ArticlePloS one2014
Establishment and assessment of new formulas for energy consumption estimation in adult burn patients.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Nutritional therapy among adult patients with severe burns: A retrospective observational study.Asia Pacific journal of clinical nutrition · 2024Observational
- Effects of early exercise training following severe burn injury: a randomized controlled trial.Burns & trauma · 2024Article
- [Strengthening the development and application of precision burn medicine].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2023Article
- [Application and research progress of permissive hypocaloric nutrition in nutritional therapy of severe burns].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2023Article
- Article
- Current understanding of the chronic stress response to burn injury from human studies.Burns & trauma · 2023Review
- [A brief discussion on precision nutrition support for severe burn patients from theory to practice].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2022Article
- [Effect of sedation on resting energy expenditure in patients with extremely severe burns and the choice of energy estimation formula].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2022Article
- [Metabolic staging and nutritional treatment strategies of severely burned patients].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021Article
- [Research advances on early enteral nutritional therapy in severe burn patients].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021Article
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Authors and funding
10 authors.
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Abstract
objectiveAn accurate knowledge of energy consumption in burn patients is a prerequisite for rational nutrition therapy. This study sought to create a formula that accounts for the metabolic characteristics of adult burn patients to accurately estimate energy consumption of patients with different areas and extents of burn and at different times after injury.
methodsResting energy expenditure (REE) data on 66 burn patients, with total body surface area (TBSA) of burns ranging from 4% to 96%, were evaluated at different times after injury. REE values were determined in patients using indirect calorimetry at days 1, 2, 3, 7, 14, 21, and 28 after injury. We then constructed a mathematical model of REE changes post-burn. Next, established two new formulas (one non-linear and the other linear) for energy consumption estimation using model-based analytical solution and regression analysis. The new formulas were compared with measured REE and commonly used formulas including those of Carlson, Xie, Curreri, and Milner to determine accuracy and reliability.
resultsComparative analysis showed that the new formulas offered significantly higher accuracy and reliability than the Milner formula, which is considered the most accurate of commonly used burn energy consumption estimate formulas. The accuracy of the new nonlinear formula (94.29%) and that of the linear formula (91.43%) were significantly higher than that of Milner formula (72.86%) when compared to measured REE (χ2 = 11.706, P = 0.001; χ2 = 8.230, P = 0.004, respectively). The reliabilities of the new estimation formulas were both 100% and that of Milner formula was 74.24% (χ2 = 19.513, P = 0.000).
conclusionThe new formulas constructed in this study provide reliable simulation of the impact of the degree of burn and post-burn days on energy consumption and offer notably higher accuracy and reliability than other formulas. These formulas will help determine nutritional needs of burn patients.
trial registrationThe study was registered on Chinese Clinical Trial Registry as ChiCTR-TRC-13003806.
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