Respiratory and metabolic management in acute tetraplegia

Cheshire, D J E; Coats, D. A.

doi:10.1038/sc.1965.22

Cited by 10 publications

(12 citation statements)

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“…6 With the low availability of specialist dietetic staff, these vulnerable patients are easily put at risk. [5][6][7][8][9] Our multicentre study found that 44.3% of patients with SCI were at risk of malnutrition on admission. 13 Good nutrition is recognised as a necessary intervention to prevent complications and, subsequently, to optimise healing after multiple trauma, burn and brain injuries.…”

Section: Band 5 N=1mentioning

confidence: 99%

“…The recognition of malnutrition and the initiation of adequate nutritional support are important to clinical care. [1][2][3][4][5][6][7][8][9][10] A recent study in the UK general hospitals showed that nearly 30% of all in-patients are at risk of malnutrition. Patients in all diagnostic categories are at risk, 1 but the prevalence of malnutrition is higher (44%) in patients with a spinal cord injury (SCI).…”

Section: Introductionmentioning

confidence: 99%

“…1,5 Poor nutrition is linked, for example, to an increased risk of infections, the development of pressure ulcers, and to impaired wound healing 3 and compromised respiratory function. 9 The nutritional needs and management of patients who have sustained an SCI and are still recovering from the acute trauma and those who are stable and undergoing rehabilitation are quite different. [6][7][8][9][10] Variation in energy intake and nutritional requirements depend on the phase of the SCI and the patient's age, gender and mode of ambulation.…”

Section: Introductionmentioning

confidence: 99%

“…9 The nutritional needs and management of patients who have sustained an SCI and are still recovering from the acute trauma and those who are stable and undergoing rehabilitation are quite different. [6][7][8][9][10] Variation in energy intake and nutritional requirements depend on the phase of the SCI and the patient's age, gender and mode of ambulation. Weight loss is common during the acute and early rehabilitation phases of an SCI.…”

Section: Introductionmentioning

confidence: 99%

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How do spinal cord injury centres manage malnutrition? A cross-sectional survey of 12 regional centres in the United Kingdom and Ireland

et al. 2011

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The resources allocated to nutritional care in SCICs appear to be very limited. This suggests that malnutrition will continue to be under-recognised and under-treated. There is a clear need for additional resources to address the nutritional needs of this special population group. Each SCIC should ensure regular access to nutritional advice, and the establishment of local nutrition support teams should be a priority.

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Section: Band 5 N=1mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How do spinal cord injury centres manage malnutrition? A cross-sectional survey of 12 regional centres in the United Kingdom and Ireland

et al. 2011

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“…The cause of malnutrition in individuals with spinal cord injuries (SCI) is usually multifactorial and includes both the metabolic effects of SCI and underlying medical conditions (8) , and reduced nutritional intake (9) . There is evidence that additional factors such as age, therapeutic interventions, educational level and socio-economic status may increase the general risk of developing nutritional deficiencies (5) .…”

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confidence: 99%

The prevalence of malnutrition in spinal cord injuries patients: a UK multicentre study

et al. 2011

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Data on the prevalence of malnutrition among patients with spinal cord injuries (SCI) are lacking. The aim of the present study was to assess nutritional risk at admission, and the status of nutritional support in the UK SCI Centres (SCIC); a cross-sectional, multicentre study in four SCIC. A standardised questionnaire was used and distributed to the participating SCIC. After obtaining informed consent, baseline demographic data, nutritional risk score by the 'Malnutrition Universal Screening Tool', BMI and routine blood biochemistry were collected from every patient admitted to an SCIC. The four SCIC, comprising 48·2 % of the total UK SCI beds, contributed data from 150 patients. On admission, 44·3 % of patients were malnourished or at risk of undernutrition. Nutritional risk was more common in patients with acute high cervical SCI than those with lower SCI (60·7 v. 34·5 %), and nutritional risk was more common in those with additional complications including ventilatory support (with tracheostomy, 56·3 v. 38·7 %). Also, 45 % of patients were at risk of overnutrition (BMI $ 25 kg/m 2 ). The prevalence of malnutrition in SCI patients admitted to SCIC is higher than national figures focused on general hospitalised patients, indicating that SCI patients are particularly vulnerable to malnutrition. Patients with SCI who have a tracheostomy may need additional attention. Given the potential negative impact of malnutrition on clinical outcomes, an emphasis on mandatory nutrition screening, followed by detailed assessment for at-risk individuals should be in place in the SCIC.

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Comparison of the wedge turning frame and kinetic treatment table in the acute care of spinal cord injury patients

Brackett

Condon

1984

Surgical Neurology

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Respiratory and metabolic management in acute tetraplegia

Cited by 10 publications

References 0 publications

How do spinal cord injury centres manage malnutrition? A cross-sectional survey of 12 regional centres in the United Kingdom and Ireland

How do spinal cord injury centres manage malnutrition? A cross-sectional survey of 12 regional centres in the United Kingdom and Ireland

The prevalence of malnutrition in spinal cord injuries patients: a UK multicentre study

Comparison of the wedge turning frame and kinetic treatment table in the acute care of spinal cord injury patients

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