Nutritional support: a prophylaxis against stress bleeding after spinal cord injury
The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for pr...
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Veröffentlicht in: | Paraplegia 1989-04, Vol.27 (2), p.140-145 |
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creator | KURIC, J LUCAS, C. E LEDGERWOOD, A. M KIRALY, A SALCICCIOLI, G. G SUGAWA, C |
description | The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for provision of nutrition. One hundred patients in group 2 were treated according to an organised nutrition protocol. The protocol initiates total parental nutrition (TPN) if the patient is not tolerating an oral diet by day 5. All group 2 patients met their total energy requirements (TER) within 48 hours after initiating caloric supplementation. The overall incidence of acute acid peptic ulceration leading to significant bleeding or perforation was 4%. Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury. |
doi_str_mv | 10.1038/sc.1989.21 |
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Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury.</description><identifier>ISSN: 0031-1758</identifier><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.1989.21</identifier><identifier>PMID: 2497427</identifier><identifier>CODEN: PRPLBL</identifier><language>eng</language><publisher>Basingstoke: Macmillan</publisher><subject>Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. 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E</creatorcontrib><creatorcontrib>LEDGERWOOD, A. M</creatorcontrib><creatorcontrib>KIRALY, A</creatorcontrib><creatorcontrib>SALCICCIOLI, G. G</creatorcontrib><creatorcontrib>SUGAWA, C</creatorcontrib><title>Nutritional support: a prophylaxis against stress bleeding after spinal cord injury</title><title>Paraplegia</title><addtitle>Paraplegia</addtitle><description>The incidence of upper gastrointestinal (UGI) bleeding and the effect of nutritional support was studied retrospectively in 166 spinal cord injured patients. Sixty six patients included in group 1 were started on oral diet when 'clinically ready' which resulted in a haphazard manner for provision of nutrition. One hundred patients in group 2 were treated according to an organised nutrition protocol. The protocol initiates total parental nutrition (TPN) if the patient is not tolerating an oral diet by day 5. All group 2 patients met their total energy requirements (TER) within 48 hours after initiating caloric supplementation. The overall incidence of acute acid peptic ulceration leading to significant bleeding or perforation was 4%. Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Female</subject><subject>Gastric Acid</subject><subject>Gastrointestinal Hemorrhage - prevention & control</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Nose</subject><subject>Parenteral Nutrition, Total</subject><subject>Spinal Cord Injuries - complications</subject><subject>Stomach Ulcer - complications</subject><subject>Stomach Ulcer - etiology</subject><subject>Stress, Physiological - complications</subject><subject>Suction</subject><issn>0031-1758</issn><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LAzEQhoMotdRevAs5iAdha5LN5sObFL-g6EE9L9k0qSnb3TWTBfvv3dLFucxhnnl5eBG6pGRBSa7uwC6oVnrB6AmaUi5FVgjGT9GUkJxmVBbqHM0BtmQYURDG1ARNGNeSMzlFH299iiGFtjE1hr7r2pjuscFdbLvvfW1-A2CzMaGBhCFFB4Cr2rl1aDbY-OQihi4cfm0b1zg02z7uL9CZNzW4-bhn6Ovp8XP5kq3en1-XD6vM5lymrDJC-Zx6x73wzumq4IMitUZ7y3M7iEvBlJaFpkoTRaSvnBZWWs4LwfMqn6GbY-4g-9M7SOUugHV1bRrX9lBKpQtKhxpm6PYI2tgCROfLLoadifuSkvJQYgm2PJRYMjrAV2NqX-3c-h8dKxvu1-PdgDW1j6axAf4xyYrBWeR_zRp5nw</recordid><startdate>19890401</startdate><enddate>19890401</enddate><creator>KURIC, J</creator><creator>LUCAS, C. 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Spinal cord</topic><topic>Female</topic><topic>Gastric Acid</topic><topic>Gastrointestinal Hemorrhage - prevention & control</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Nose</topic><topic>Parenteral Nutrition, Total</topic><topic>Spinal Cord Injuries - complications</topic><topic>Stomach Ulcer - complications</topic><topic>Stomach Ulcer - etiology</topic><topic>Stress, Physiological - complications</topic><topic>Suction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KURIC, J</creatorcontrib><creatorcontrib>LUCAS, C. E</creatorcontrib><creatorcontrib>LEDGERWOOD, A. M</creatorcontrib><creatorcontrib>KIRALY, A</creatorcontrib><creatorcontrib>SALCICCIOLI, G. 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The protocol initiates total parental nutrition (TPN) if the patient is not tolerating an oral diet by day 5. All group 2 patients met their total energy requirements (TER) within 48 hours after initiating caloric supplementation. The overall incidence of acute acid peptic ulceration leading to significant bleeding or perforation was 4%. Five of the 66 group 1 patients (7.5%) and 2 of the 100 group 2 patients (2%) developed acute ulcerations. While the exact mechanism remains unclear, this significant (p less than 0.05) reduction indicates that a nutritional regimen that meets a patients TER decreases the likelihood of acid peptic complications after spinal cord injury.</abstract><cop>Basingstoke</cop><pub>Macmillan</pub><pmid>2497427</pmid><doi>10.1038/sc.1989.21</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Female Gastric Acid Gastrointestinal Hemorrhage - prevention & control Humans Male Medical sciences Nervous system (semeiology, syndromes) Neurology Nose Parenteral Nutrition, Total Spinal Cord Injuries - complications Stomach Ulcer - complications Stomach Ulcer - etiology Stress, Physiological - complications Suction |
title | Nutritional support: a prophylaxis against stress bleeding after spinal cord injury |
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