Assessment of the Condition of Patients with Organic Damage to the Central Nervous System, Who Underwent Nutritional Treatment During Hospitalization
DOI:
https://doi.org/10.15225/PNN.2025.14.4.1Keywords
malnutrition, neurological patients, nutritional therapyAbstract
Introduction. Malnutrition is a condition in which, due to a lack of absorption or supply of appropriate nutrients, changes occur in body composition and impairment of physical and mental functioning, which can adversely affect the treatment of diseases.
Aim. The study aimed to assess the condition of patients with organic damage to the central nervous system (CNS) who underwent nutritional therapy during hospitalization.
Material and Methods. The retrospective analysis included 42 patients hospitalized due to traumatic brain injuries or vascular CNS disorders who received enteral nutrition through a nasogastric tube. Clinical outcomes were evaluated using the Glasgow Coma Scale (GCS) at admission and the Glasgow Outcome Scale (GOS) at discharge. Biochemical parameters, including total protein, albumin, leukocytes and C-reactive protein (CRP), were analyzed before and after nutritional intervention.
Results. The results showed no significant relationship between the initial neurological status (GCS) and the final clinical outcome (GOS). A statistically significant association was found between older age and lower functional independence at discharge. Longer duration of nutritional therapy was strongly correlated with prolonged hospitalization. Nutritional treatment did not significantly affect total protein or albumin levels; however, it led to statistically significant reductions in inflammatory markers, including CRP and leukocyte counts.
Conclusions. Nutritional therapy proved beneficial primarily in reducing inflammation, which may support recovery in patients with organic CNS damage. The findings emphasize the importance of early nutritional assessment, individualized nutritional strategies and interdisciplinary collaboration in the care of neurological patients. (JNNN 2025;14(4):151–157)
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Copyright (c) 2025 Jan Bujok, Aleksandra Nowak, Ewelina Bąk, Mária Sováriová Soósová, Lukáš Kober, Sylwia Krzemińska
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