Malnutrition among Serious Trauma Patients in Intensive Care

Undernutrition is a frequent situation in intensive care, including serious trauma. Its prevalence is around 50%. It is associated with an increase in morbidity and mortality among patients hospitalized in intensive care. Our study focused on the evaluation of the nutritional status of serious trauma patients admitted to the intensive care unit of the IBN TOFAIL hospital. We used the BUZBY index (NRI) as screening tools. 35% of patients had a normal nutritional status when admitted to intensive care, 65% of patients were undernourished, including 30% who were severely undernourished. The prevalence on the 3rd day of hospitalization was 75% and 100% after 15 days of hospitalization. The worsening of nutritional status during hospitalization was 61.5%. It appears necessary to adopt a nutritional assessment and management of the patient admitted to intensive care in order to hope for an improvement in his prognosis and his chances of survival within the framework of an early rehabilitation program.