Research Reports - Weight reduction after severe brain injury: a challenge during the rehabilitation course

J Neurosci Nurs. 2015 Apr;47(2):85-90

Aadal L(1), Mortensen J, Nielsen JF

BACKGROUND: There is a paucity of studies, which have described malnutrition in
patients with acquired brain injury (ABI) across etiology. This study describes
weight change, malnutrition, and potential associations in patients with ABI at a
subacute inpatient rehabilitation hospital.
METHOD: This is a descriptive cohort study. Ninety-eight patients were admitted
in a 3-month period, of whom n = 76 met inclusion criteria. The Malnutrition
Universal Screening Tool was used for categorizing patients according to risk of
malnutrition.
RESULTS: Patients had experienced weight loss of 5.59% ± 5.89% (p < .001) at
admission at the rehabilitation hospital, and patients with traumatic brain
injury had experienced a greater weight loss than patients with stroke (p < .01).
Thirty percent of patients were at high risk for malnutrition, and 52% of these
patients received enteral or parenteral nutrition at admission at the
rehabilitation hospital. No association was found between risk of malnutrition
and severity of injury, complications, functional outcome, or length of stay.
CONCLUSION: RESULTS underline the importance that nurses, especially in acute
care, adhere to clinical guidelines to minimize weight loss. Special attention
should be on patients with traumatic brain injury. Weight gain in the following
course of rehabilitation may facilitate positive rehabilitation outcomes.

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