Early nutritional support in severe traumatic patients.

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dc.contributor.authorChuntrasakul, Cen_US
dc.contributor.authorSiltharm, Sen_US
dc.contributor.authorChinswangwatanakul, Ven_US
dc.contributor.authorPongprasobchai, Ten_US
dc.contributor.authorChockvivatanavanit, Sen_US
dc.contributor.authorBunnak, Aen_US
dc.date.accessioned2009-05-27T18:08:13Z
dc.date.available2009-05-27T18:08:13Z
dc.date.issued1996-01-01en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractMultiple trauma is associated with altered metabolism, wasting of the lean body mass and compromised wound healing. Nutritional support is one way to improve the condition of these critically ill patients. We performed a prospective randomized study on the effect of early nutritional support in severely injured patients admitted to the Division of Traumatic Surgery, Siriraj Hospital between June 1992 and January 1994. Thirty-eight severe traumatic patients with ISS between 20-40 were randomly divided into control and study group. The 17 patients in the control group were treated in the conventional method with administration of hypo caloric intravenous regimen and supplement with oral diet as soon as the bowel function was returned. The 21 patients of the study group were fed either by enteral or parenteral feeding or both with an appropriate caloric and protein requirement as soon as hemodynamic status was stabilized. We found the study group had a lower mortality rate, a lower complication rate, a shorter period of ICU stay, and an earlier weaning from the ventilator than the control group. The study group also lost less weight than the control group. Nitrogen balance in the study group was significantly lower than the control group.en_US
dc.description.affiliationResearch Center for Nutritional Support, Mahidol University, Bangkok, Thailand.en_US
dc.identifier.citationChuntrasakul C, Siltharm S, Chinswangwatanakul V, Pongprasobchai T, Chockvivatanavanit S, Bunnak A. Early nutritional support in severe traumatic patients. Journal of the Medical Association of Thailand. 1996 Jan; 79(1): 21-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/38530
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshEnteral Nutrition --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMultiple Trauma --mortalityen_US
dc.subject.meshNutritional Support --methodsen_US
dc.subject.meshParenteral Nutrition --methodsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTime Factorsen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleEarly nutritional support in severe traumatic patients.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
dc.typeRandomized Controlled Trialen_US
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