PMID: 2116532Jul 1, 1990Paper

A randomized trial of indirect calorimetry-based feedings in thermal injury

The Journal of Trauma
J R SaffleJ Sullivan

Abstract

To assess the superiority of indirect calorimetry (IC)-based enteral nutrition in burned patients, 49 adults with mean burns of 47% TBSA received feedings based either on the Curreri formula (CURR), or on IC, using enteral formulas with nonprotein calorie:nitrogen ratios of either 86:1, or 125:1. Intake in CURR patients was a mean 3,490 kcal/day, which exceeded resting energy expenditure (REE) by 43%, while IC patients received 3,530 kcal/day (1.2 x REE; p less than 0.05). Both groups maintained body weight and lymphocyte counts; survival was equal. Complications (diarrhea, nausea, hyperglycemia) were frequent in both groups, but their incidence did not differ. Patients fed the lower calorie:nitrogen ratio had greater cumulative nitrogen balance, with no increase in nitrogen excretion. It appears advisable to nourish burned patients with the minimal effective intake. While use of IC facilitates this goal, use of the Curreri formula provides acceptable approximation of caloric requirements in the early postburn period.

Citations

Feb 5, 2004·Journal of the American College of Surgeons·Robert L Sheridan, Ronald G Tompkins
Nov 10, 2005·The Journal of Burn Care & Rehabilitation·Jeffrey R Saffle
Jan 11, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·Gary F Purdue
Apr 25, 2014·Advances in Wound Care·Samuel P Mandell, Nicole S Gibran
Jun 5, 2014·Burns : Journal of the International Society for Burn Injuries·Rene PrzkoraRonald P Mlcak
Dec 23, 2008·Nutrition·Melissa M Chan, Gary M Chan
Nov 23, 2006·Burns : Journal of the International Society for Burn Injuries·Kathy PrelackRobert L Sheridan
Nov 2, 2011·Acta Cirúrgica Brasileira·Maria Auxiliadora MartinsAnibal Basile Filho
Oct 1, 1992·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·S A McClave, H L Snider
Nov 26, 2010·JPEN. Journal of Parenteral and Enteral Nutrition·Rupinder DhaliwalDaren K Heyland
Feb 14, 2002·JPEN. Journal of Parenteral and Enteral Nutrition·UNKNOWN ASPEN Board of Directors and the Clinical Guidelines Task Force
Nov 10, 2005·The Journal of Burn Care & Rehabilitation·Rungsinee A LiusuwanDavid G Greenhalgh
Aug 19, 2017·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Jayshil J PatelDaren K Heyland

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