DOI: http://dx.doi.org/10.20883/pielpol.2019.7 Fraza do cytowania: Ścisło L, Staszkiewicz M, Walewska E, Kołodziej A, Majorczyk M, Godula D, Szczepanik A Nutritional status of patients with a damaged central nervous system and multi-organ trauma hospitalized in the intensive care unit. Piel Pol. 2019;1(71):54–60. DOI: http://dx.doi.org/10.20883/pielpol.2019.7 Introduction. Damage to the central nervous system and multi-
organ trauma are conditions that qualify patients for treatment
in the intensive care unit. The diagnosis of nutritional disorders
and the early implementation of nutritional therapy is extremely
important, accelerates the process of regeneration of the body,
and thereby hospitalization of the patient.
Aim. Evaluation and comparison of nutritional status of patients
with damage to the central nervous system and multi-organ trauma
treated in the intensive care unit
Material and methods. The study involved 102 people: with the
central nervous system damage (48 people) and multi-organ trauma
(54 people). The methods of descriptive statistics were used
and a qualitative analysis was carried out.
Results. In the study group, the nutritional status assessed in the
5th week of stay for albumin values deteriorated compared to the
1st week of admission to the ward. Patients with damage to the
central nervous system had the protein value in the blood serum
below the accepted norm. Each week, the values approached
the normal range, while patients with multiple -organ trauma statistically
maintained the level of protein below the accepted norm
throughout the entire period of hospitalization. In the group of
patients with the central nervous system damage, the nutritional
status assessed in the 5th week of stay for the total number of
lymphocytes improved compared to the fi rst week of stay, and
in the group of patients after multi-organ trauma, the nutritional
status evaluated in the 5th week of stay for the total number of
lymphocytes deteriorated compared to the fi rst week of the stay.
Conclusions. Evaluation of the nutritional status of all patients
in the intensive care unit indicated the occurrence of malnutrition
in 76% of these patients and the worsening during 5 weeks of
hospitalization.
Key words: malnutrition, multi-organ trauma, central nervous system.
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