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Impact of decreasing energy intakes in major burn patients: A 15-year retrospective cohort study
- Source :
- Clinical Nutrition. 36:818-824
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Nutritional therapy is particularly important after major burn injury and specific nutritional guidelines have been developed. The study aimed at evaluating the impact of the changes in our nutritional practice, general compliance with the guidelines and potential consequences. Retrospective analysis of prospectively collected data in burn patients requiring intensive care (ICU) between 1999 and 2014. admission on day 1, full treatment and length of ICU stay >7 days. Four periods (P) were defined by protocol changes (P1: 1999-2001, P2: 2002-2005, P3: 2006-2010, P4: 2011-2014). Collected data: demographic and nutritional data, infectious complications, weights, CRP and prealbumin concentrations during the first 21 days. 240 patients were included (median age 43 years, burned area 25%). Measured energy expenditure (MEE) was stable through all periods but the prescribed caloric target decreased significantly, and below MEE (P1: 33 kcal/kg, IQR 7, P4: 28 kcal/kg, IQR 8, p
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatrics
Adolescent
Critical Illness
Nutritional Status
Critical Care and Intensive Care Medicine
Nutrition Policy
Young Adult
03 medical and health sciences
Enteral Nutrition
0302 clinical medicine
Weight loss
Intensive care
Internal medicine
Weight Loss
Humans
Medicine
030212 general & internal medicine
Medical nutrition therapy
Young adult
Child
Serum Albumin
Aged
Retrospective Studies
Aged, 80 and over
Nutrition and Dietetics
business.industry
Nutritional Requirements
Area under the curve
030208 emergency & critical care medicine
Retrospective cohort study
Major burn
Middle Aged
Intensive Care Units
C-Reactive Protein
Patient Compliance
Female
Energy intakes
Dietary Proteins
medicine.symptom
Burns
Energy Intake
Energy Metabolism
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 02615614
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Clinical Nutrition
- Accession number :
- edsair.doi.dedup.....1c35110a169f0e437cf11f974b822eea