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Early versus delayed enteral feeding in patients with abdominal trauma: a retrospective cohort study

Jianyi Yin1, Jian Wang, Shaoyi Zhang

  • 1Department of Surgery, Jinling Hospital, Nanjing University School of Medicine, 305 East Zhongshan Road, Nanjing, 210002, China.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|June 4, 2015
PubMed

Insights

Early enteral feeding within 72 hours of intensive care unit admission in abdominal trauma patients is safe and beneficial. This approach reduces infectious complications and shortens hospital stays without increasing feeding intolerance.

Area of Science:

  • Critical Care Medicine
  • Trauma Surgery
  • Nutritional Support

Background:

  • Early enteral feeding is recommended for critically ill patients.
  • The safety and benefits of early enteral feeding in abdominal trauma patients require further investigation.

Purpose of the Study:

  • To evaluate the safety and efficacy of early enteral feeding (within 72 hours) in patients with abdominal trauma.
  • To determine if early initiation of enteral nutrition impacts feeding intolerance, infectious complications, and length of stay.

Main Methods:

  • Retrospective cohort study of 88 adult patients with abdominal trauma.
  • Comparison of patients receiving early enteral feeding (within 72 hours) versus delayed enteral feeding.
  • Analysis of demographic characteristics, injury severity, feeding intolerance, mortality, infectious complications, and length of stay.

Main Results:

  • No significant differences in feeding intolerance or 28-day mortality between early and delayed feeding groups.
  • Early enteral feeding was associated with fewer infectious complications (17.9% vs. 40%, p=0.04).
  • Patients receiving early enteral feeding experienced shorter intensive care unit and hospital lengths of stay (p < 0.01).

Conclusions:

  • Early enteral feeding within 72 hours of surgical intensive care unit admission is safe and improves clinical outcomes in abdominal trauma patients.
  • Implementation of early enteral feeding should be considered in the management of abdominal trauma.
  • Early nutrition support can reduce complications and resource utilization in trauma patients.
Abstract

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