Evidence map›Paper›PMID 31974669›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Malnutrition and its effects in severely injured trauma patients.

Suzan Dijkink, Karien Meier, Pieta Krijnen, D Dante Yeh, George C Velmahos, Inger B Schipper

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 70 citations in OpenAlex.

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  11. Team-based, Multidisciplinary Care in the Emergency Department.Emergency medicine clinics of North America · 2025
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  15. The correlation of CT-derived muscle density, skeletal muscle index, and visceral adipose tissue with nutritional status in severely injured patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Suzan DijkinkDepartment of Trauma Surgery, Leiden University Medical Center, K6-R, P.O. Box 9600, 2300, Leiden, The Netherlands. S.dijkink@lumc.nl.ORCID http://orcid.org/0000-0002-8191-4247
Karien MeierDepartment of Trauma Surgery, Leiden University Medical Center, K6-R, P.O. Box 9600, 2300, Leiden, The Netherlands.
Pieta KrijnenDepartment of Trauma Surgery, Leiden University Medical Center, K6-R, P.O. Box 9600, 2300, Leiden, The Netherlands.
D Dante YehRyder Trauma Center, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
George C VelmahosDivision of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Inger B SchipperDepartment of Trauma Surgery, Leiden University Medical Center, K6-R, P.O. Box 9600, 2300, Leiden, The Netherlands.
Leiden University Medical Center · NLMassachusetts General Hospital · USUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn hospitalized patients, malnutrition is associated with adverse outcomes. However, the consequences of malnutrition in trauma patients are still poorly understood. This study aims to review the current knowledge about the pathophysiology, prevalence, and effects of malnutrition in severely injured patients.

methodsA systematic literature review in PubMed and Embase was conducted according to PRISMA-guidelines.

resultsNine review articles discussed the hypermetabolic state in severely injured patients in relation to malnutrition. In these patients, malnutrition negatively influenced the metabolic response, and vice versa, thereby rendering them susceptible to adverse outcomes and further deterioration of nutritional status. Thirteen cohort studies reported on prevalences of malnutrition in severely injured patients; ten reported clinical outcomes. In severely injured patients, the prevalence of malnutrition ranged from 7 to 76%, depending upon setting, population, and nutritional assessment tool used. In the geriatric trauma population, 7-62.5% were malnourished at admission and 35.6-60% were at risk for malnutrition. Malnutrition was an independent risk factor for complications, mortality, prolonged hospital length of stay, and declined quality of life.

conclusionsDespite widespread belief about the importance of nutrition in severely injured patients, the quantity and quality of available evidence is surprisingly sparse, frequently of low-quality, and outdated. Based on the malnutrition-associated adverse outcomes, the nutritional status of trauma patients should be routinely and carefully monitored. Trials are required to better define the optimal nutritional treatment of trauma patients, but a standardized data dictionary and reasonable outcome measures are required for meaningful interpretation and application of results.

Indexed as

HospitalizationHumansLength of StayMalnutritionNutritional StatusNutritional SupportNutrition AssessmentPrevalenceQuality of LifeRisk FactorsWounds and InjuriesAdverse outcomesMalnutritionNutritionPolytraumaSevere injuriesTrauma

Identifiers

PMID31974669
PMCPMC7593306
OpenAlexW3002502891

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.