ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2017
Body Composition Changes in Severely Burned Children During ICU Hospitalization.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quantification of an Exercise Rehabilitation Program for Severely Burned Children: The Standard of Care at Shriners Hospitals for Children®-Galveston.Journal of burn care & research : official publication of the American Burn Association · 2018Guideline
- Current evidence does not support whole body vibration in clinical practice in children and adolescents with disabilities: a systematic review of randomized controlled trial.Brazilian journal of physical therapyPooled it
- The effects of short bouts of ergometric exercise for severely burned children in intensive care: A randomized controlled trial.Clinical rehabilitation · 2022Trial
- Effects of early exercise training following severe burn injury: a randomized controlled trial.Burns & trauma · 2024Article
- [Research advances on the application of rehabilitation exercise training in pediatric burn rehabilitation].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2023Review
- Children's growth and motor development following a severe burn: a systematic review.Burns & trauma · 2023Article
- Rehabilitative Exercise Training for Burn Injury.Sports medicine (Auckland, N.Z.) · 2021Review
- Immersive virtual reality in children with upper limb injuries: Findings from a feasibility study.Journal of pediatric rehabilitation medicine · 2021Article
- Current problems in burn hypermetabolism.Current problems in surgery · 2020Review
- The Long-Term Impact of Severe Burn Trauma on Musculoskeletal Health.Journal of burn care & research : official publication of the American Burn Association · 2018Review
- Children with severe burns display no sex differences in exercise capacity at hospital discharge or adaptation after exercise rehabilitation training.Burns : journal of the International Society for Burn Injuries · 2018Article
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10 authors.
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Abstract
objectivesProlonged hospitalization due to burn injury results in physical inactivity and muscle weakness. However, how these changes are distributed among body parts is unknown. The aim of this study was to evaluate the degree of body composition changes in different anatomical regions during ICU hospitalization.
designRetrospective chart review.
settingChildren's burn hospital. PATIENTS: Twenty-four severely burned children admitted to our institution between 2000 and 2015.
interventionsAll patients underwent a dual-energy x-ray absorptiometry within 2 weeks after injury and 2 weeks before discharge to determine body composition changes. No subject underwent anabolic intervention. We analyzed changes of bone mineral content, bone mineral density, total fat mass, total mass, and total lean mass of the entire body and specifically analyzed the changes between the upper and lower limbs. MEASUREMENTS AND MAIN
resultsIn the 24 patients, age was 10 ± 5 years, total body surface area burned was 59% ± 17%, time between dual-energy x-ray absorptiometries was 34 ± 21 days, and length of stay was 39 ± 24 days. We found a significant (p < 0.001) average loss of 3% of lean mass in the whole body; this loss was significantly greater (p < 0.001) in the upper extremities (17%) than in the lower extremities (7%). We also observed a remodeling of the fat compartments, with a significant whole-body increase in fat mass (p < 0.001) that was greater in the truncal region (p < 0.0001) and in the lower limbs (p < 0.05).
conclusionsICU hospitalization is associated with greater lean mass loss in the upper limbs of burned children. Mobilization programs should include early mobilization of upper limbs to restore upper extremity function.
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