TO STUDY OF THE PROPORTION AND PATTERN OF SELECTIVE MICRONUTRIENT AND MACRONUTRIENT DEFICIENCY IN TRAUMATIC BRAIN INJURY PATIENT ADMITTED IN NEUROSURGERY ICU

Abstract

Aim: To study the proportion of selective micronutrient and macronutrient deciency in traumatic brain injury. Material And Methods: A prospective observational Study performed at department of neurosurgery, SMS medical college, Jaipur.200 traumatic head injury patient of age 15 to 80 years admitted at neurosurgery trauma ICU with post resuscitation Glasgow coma scale (GCS) score of 3 to 8 (severe traumatic brain injury) were included in the study.“Malnutrition Universal Screening Tool” (MUST) was used to assess the nutritional status of all subjects and it was classied as: no risk, moderate risk and high risk of malnutrition when MUST score was 0, 1 and ≥ 2respectively. Severity of TBI was classied into mild, moderate, and severe based on Glasgow Coma Scale (GCS) when it ≥13, 9 -12 and ≤ 8 respectively. Serum electrolytes were measured at time of admission in emergency before starting intravenous uid and repeated at 24 hours after resuscitation and Serum electrolytes (serum sodium, potassium) were repeated at 24 hours after resuscitation and along with calcium, phosphate, B12. Results: Mild, moderate and severe TBI was revealed in 26%, 30.5% and 43.5% of the subjects respectively. All the nutrients intake viz. energy (kcal/d), protein (gm/d), CHO (gm/d) and fat (gm/d) was found to be signicantly less among the TBI subjects. Macronutrients inadequacy viz. energy (kcal/d), protein (gm/d), CHO (gm/d) and ber (gm/d) inadequacy was reported among 93.5%, 69%, 4.5% and 71.5% of the subjects respectively. Conclusion: Nutrition assessment upon admission of TBI patients could be a vital factor in identifying patients with malnutrition, and prevention from nutrition-related complications.