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Related Experiment Videos

Feeding the open abdomen.

Bryan Collier1, Oscar Guillamondegui, Bryan Cotton

  • 1Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA. bryan.collier@vanderbilt.edu

JPEN. Journal of Parenteral and Enteral Nutrition
|August 23, 2007
PubMed
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Early enteral nutrition (EEN) in trauma patients with an open abdomen (OA) significantly improves outcomes. EEN is linked to earlier abdominal closure, fewer fistulas, and reduced hospital costs.

Area of Science:

  • Trauma Surgery
  • Surgical Nutrition
  • Critical Care Medicine

Background:

  • Open abdomen (OA) management in trauma patients presents significant challenges.
  • Optimizing nutritional support is crucial for patient recovery in OA cases.

Purpose of the Study:

  • To investigate the impact of early enteral nutrition (EEN) on outcomes for trauma patients with an open abdomen.
  • To compare outcomes between early enteral feeding (EEN) and late enteral feeding (LEN) groups.

Main Methods:

  • Retrospective review of 78 trauma patients requiring an open abdomen for at least 4 days.
  • Patients were categorized into EEN (initiated ≤4 days) and LEN (>4 days) groups.
  • Outcomes assessed included infectious complications, abdominal closure time, and fistula formation.

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Main Results:

  • Early enteral nutrition (EEN) was associated with significantly earlier primary abdominal closure (74% vs. 49%, p = .02).
  • The EEN group demonstrated a lower rate of fistula formation (9% vs. 26%, p = .05).
  • Patients receiving EEN incurred lower hospital charges by over $50,000 (p = .04).

Conclusions:

  • Early enteral nutrition in trauma patients with an open abdomen is associated with improved clinical outcomes.
  • EEN facilitates earlier abdominal closure and reduces the incidence of fistula formation.
  • Implementing EEN can lead to substantial cost savings in trauma patient care.