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Analysis of Muscle Using CT Anthropometry in Major Trauma Patients
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Hang Joo Cho, Yunsup Hwang, Yoon Hyun Lee, Dae Hyun Cho, Dae-Sang Lee, Maru Kim
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Surg Metab Nutr 2020;11(1):12-15. Published online June 30, 2020
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DOI: https://doi.org/10.18858/smn.2020.11.1.12
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Abstract
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- Purpose: The feasibility of nutritional assessment using computed tomography anthropometry has been previously proven. The abdominal muscle at the L3 vertebra is a well-known nutritional biomarker for predicting the prognosis of various diseases, and especially sarcopenia. However, any studies on nutritional assessment of the brain, face, or neck via computed tomography are still scarce. We retrospectively investigated the applicability of the masseter muscle as a nutritional biomarker.
Materials and Methods: Patients who underwent simultaneous brain and abdominopelvic computed tomography at a regional trauma center were retrospectively analyzed. Their masseter muscles at 2 cm below the zygomatic arch and abdominal muscle at L3 were assessed via computed tomography anthropometry. Basic clinical data including trauma information was also reviewed. The data was analyzed in conjunction with the patients’ mortality. Results: A total of 411 patients were analyzed in the study (316 men and 95 women, mean age: 50.41 years, mean areas of the masseter and abdominal muscles: 10.6 and 137.3 cm2, respectively) and there 146 major trauma patients with an injury severity score higher than 15. The masseter muscle area was decreased in the mortality group of major trauma patients (10.4 vs 7.9 cm2, P=0.001). However, abdominal muscles did not show statistical significance (137.9 vs. 117.7 cm2, P=0.054). Conclusion: The masseter muscle, when analyzed via computed tomography anthropometry, showed a statistical association with patients’ mortality and it could prove its feasibility as a nutritional biomarker.
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Analysis of Compliance with Plan of Nutritional Support Team in Intensive Care Unit
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Eunkyoung Kim, Jingyeong Kim, YunJu Park, Soyoung Baek, JinJu Lee, AeHee Lee, Jae Im Lee, Chang Hyeok An, Maru Kim
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Surg Metab Nutr 2016;7(2):29-31. Published online December 30, 2016
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DOI: https://doi.org/10.18858/smn.2016.7.2.29
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Abstract
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Purpose:To improve the nutritional state of patients, cooperation between medical and nutritional support teams is needed. The present study analyzed compliance with the plan of the nutritional support team. Materials and Methods:From September 2015 to February 2016, patients undergoing consultation with the nutritional support team at an intensive care unit was enrolled in the study. Their medical records were retrospectively reviewed. Results:A total of 123 patients were analyzed. Overall compliance was 56.9% (70/123). Main reason of the non-compliant group was change in patient’s condition (44/53). Conclusion:To improve compliance with the medical team, there is a need to assess patients’ condition more rapidly.
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- Nutritional Status of Intensive Care Unit Patients According to the Referral to the Nutrition Support Team and Compliance with the Recommendations
Yunjin Sohn, Taisun Hyun Korean Journal of Community Nutrition.2022; 27(2): 121. CrossRef
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