ArticleJPEN. Journal of parenteral and enteral nutrition2026
Barriers to nutrition following neurosurgery: A descriptive cohort study.
Article in JPEN. Journal of parenteral and enteral nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
backgroundNeurological trauma results in a state of hypermetabolism. Existing literature has explored barriers to adequate nutrition following traumatic brain injury. Despite clinical similarities, it remains unclear whether similar nutritional barriers are faced following both planned and emergency neurosurgical procedures. This study aimed to describe nutritional management, the prevalence of barriers to nutrition, and their association with selected patient outcomes among longer-stay patients undergoing neurosurgical procedures.
methodsMedical records were reviewed for hospitalised neurosurgery patients admitted >13 days, including a postoperative intensive care unit (ICU) stay ≥24 h, between January 2021 and June 2023. Demographic data, nutritional status (Subjective Global Assessment [SGA]), and documented barriers to adequate nutrition were collected. Multivariable linear regression was used to explore associations between variables.
resultsOf the 166 eligible patients, 101 (60.8%) were seen by a dietitian and 86 had a SGA completed of which 21 developed hospital-acquired malnutrition. Barriers to nutrition were identified among 154 (92.8%) patients, with a median of 5.0 (3.0, 8.0) per patient. The most prevalent included procedural fasting (n = 100) and feeding tube problems (n = 90). Experiencing
conclusionLonger-stay neurosurgical patients are a nutritionally vulnerable cohort with a high prevalence of barriers to nutrition. Further interventional research is needed to determine whether addressing these barriers leads to improved clinical outcomes.
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