Impact of an enteral nutrition protocol in critically ill patients with burn injuries.

IF 1.4 Q3 EMERGENCY MEDICINE International Journal of Burns and Trauma Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI:10.62347/YGQW7641

Ada Selina Jutba, Amir Kamel, Quynhnhu Nguyen, Kunal Patel, Julie Cash, Janet Popp, Pavel Mazirka, Laura Roberson, Ashlee Allen, Quennie Omalay, Amalia Cochran

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Abstract

Objectives: The objective of this study is to characterize the University of Florida (UF) Health Shands Burn Centers enteral nutrition protocol as it relates to total protein intake and clinical outcomes.

Methods: This retrospective chart review study included 99 adult patients admitted to the UF Health Shands Burn Center from January 2012 through August 2016 with burns of twenty percent or greater TBSA and required enteral nutrition supplementation.

Results: Patients received an average of 137.8 g or 2.03 g/kg protein daily. Fifteen percent of patients experienced graft loss. The median length of stay was 35 days. Seventy-six percent survived to hospital discharge. There was no significant association between total protein intake and incidence of severe diarrhea (P=0.132).

Conclusion: The institutions protocol achieved high protein administration while still being consistent with recommendations from the American Society of Enteral and Parenteral Nutrition (ASPEN).

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肠内营养方案对烧伤重症患者的影响。

研究目的本研究的目的是分析佛罗里达大学（UF）Shands烧伤中心肠内营养方案与总蛋白质摄入量和临床结果之间的关系：这项回顾性病历研究纳入了 2012 年 1 月至 2016 年 8 月期间入住 UF Health Shands 烧伤中心的 99 名成年患者，这些患者的烧伤总面积达到或超过 20%，需要补充肠内营养：患者平均每天摄入 137.8 克或 2.03 克/千克蛋白质。15%的患者出现移植物丢失。中位住院时间为 35 天。76%的患者存活至出院。总蛋白质摄入量与严重腹泻发生率之间无明显关联（P=0.132）：各机构的方案在实现高蛋白管理的同时，仍符合美国肠内肠外营养学会（ASPEN）的建议。

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International Journal of Burns and Trauma EMERGENCY MEDICINE-

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