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Effects of Branched-chain Amino Acids on Nutritional Metabolism and Pharmacoeconomics in Patients with Severe Abdominal Trauma

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Abstract

Objective

To observe the influences of branched-chain amino acids (BCAAs) on nutrition metabolism and prognosis of patients with severe abdominal trauma; at the same time, to analyze and evaluate the pharmacoeconomics of it.

Methods

A total of 75 severe abdominal trauma patients were recruited from June 2016 to December 2017 and randomly divided into control group and observation group. After surgery and basic treatment, parenteral nutrition support therapy with iso-nitrogen and iso-calorie of both groups was administered. Meanwhile, an equivalent of 8.5% (18AA-II) and 10% (20AA) compound AA injection was administrated to the control and observation groups, respectively. The nitrogen balance, serum protein level and plasma amino spectrum of the patients were observed before and after treatment. Besides, the hospital stay, survival rate, complications, adverse reactions and hospitalization costs were also compared.

Results

After a 7-day course treatment, the nitrogen balance level of the two groups was significantly improved, but no significant difference was found between them. In addition, the serum protein level and plasma amino spectrum of the two groups was generally improved when compared to before treatment. Compared with the control group, the level of albumin and transferrin in the observation group was improved significantly after treatment, while no difference in plasma amino spectrum was found between the two groups. Moreover, the cost analysis showed remarkably reduced hospitalization costs in the observation group.

Conclusion

To a certain degree, BCAAs could improve the nutritional metabolism and prognosis of patients with severe abdominal trauma, and have good cost-effectiveness.

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Author information

Author notes

  1. Both authors contributed equally to this study.

Authors and Affiliations

  1. Department of Nuclear Medicine, Chongqing University Central Hospital, Chongqing, 400014, China

    Bin Xu

  2. Department of Pharmacy, Chongqing University Central Hospital, Chongqing, 400014, China

    Di Wu, Ying Zhang, Yi Ruan & Xiao Chen

  3. Department of Traumatology, Chongqing University Central Hospital, Chongqing, 400014, China

    Jiang-xia Xiang

Authors
  1. Bin Xu
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  2. Di Wu
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  3. Jiang-xia Xiang
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  4. Ying Zhang
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  5. Yi Ruan
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  6. Xiao Chen
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Corresponding author

Correspondence to Ying Zhang.

Additional information

This study was supported by the Medical Research Program of Chongqing Health Commission (No. 2019MSXM086).

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Xu, B., Wu, D., Xiang, Jx. et al. Effects of Branched-chain Amino Acids on Nutritional Metabolism and Pharmacoeconomics in Patients with Severe Abdominal Trauma. CURR MED SCI 41, 894–900 (2021). https://doi.org/10.1007/s11596-021-2424-0

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  • DOI: https://doi.org/10.1007/s11596-021-2424-0

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