Korean journal of neurotrauma [Korean J Neurotrauma] 2023 Jun 28; Vol. 19 (2), pp. 177-184. Date of Electronic Publication: 2023 Jun 28 (Print Publication: 2023).

Publisher: Korean Neurotraumatology Society Country of Publication: Korea (South) NLM ID: 101584658 Publication Model: eCollection Cited Medium: Print ISSN: 2234-8999 (Print) Linking ISSN: 22348999 NLM ISO Abbreviation: Korean J Neurotrauma Subsets: PubMed not MEDLINE

Competing Interests: Conflict of Interest: The authors have no financial conflicts of interest.
Traumatic brain injury (TBI) is a global health and socio-economic problem, resulting in significant disability and mortality. Malnutrition is common in TBI patients and is associated with increased vulnerability to infection, higher morbidity and mortality rates, as well as longer stays in the intensive care unit and hospital. Following TBI, various pathophysiological mechanisms, such as hypermetabolism and hypercatabolism, affect patient outcomes. It is crucial to provide adequate nutrition therapy to prevent secondary brain damage and promote optimal recovery. This review includes a literature review and discusses the challenges encountered in clinical practice regarding nutrition in TBI patients. The focus is on determining energy requirements, timing and methods of nutrition delivery, promoting enteral tolerance, providing enteral nutrition to patients receiving vasopressors, and implementing trophic enteral nutrition. Enhancing our understanding of the current evidence regarding appropriate nutrition practices will contribute to improving overall outcomes for TBI patients.
(Copyright © 2023 Korean Neurotraumatology Society.)