00:00:00

  • Transcriptional Changes in the Mouse Retina after Ocular Blast Injury: A Role for the Immune System.

    abstract::Ocular blast injury is a major medical concern for soldiers and explosion victims due to poor visual outcomes. To define the changes in gene expression following a blast injury to the eye, we examined retinal ribonucleic acid (RNA) expression in 54 mouse strains 5 days after a single 50-psi overpressure air wave blast...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2017.5104

    authors: Struebing FL,King R,Li Y,Chrenek MA,Lyuboslavsky PN,Sidhu CS,Iuvone PM,Geisert EE

    更新日期:2018-01-01 00:00:00

  • Acetylcholinesterase inhibition and locomotor function after motor-sensory cortex impact injury.

    abstract::Traumatic brain injury (TBI) induces transient or persistent dysfunction of gait and balance. Enhancement of cholinergic transmission has been reported to accelerate recovery of cognitive function after TBI, but the effects of this intervention on locomotor activity remain largely unexplored. The hypothesis that enhan...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2011.1978

    authors: Holschneider DP,Guo Y,Roch M,Norman KM,Scremin OU

    更新日期:2011-09-01 00:00:00

  • Impact of additional extracranial injuries on outcome after mild traumatic brain injury.

    abstract::Many patients with mild traumatic brain injury (MTBI) concurrently sustain extracranial injuries; however, little is known about the impact of these additional injuries on outcome. We assessed the impact of additional injuries on the severity of postconcussional symptoms (PCS) and functional outcome 6 months post-inju...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2006.23.1561

    authors: Stulemeijer M,van der Werf SP,Jacobs B,Biert J,van Vugt AB,Brauer JM,Vos PE

    更新日期:2006-10-01 00:00:00

  • A 10-year population survey of spinal trauma and spinal cord injuries after road accidents in the Rhône area.

    abstract::Fatalities or injuries following motorized and non-motorized vehicle accidents (MNMVA) are reported by police or health care systems. However, limited data exist for spinal injuries. Using an epidemiological database of road accidents occurring in a defined geographic area, we measured the incidence of major spinal tr...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2009.1197

    authors: Lieutaud T,Ndiaye A,Frost F,Chiron M,Registry Group.

    更新日期:2010-06-01 00:00:00

  • Low concentration of isoflurane promotes the development of neurogenic pulmonary edema in spinal cord injured rats.

    abstract::Anesthetics can either promote or inhibit the development of neurogenic pulmonary edema (NPE) after central nervous system (CNS) injury. The influence of isoflurane was examined in male Wistar rats using 1.5%, 2%, 2.5%, 3%, 4%, or 5% isoflurane in air. Epidural balloon compression of the thoracic spinal cord was perfo...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2006.0252

    authors: Sedý J,Urdzíková L,Likavcanová K,Hejcl A,Burian M,Jendelová P,Zicha J,Kunes J,Syková E

    更新日期:2007-09-01 00:00:00

  • Severity of spinal cord injury in adult and infant rats after vertebral dislocation depends upon displacement but not speed.

    abstract::Spinal cord injury (SCI) is less common in children than in adults, but in children it is generally more severe. Spinal loading conditions (speed and displacement) are also thought to affect SCI severity, but the relationship between these parameters is not well understood. This study aimed to investigate the effects ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2012.2725

    authors: Lau NS,Gorrie CA,Chia JY,Bilston LE,Clarke EC

    更新日期:2013-08-01 00:00:00

  • Neuro-inflammatory sequelae of minimal trauma in the non-traumatized human brain. A microdialysis study.

    abstract::Cytokine measurement directly from the brain parenchyma by means of microdialysis has documented the activation of certain procedures in vivo, after brain trauma in humans. However, the intercalation of the micro-catheter insertion with the phenomena triggered by the head trauma renders the assessment of the findings ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2011.1790

    authors: Bouras TI,Gatzonis SS,Georgakoulias N,Karatza M,Sianouni A,Stranjalis G,Boviatsis E,Vasileiou S,Sakas DE

    更新日期:2011-11-18 00:00:00

  • Alpha 1-adrenoceptor blockade increases behavioral deficits in traumatic brain injury.

    abstract::Experimental enhancement of noradrenergic activity following traumatic brain injury (TBI) accelerates behavioral recovery if performed at a time when brain norepinephrine (NE) turnover is decreased. But, since NE turnover is markedely increased immediately after TBI, the present study was undertaken to evaluate the ef...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.1997.14.43

    authors: Dunn-Meynell AA,Yarlagadda Y,Levin BE

    更新日期:1997-01-01 00:00:00

  • Reduced transverse spinal area secondary to burst fractures: is there a relationship to neurologic injury?

    abstract::A retrospective case-control study was undertaken to determine the best technique to measure neural canal encroachment at each lumbar level following burst fracture and its relationship to the presence of neurologic deficit. Only patients with postinjury CT scans demonstrating a disrupted posterior body with a retropu...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.1994.11.711

    authors: Rasmussen PA,Rabin MH,Mann DC,Perl JR 2nd,Lorenz MA,Vrbos LA

    更新日期:1994-12-01 00:00:00

  • Treatment of TBI with collagen scaffolds and human marrow stromal cells increases the expression of tissue plasminogen activator.

    abstract::This study examines the effects of combination therapy of collagen scaffolds and human marrow stromal cells (hMSCs) on the expression of tissue plasminogen activator (tPA) after traumatic brain injury (TBI) in rats. Adult male Wistar rats (n=48) were injured with controlled cortical impact and treated either with scaf...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2010.1694

    authors: Mahmood A,Qu C,Ning R,Wu H,Goussev A,Xiong Y,Irtenkauf S,Li Y,Chopp M

    更新日期:2011-07-01 00:00:00

  • Levodopa-carbidopa may improve vision loss in indirect traumatic optic neuropathy.

    abstract::To compare the effect of levodopa-carbidopa on the visual outcome of patients with indirect traumatic optic neuropathy (ITON), this randomized, double-blind, placebo-controlled study was conducted on 32 patients with ITON within 6 days after trauma. Patients underwent a complete ocular examination, pattern visual evok...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/neu.2010.1362

    authors: Razeghinejad MR,Rahat F,Bagheri M

    更新日期:2010-10-01 00:00:00

  • Validation of a Novel Clinical Score: The Rostock Functional and Cosmetic Cranioplasty Score.

    abstract::With a rising number of cranioplasty (CP) procedures and an increasing percentage of patients with a good clinical outcome and prolonged survival after CP, looking at the functional and aesthetic outcome of these patients becomes more and more important. The aim of our study was to evaluate a novel score, combining fu...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2017.5512

    authors: Henker C,Hoppmann MC,Sherman MUS,Glass A,Piek J

    更新日期:2018-04-15 00:00:00

  • Prostaglandins contribute to impaired angiotensin II-induced cerebral vasodilation after brain injury.

    abstract::This study characterized the effects of fluid percussion brain injury (FPI) on angiotensin II (AII)-induced cerebral vasodilation, determined the role of prostaglandins in such changes and evaluated the contribution of two subtypes of AII receptors (AT(1) and AT(2)) to the effects of AII on cerebrovascular regulation....

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/089771502320914688

    authors: Baranov D,Armstead WM

    更新日期:2002-11-01 00:00:00

  • Neuroprotective anti-apoptosis effect of estrogens in traumatic brain injury.

    abstract::Traumatic brain injury (TBI) is a leading cause of death and functional disability in western countries, affecting mostly young patients. Despite intense and sustained efforts deployed for the development of new therapeutic strategies, no clinical benefit has been shown by any of the investigated compounds. Increasing...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2005.22.345

    authors: Soustiel JF,Palzur E,Nevo O,Thaler I,Vlodavsky E

    更新日期:2005-03-01 00:00:00

  • Hormonal and immunological changes in mice after spinal cord injury.

    abstract::Spinal cord injury (SCI) is associated with immune deficiencies and life-threatening infections. However, the specific mechanisms underlying this pathological condition remain unclear. In recent years, increasing evidence has suggested that anabolic hormones may be involved in immunological complications. Here, we mon...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2006.0117

    authors: Rouleau P,Ung RV,Lapointe NP,Guertin PA

    更新日期:2007-02-01 00:00:00

  • Cytokines and metabolic dysfunction after severe head injury.

    abstract::Patients with head injury must overcome central as well as peripheral metabolic insults. In addition to specific tissue damage to the brain, a cellular biochemical cascade occurs that can negatively affect organ function, cause a systemic response to injury, and may cause secondary tissue injury. The metabolites invol...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,评审

    doi:10.1089/neu.1994.11.447

    authors: Ott L,McClain CJ,Gillespie M,Young B

    更新日期:1994-10-01 00:00:00

  • Reduced Field of View Diffusion Tensor Imaging and Fiber Tractography of the Pediatric Cervical and Thoracic Spinal Cord Injury.

    abstract::The aim of this study is to assess the utility and effectiveness of diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) of the entire pediatric cervical and thoracic spinal cord toward discrimination of typically developing (TD) controls and subjects with spinal cord injury (SCI). A total of 43 pedi...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2017.5174

    authors: Alizadeh M,Fisher J,Saksena S,Sultan Y,Conklin CJ,Middleton DM,Finsterbusch J,Krisa L,Flanders AE,Faro SH,Mulcahey MJ,Mohamed FB

    更新日期:2018-02-01 00:00:00

  • A meta-analysis of clinical correlates that predict significant intracranial injury in adults with minor head trauma.

    abstract::Previous studies have resulted in conflicting results regarding the predictive effect of various clinical symptoms, signs, and plain imaging for intracranial pathology in adults with minor head injury. We sought to perform a meta-analysis of the literature to assess the significance of these factors for the prediction...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章,meta分析

    doi:10.1089/0897715041526122

    authors: Dunning J,Stratford-Smith P,Lecky F,Batchelor J,Hogg K,Browne J,Sharpin C,Mackway-Jones K,Emergency Medicine Research Group.

    更新日期:2004-07-01 00:00:00

  • Beneficial Effects of Kaempferol after Developmental Traumatic Brain Injury Is through Protection of Mitochondrial Function, Oxidative Metabolism, and Neural Viability.

    abstract::Oxidative energy metabolism is depressed after mild/moderate traumatic brain injury (TBI) during early development, accompanied by behavioral debilitation and secondary neuronal death. A TBI metabolome analysis revealed broad effects with a striking impact on energy metabolism. Our studies on mitochondrial modulators ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2018.6100

    authors: Chitturi J,Santhakumar V,Kannurpatti SS

    更新日期:2019-04-15 00:00:00

  • Bone marrow stromal cells elicit tissue sparing after acute but not delayed transplantation into the contused adult rat thoracic spinal cord.

    abstract::Bone marrow stromal cells (BMSC) transplanted into the contused spinal cord may support repair by improving tissue sparing. We injected allogeneic BMSC into the moderately contused adult rat thoracic spinal cord at 15 min (acute) and at 3, 7, and 21 days (delayed) post-injury and quantified tissue sparing and BMSC sur...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2009.0987

    authors: Nandoe Tewarie RD,Hurtado A,Ritfeld GJ,Rahiem ST,Wendell DF,Barroso MM,Grotenhuis JA,Oudega M

    更新日期:2009-12-01 00:00:00

  • Effect of blast exposure on the brain structure and cognition in Macaca fascicularis.

    abstract::Blast injury to the brain is one of the major causes of death and can also significantly affect cognition and physical and psychological skills in survivors of blast. The complex mechanisms via which blast injury causes impairment of cognition and other symptoms are poorly understood. In this study, we investigated th...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2010.1591

    authors: Lu J,Ng KC,Ling G,Wu J,Poon DJ,Kan EM,Tan MH,Wu YJ,Li P,Moochhala S,Yap E,Lee LK,Teo M,Yeh IB,Sergio DM,Chua F,Kumar SD,Ling EA

    更新日期:2012-05-01 00:00:00

  • Occurrence of Spontaneous Cortical Spreading Depression Is Increased by Blood Constituents and Impairs Neurological Recovery after Subdural Hematoma in Rats.

    abstract::Acute subdural hemorrhage (ASDH) is common and associated with severe morbidity and mortality. To date, the role of spontaneous cortical spreading depression (sCSD) in exaggerating secondary injury after ASDH, is poorly understood. The present study contains two experimental groups: First, we investigated and characte...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2018.5657

    authors: Krenzlin H,Jussen D,Plath M,Tretzel SJ,Krämer T,Kempski O,Alessandri B

    更新日期:2019-01-15 00:00:00

  • High Thoracic Contusion Model for the Investigation of Cardiovascular Function after Spinal Cord Injury.

    abstract::Cardiovascular disease is the leading cause of death for individuals with spinal cord injury (SCI). Because of a lack of a standardized and accessible animal model for cardiovascular disease after SCI, few laboratories have conducted pre-clinical trials aimed at reinstating descending cardiovascular control. Here, we ...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2016.4518

    authors: Squair JW,West CR,Popok D,Assinck P,Liu J,Tetzlaff W,Krassioukov AV

    更新日期:2017-02-01 00:00:00

  • Use of Machine Learning to Re-Assess Patterns of Multivariate Functional Recovery after Fluid Percussion Injury: Operation Brain Trauma Therapy.

    abstract::Traumatic brain injury (TBI) is a leading cause of death and disability. Yet, despite immense research efforts, treatment options remain elusive. Translational failures in TBI are often attributed to the heterogeneity of the TBI population and limited methods to capture these individual variabilities. Advances in mach...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2020.7357

    authors: Radabaugh H,Bonnell J,Schwartz O,Sarkar D,Dietrich WD,Bramlett HM

    更新日期:2021-01-13 00:00:00

  • Efficacy of a new neuroprotective agent, gacyclidine, in a model of rat spinal cord injury.

    abstract::Prevention of the immediate excitotoxic phase occurring in response to spinal cord injury (SCI) is a major issue to reduce the neuronal damage responsible for any ensuing motor deficits. The present study evaluated the neuroprotective efficacy of three noncompetitive NMDA receptor antagonists: Gacyclidine (GK-11), a n...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2000.17.1079

    authors: Feldblum S,Arnaud S,Simon M,Rabin O,D'Arbigny P

    更新日期:2000-11-01 00:00:00

  • A follow-up study of neurometabolic alterations in female concussed athletes.

    abstract::Athletes who sustain a concussion demonstrate a variety of symptoms and neuropsychological alterations that could be brought on by neurometabolic abnormalities. However, no study has yet investigated these aspects in female athletes using magnetic resonance spectroscopy. The present study investigated the neurometabol...

    journal_title:Journal of neurotrauma

    pub_type: 杂志文章

    doi:10.1089/neu.2013.3083

    authors: Chamard E,Henry L,Boulanger Y,Lassonde M,Théoret H

    更新日期:2014-02-15 00:00:00