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Nutrition Support in Patients with Acute Traumatic Brain Injury
The Brain Trauma Foundation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Brain Trauma Foundtion designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Statement of Need Traumatic Brain Injury (TBI) remains a serious public health crisis requiring continuous improvement in prehospital and inhospital care. TBI results in a hypermetabolic state that increases systemic and cerebral energy requirements, but achieving adequate nutrition to meet this demand has not been a priority in reducing mortality from TBI. The effect of timing and quantity of nutrition on mortality within the first two weeks of injury was analyzed in a large prospective database of severe adult TBI patients in New York State. This study found that patients who were not fed within 5 or 7 days after TBI had a 2- and 4-fold increased likelihood of mortality, respectively. The amount of nutrition in the first 5 days was related to mortality; every 10 kcal/kg decrease in caloric intake was associated with a 30-40% increase in mortality. This held up even after controlling for factors known to affect mortality, including arterial hypotension, age, pupillary status, initial GCS and CT scan findings. Nutrition is a significant predictor of TBI mortality; together with prevention of arterial hypotension, hypoxia and intracranial hypertension it is one of the few therapeutic interventions that can directly affect TBI outcome.
Source: Härtl R, Gerber LM, Ni Q, Ghajar J. Journal of Neurosurgery. "Effect of early nutrition on deaths due to severe traumatic brain injury." 2008 Jul;109(1):50-6.
Estimated Time to Complete: 1 hour
Target Audience This program is designed for neurocritical care nurses, ER nurses, neurologists, neurosurgeons, EMTs and any healthcare professional interested in learning more about nutrition and traumatic brain injury.
Media Used: On-Demand Online Module
Method of Evaluation: To receive credit for this course you will need to complete a 10 question post-test to assess whether you have achieved the educational objectives as well as an evaluation form.
Method of Participation & Instructions on How To Receive Credit 1. Review accreditation information, target audience, learning objectives, dislcosures, etc. 2. View the activity 3. Complete and submit post-test and evaluation 4. Must have passing score of 80% or greater on post-test to receive credit. 5. Upon successfully completing post-test and evaluation, your certificate is generated to print.
Faculty will not discuss any products or procedures that are off-label, unlabeled, experimental, and/or investigational (not FDA approved).
No Commercial Support was received for this activity. Disclaimer: The information provided at this CME/CE activity is for continuing education purposes and is not meant to substitute for the independent medical/clinical judgement of a healthcare provider relative to diagnostic and treatment options of a specific patient's medical condition.
Sponsered by the Brain Trauma Foundation
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