Classic Article: Dietary Requirements of Patients with Major Burns

Curreri, P. William; Richmond, Deborah; Marvin, Janet A.; Baxter, Charles R.

doi:10.1177/088453360101600308

Cited by 25 publications

(32 citation statements)

References 4 publications

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“…Furthermore, the study group received explanation about the importance of nutritional therapy on wound healing which result in decreased the length of hospital stay of the study group than the control group. These results come in the line with Curreriet al (1974) and Wilmore et al (1971) who had shown that patients with 40% TBSA burn have lost up to one-quarter of their preadmission weight by 21 days post injury and only through aggressive nutritional replacement using 25 kcal/kg body weight and 40 kcal per percent TBSA burn per day, that body weight is parrely maintained in burned adults (30,31) . Also, Ahmed's (2003) study-on effect of nutrition on graft taking for burned patients found a decreased in mean body weight value in all patients in second assessment post graft as compared with their admission weight.…”

Section: Discussionsupporting

confidence: 79%

Effect of Therapeutic Dietary Regimen on Wound Healing For Patients with Moderate Degree Burn

Awad¹

2017

IOSR JNHS

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Section: Discussionsupporting

confidence: 79%

Effect of Therapeutic Dietary Regimen on Wound Healing For Patients with Moderate Degree Burn

Awad¹

2017

IOSR JNHS

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“…In this context, nutritional therapy plays a key role in the overall strategy for managing the burn patient. Numerous nutritional formulas have been developed to meet the high resting energy expenditure (REE) of the burn patient [3][4][5][6]. Measurements of REE by indirect calorimetry indicate that the formulas used to estimate REE are usually inadequate [2,7,8].…”

mentioning

confidence: 99%

Long‐term Measurements of Energy Expenditure in Severe Burn Injury

Khorram-Sefat

Behrendt

Heiden³

et al. 1999

World j. surg.

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The objective of this study was to evaluate resting energy expenditure (REE) in spontaneously breathing and artificially ventilated burn patients during the entire intensive care period. In 27 patients with 51 +/- 20% body surface area burned (BSAB) the REE was determined via indirect calorimetry. Three groups were formed according to the mortality prognosis index of Zawacki et al. In groups A, B, and C the predicted mortality rates were <20%, 20% to 80%, and >80%, respectively. The frequency of acute respiratory distress syndrome (ARDS), sepsis, renal failure, and mortality increased from group A toward group C. The REE test revealed wide individual variation and was usually overestimated by all tested formulas. The mean REE was comparable in groups A, B, and C during the first 20 days (49 +/- 16% vs. 59 +/- 21% vs. 57 +/- 18% above the REE calculated by the Harris-Benedict equation, or HBEE). The REE of patients in groups A and B declined after this period, whereas the long-term ventilated patients in the prognostically unfavorable group C showed a high REE up to the 45th day, usually accompanied by severe organ dysfunction and major metabolic disorders. During this time a nutritional regimen meeting the actual REE could not be achieved. In the clinical situation when indirect calorimetry is not available, REE can be stated to be 50% to 60% above HBEE in patients with >20% BSAB for at least 20 days. Expecting a stable clinical course in patients with a predicted mortality of <20% (group A), oral nutrition usually seems sufficient after a short period of artificial nutritional support (1 week). Patients with a predicted mortality of more than 20% have a complication-burdened clinical course and a prolonged period of ventilation (groups B and C). These patients need parenteral and enteral nutrition for at least 20 days after trauma to prevent severe malnutrition.

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“…The extent of thermal injury (%BSAB) has been suggested as a primary influencing factor by numerous investigators and, as a result, has been included in their predictive methods. 1,28,31,32,35,36,[38][39][40][41][42][43][44] The more recent publications suggest a maximum MEE of about twice that of basal. 3,35,36,38 Our data corroborate these findings as none of the patients exceeded hypermetabolism beyond 207% of predicted by the Harris Benedict equations.…”

mentioning

confidence: 99%

“…Exceptions included certain methods commonly used in clinical practice such as the Curreri formulas and its variations, the methods outlined in the burn dietitian practice survey, 2 times the Harris-Benedict equations, 35 kcal/kg per day, and 40 kcal/kg per day. [31][32][33] Only studies involving adult patients were included in the analysis. Additionally, the studies were examined to insure that the patients had significant thermal injury (>20% BSAB), measurements were conducted within the first few weeks postinjury, and the patients were stable, but critically ill, patients.…”

mentioning

confidence: 99%