{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:20:16Z","timestamp":1778692816888,"version":"3.51.4"},"reference-count":71,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T00:00:00Z","timestamp":1566950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Health"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Polytrauma patients are at risk of considerable harm from malnutrition due to the metabolic response to trauma. However, there is little knowledge of (the risk of) malnutrition and its consequences in these patients. Recognition of sub-optimally nourished polytrauma patients and their nutritional needs is crucial to prevent complications and optimize their clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The primary objective is to investigate whether polytrauma patients admitted to the Intensive Care Unit (ICU) who have or develop malnutrition have a higher complication rate than patients who are and remain well nourished. Secondary objectives are to determine the prevalence of pre-existent and in-hospital acquired malnutrition in these patients, to assess the association between malnutrition and long-term outcomes, and to determine the association between serum biomarkers (albumin and pre-albumin) and malnutrition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This international observational prospective cohort study will be performed at three Level-1 trauma centers in the United States and two Level-1 centers in the Netherlands. Adult polytrauma patients (Injury Severity Score \u226516) admitted to the ICU of one of the participating centers directly from the Emergency Department are eligible for inclusion. Nutritional status and risk of malnutrition will be assessed using the Subjective Global Assessment (SGA) scale and Nutritional Risk in Critically Ill (NUTRIC) score, respectively. Nutritional intake, biomarkers and complications will be collected daily. Patients will be followed up to one year after discharge for long-term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This international prospective cohort study aims to gain more insight into the effect and consequences of malnutrition in polytrauma patients admitted to the ICU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0260106019868884","type":"journal-article","created":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T06:07:07Z","timestamp":1566972427000},"page":"291-301","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["The malnutrition in polytrauma patients (MaPP) study: Research protocol"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8191-4247","authenticated-orcid":false,"given":"Suzan","family":"Dijkink","sequence":"first","affiliation":[{"name":"Department of Surgery, Leiden University Medical Center, The Netherlands"},{"name":"Contributed equally to this manuscript and therefore share first authorship."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karien","family":"Meier","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leiden University Medical Center, The Netherlands"},{"name":"Contributed equally to this manuscript and therefore share first authorship."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieta","family":"Krijnen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leiden University Medical Center, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D Dante","family":"Yeh","sequence":"additional","affiliation":[{"name":"Ryder Trauma Center, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George C","family":"Velmahos","sequence":"additional","affiliation":[{"name":"Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Sesmu","family":"Arbous","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Leiden University Medical Center Leiden, The Netherlands"},{"name":"Department of Clinical Epidemiology, Leiden University Medical Center, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Salim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma, Burn and 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