title: [Metabolic changes and nutritional status in the spinal cord injured patient ASIA A. Evaluation and monitoring with routine laboratories, a feasible option].
abstract: BACKGROUND
  Spinal Cord Injury ASIA A (tetraplegia) is a frequent pathology that may affect population regardless of age, sex or race, and that can induce metabolic abnormalities that may worsen the nutritional status of these patients. There are no existing specific protocols to treat these disorders in the specialized units in Mexico.
  
  
  METHODS
  We analyzed 16 patients at the Spine Clinic SS-DF, 18 years or older without any drug treatment or any previous disease, known or diagnosed when admitted to the hospital. Laboratory samples were obtained as well as the nutritional status was calculated at their admittance and discharge. Individually calculated nutritional support was administered starting at their third day of hospital stay.
  
  
  RESULTS
  100% of the patients showed some type of metabolic disorder associated to the neurological injury. 50% of the patients were classified with severe malnutrition, 25% moderate and 25% mild, all improved at their discharge.
  
  
  CONCLUSIONS
  We confirmed the presence of metabolic changes in these patients, the efficacy of routine laboratory in the Spine Clinic SS-DF for their evaluation, and that adequate nutritional support may help correct metabolic disorders in this patients.
authors.affiliation: Clínica de Columna/Centro de Atención para Lesionados Raquimedulares de la Ciudad de México, Hospital General La Villa, Secretaría de Salud del Distrito Federal. manudufoo@yahoo.com
authors.forename: Manuel
authors.initials: M
authors.lastname: Dufoo
authors.forename: Araceli Cruz
authors.initials: AC
authors.lastname: Oseguera
authors.forename: Manuel
authors.initials: M
authors.lastname: Dufoo-Olvera
authors.forename: Ozcar García
authors.initials: OG
authors.lastname: López
authors.forename: Jesús López
authors.initials: JL
authors.lastname: Palacios
authors.forename: Antonio Aburto
authors.initials: AA
authors.lastname: Trejo
authors.forename: Gabriel Carranco
authors.initials: GC
authors.lastname: Toledo
authors.forename: Everardo de la Rosa
authors.initials: Ede L
authors.lastname: Esparza
authors.forename: Alberto Ibarra
authors.initials: AI
authors.lastname: Zazueta
authors.forename: Eloy Vásquez
authors.initials: EV
authors.lastname: Ortíz
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D009752:Nutritional Status; D011782:Quadriplegia / Q000378:metabolism*; D013119:Spinal Cord Injuries / Q000378:metabolism*