HOSPITAL NUTRITIONAL EVOLUTION AND CLINICAL PROFILE OF PATIENTS WITH TRAUMATIC BRAIN INJURY IN A TRAUMA REFERRAL HOSPITAL IN THE METROPOLITAN REGION OF BELÉM, PARÁ, BRAZIL
DOI:
https://doi.org/10.66104/9sc3k756Keywords:
Avaliação nutricional; Paciente hospitalizado; Risco nutricional; Terapia nutricional; Trauma cranioencefálico.Abstract
Traumatic brain injury is a major public health condition associated with high morbidity and mortality, prolonged hospitalization and relevant metabolic changes in critically ill patients. This study aimed to characterize the clinical and nutritional profile and to describe the in-hospital nutritional evolution of patients with traumatic brain injury admitted to a trauma referral hospital in the metropolitan region of Belém, Pará, Brazil. This was an observational, retrospective and exploratory descriptive study based on secondary data from medical records, including 15 adult patients hospitalized between August and October 2025. Sociodemographic, clinical, anthropometric, biochemical and nutritional therapy-related variables were analyzed, including Nutritional Risk Screening 2002, body mass index, arm circumference, calf circumference, nutritional route, complications and hospital outcomes. A predominance of male young adult patients and a high frequency of severe traumatic brain injury were observed. Nutritional screening identified relevant nutritional risk at admission. During hospitalization, reductions in body weight, body mass index and peripheral anthropometric measurements were observed, as well as clinical complications that may have influenced nutritional therapy progression. Considering the small sample size and the absence of robust inferential analysis, the findings should be interpreted as descriptive and hypothesis-generating. It is concluded that the studied population presented high clinical and nutritional vulnerability, reinforcing the need for early screening, serial monitoring and standardized recording of nutritional interventions.
Downloads
References
ABDULLAH, Mohd Ibrahim et al. Determination of calorie and protein intake among acute and sub-acute traumatic brain injury patients. Chinese Journal of Traumatology, v. 23, n. 5, p. 290-294, 2020. DOI: 10.1016/J.CJTEE.2020.04.004. DOI: https://doi.org/10.1016/j.cjtee.2020.04.004
ALVES LIMA SILVA, S.; COSTA FORTES, R.; MATOS SANTIAGO REIS, C. Perfil clínico e nutricional de indivíduos críticos vítimas de trauma cranioencefálico. Comunicação em Ciências da Saúde, [s. l.], v. 32, n. 04, 2022. Disponível em: https://revistaccs.escs.edu.br/index.php/comunicacaoemcienciasdasaude/article/vie w/924. Acesso em: 30 jun. 2024. DOI: https://doi.org/10.51723/ccs.v32i04.924
ASPEN CLINICAL GUIDELINES. Nutrition Support of Hospitalized Adult Patients with Obesity. Journal of Parenteral and Enteral Nutrition, 2013.
BAGHERI, Shabnam; EKRAMZADEH, Maryam. Metabolic Profile and Nutritional
Status of Traumatic Brain Injury Patients. [S. l.: s. n.], v. 3, n. 4, p. 177-184, 2018.
CASTRO, M. G. et al. Diretriz Brasileira de Terapia Nutricional no Paciente Grave.
Braspen J, v. 33, n. Supl 1, p. 2-36, 2018. Disponível em: https://f9fcfefb-80c1466a835e5c8f59fe2014.filesusr.com/ugd/a8daef_695255f33d114cdfba48b437486232e7.pdf. Acesso em: 15 jun 2024.
CEDERHOLM, T. et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition, London, v. 36, n. 1, p. 49-64, 2017. DOI:
10.1016/j.clnu.2016.09.004. DOI: https://doi.org/10.1016/j.clnu.2016.09.004
CHUMLEA, W. C. et al. Prediction of body weight for the nonambulatory elderly from anthropometry. J. Am. Diet. Assoc., v. 88, n. 5, p. 564-568, 1988. DOI: https://doi.org/10.1016/S0002-8223(21)02009-5
CONSELHO NACIONAL DE SAÚDE (Brasil). Resolução n.º 466, de 12 de dezembro de 2012. Brasília: CNS, 2012. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html.
Acesso em: 27 dezembro 2025.
CONSTÂNCIO, Jocinei Ferreira et al. Perfil clínico-epidemiológico de indivíduos com histórico de traumatismo cranioencefálico. Revista Baiana de Enfermagem, v. 32, 2018. DOI: https://doi.org/10.18471/rbe.v32.28235
DARADKEH, Ghazi et al. Malnutrition Indicators Which is More Predictive? Nutrition Risk Index (NRI) or Malnutrition Universal Screening Tool (MUST). [S. l.: s. n.], p. 15, 2019.
ESPEN. Nutritional Risk Screening (NRS) 2002: A method for assessing nutritional risk. European Society for Clinical Nutrition and Metabolism, 2002.
GLEESON, M. Immune Function and Exercise. Journal of Applied Physiology, 2007.
GLEESON, M. Immune function in sport and exercise. Journal of Applied
Physiology, Bethesda, v. 103, n. 2, p. 693-699, 2007. DOI:
10.1152/japplphysiol.00008.2007. DOI: https://doi.org/10.1152/japplphysiol.00008.2007
JEONG, Hee Gyeong et al. Nutrition Therapy for Patients With Traumatic Brain Injury:
A Narrative Review. Korean Journal of Neurotrauma, v. 19, n. 2, p. 177-184, 2023. DOI: 10.13004/kjnt.2023.19.e31. DOI: https://doi.org/10.13004/kjnt.2023.19.e31
KDIGO. Clinical Practice Guideline for Acute Kidney Injury. Kidney International Supplements, 2012.
LAI, Jin-qing et al. Progress in research on the role of clinical nutrition in treating traumatic brain injury affecting the neurovascular unit. Nutrition Reviews, 2022. DOI: 10.1093/nutrit/nuac099. DOI: https://doi.org/10.1093/nutrit/nuac099
LEE, Hoo Young; OH, Byung Mo. Nutrition Management in Patients With Traumatic Brain Injury: A Narrative Review. Brain & NeuroRehabilitation, v. 15, n. 1, 2022. DOI: 10.12786/bn.2022.15.e4. DOI: https://doi.org/10.12786/bn.2022.15.e4
LI, Xiaomin et al. Enteral combined with parenteral nutrition improves clinical outcomes in patients with traumatic brain injury. Nutritional Neuroscience, v. 26, n. 6, p. 1-7, 2020. DOI: 10.1080/1028415X.2020.1765114. DOI: https://doi.org/10.1080/1028415X.2020.1765114
MARTINS, Cristiana Torres. Avaliação do Estado Nutricional em doentes dos serviços de Neurocirurgia e Traumatismo Crânio Encefálico. 2017.
Marchetti, Júlia ; Reis, Audrey Machado dos ; Santos, Amanda Forte dos ; Franzosi, Oellen Stuani ; Luft, Vivian Cristine ; Steemburgo, Thais . Alto risco nutricional está associado a desfechos desfavoráveis em pacientes internados em unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva , v. 3, pág. 326332, outubro de 2019.
MEIRELES, GCL de A.; GOMES, ACV; OLINTO, EO dos S.; BARRETO, MR;
BATISTA, IG dos S. Nutrição enteral precoce em paciente crítico pediátrico: evolução da conduta nutricional e evolução clínica / Nutrição enteral precoce em paciente crítico pediátrico: evolução da conduta nutricional e desfecho clínico.
Revista Brasileira de Revisão de Saúde , [S. l.] , v. 1, pág. 1603–1619, 2021. DOI: 10.34119/bjhrv4n1-134. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/23471. Acesso em: 13 jan. 2026.
MOLINA-LÓPEZ, Jorge. Need of nutritional assessment and monitoring in a population with acquired brain injury: an analytical cross-sectional study. Nutritional Neuroscience, v. 26, n. 6, p. 525-534, 2022. DOI: 10.1080/1028415x.2022.2065815. DOI: https://doi.org/10.1080/1028415X.2022.2065815
MOREIRA, M. A. et al. Perfil clínico-epidemiológico de pacientes com traumatismo cranioencefálico: estudo informativo. Revista de Enfermagem UFPE on line, Recife, v. 9, supl. 9, p. 1035-1045, nov. 2015. Disponível em: https://doi.org/10.5205/reuol.8808-76748-1-SM.SM.0909supl201515. Acesso em: 21 nov. 2024.
NIKIFOROV, M. V.; KOROLEV, A. A. Clinical and epidemiological analysis of severe traumatic brain injury: the role of nutritional support to the injured with a prolonged state of impaired consciousness. [S. l.: s. n.], p. 32-43, 2020. DOI: 10.25016/2541-7487-2020-0-2-32-43. Disponível em: https://mchsros.elpub.ru/jour/article/viewFile/502/442. DOI: https://doi.org/10.25016/2541-7487-2020-0-2-32-43
NRS 2002. Calculadoras | Avante Nestlé. Disponível em: https://www.avantenestle.com.br. Acesso em: 30 jun 2024.
OMS - ORGANIZAÇÃO MUNDIAL DA SAÚDE. Physical Status: The Use and
Interpretation of Anthropometry. Report of a WHO Expert Committee, 2004.
QIN, Yan et al. The Efficacy of Parenteral Nutrition and Enteral Nutrition Supports in Traumatic Brain Injury: A Systemic Review and Network Meta-Analysis. Emergency Medicine International, 2023. DOI: 10.1155/2023/8867614. DOI: https://doi.org/10.1155/2023/8867614
SEVAK, Ram et al. To study the proportion and pattern of selective micronutrient and macronutrient deficiency in traumatic brain injury patient admitted in neurosurgery ICU. Global Journal for Research Analysis, v. 42, n. 44, 2022. DOI: 10.36106/gjra/0901351. DOI: https://doi.org/10.36106/gjra/0901351
SILVA, Silvia Cristina Fürbringer. Teste de Orientação e Amnésia de Galveston: validação, aplicabilidade e relação com a Escala de Coma de Glasgow. 2002. 98 f. Tese (Doutorado) – [Instituição], [Local], 2002
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Eullen de Paula Santos da Silva, Thayane Cristina Dias Raiol, Simone do Socorro Fernandes Marques, Sueanne Pacheco de Oliveira da Silva, Thais de Oliveira Carvalho Granado Santos, Yasmim Freitas Leal, Antonia Jamilly Paixão dos Santos, Victória Nunes dos Santos Silva

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
Authors retain copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License, which permits the sharing of the work with proper acknowledgment of authorship and initial publication in this journal;
Authors are authorized to enter into separate, additional agreements for the non-exclusive distribution of the version of the work published in this journal (e.g., posting in an institutional repository or publishing it as a book chapter), provided that authorship and initial publication in this journal are properly acknowledged, and that the work is adapted to the template of the respective repository;
Authors are permitted and encouraged to post and distribute their work online (e.g., in institutional repositories or on their personal websites) at any point before or during the editorial process, as this may lead to productive exchanges and increase the impact and citation of the published work (see The Effect of Open Access);
Authors are responsible for correctly providing their personal information, including name, keywords, abstracts, and other relevant data, thereby defining how they wish to be cited. The journal’s editorial board is not responsible for any errors or inconsistencies in these records.
PRIVACY POLICY
The names and email addresses provided to this journal will be used exclusively for the purposes of this publication and will not be made available for any other purpose or to third parties.
Note: All content of the work is the sole responsibility of the author and the advisor.
