Effect of Partial Parenteral Versus Enteral Nutritional Therapy on Serum Indices in Multiple Trauma Patients


1 Department of Anesthesiology, Shohada-e-Tajrish Hospital,

2 Department of Anesthesiology,

3 Lung Transplantation Research Center, NRITLD, Shahid Beheshti University, M.C., TEHRAN-IRAN.


Background: Malnutrition is a common complication in multiple trauma patients because of the metabolic and catabolic increase and negative nitrogen balance. It may deteriorate patients' outcome. Some clinical and paraclinical parameters are used for nutritional assessment. In this study our goal was evaluation of nutritional parameters in enteral and partial parenteral methods for detecting the better method of nutritional support. Material and Methods: This prospective study had done during 30 months on 80 multiple trauma patients with 4th to 10th GCS (Glascow Coma Scale) at the end of the first day of admission. They divided into 2 groups randomly: we used partial parenteral nutrition in the first group (41 patients) and enteral nutrition in the second one (39 patients). We studied serum total protein, albumin, transferrin and total lymphocyte count during their first two weeks of hospitalization. Results: In the first group, they received more protein and calorie during 14 days. Serum total protein, Albumin and transferrin were more statistically significant in this group (p <0.05). Conclusion: In partial parenteral nutrition patients will receive more protein and calorie, and they will have more total serum protein. It seems that parenteral-enteral nutrition prepares better paraclinical nutritional parameters. (Tanaffos 2007; 6(4): 37-41)