Define the Acute Phase of spinal trauma Disease?

Nutritional support should start within 3-5 days or as early as possible to prevent the onset of malnutrition and secondary illness. Frequent assessment of the metabolic rate is desirable, as it tends to vary. This can avoid the complication of overfeeding. Reported recommendations for adults are about 23 Kcal/kg for quadriplegics and 28 Kcal/kg for paraplegics, keeping in mind that increase in metabolic rate is less compared to other trauma conditions.