A longitudinal study of resting energy expenditure in thermally injured patients

E. A. Milner, W. G. Cioffi, A. D. Mason, W. F. McManus, Basil A Pruitt

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

We have recently developed a new burn-specific equation that satisfactorily estimates initial caloric requirements for thermally injured patients. In the present study, we compared these estimates with resting energy expenditures (REE) (n = 141) measured weekly by indirect calorimetry in 20 patients between postburn days 3 and 348. In this group, mean initial burn size was 46.7% (range, 21-88) and mean age 31.3 years (range, 19-61). Serial measurements were continued until the burn wounds were closed or the patient was discharged. Multiple regression analysis indicated a relationship between REE, initial burn size, and postburn day in these patients (r = 0.65). This analysis indicated a general trend of decline in REE toward normal values 100 to 150 days postburn in patients with smaller burns (20%- 40%) and roughly 250 days postinjury in those with larger burns (>75%). The initial predictive equation appeared adequate for estimating caloric needs during the first postburn month, but beyond 30 days postburn indirect calorimetric measurements became necessary for accurate estimation of caloric requirements.

Original languageEnglish (US)
Pages (from-to)167-170
Number of pages4
JournalJournal of Trauma
Volume37
Issue number2
StatePublished - 1994
Externally publishedYes

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Energy Metabolism
Longitudinal Studies
Burns
Indirect Calorimetry
Reference Values
Regression Analysis
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Milner, E. A., Cioffi, W. G., Mason, A. D., McManus, W. F., & Pruitt, B. A. (1994). A longitudinal study of resting energy expenditure in thermally injured patients. Journal of Trauma, 37(2), 167-170.

A longitudinal study of resting energy expenditure in thermally injured patients. / Milner, E. A.; Cioffi, W. G.; Mason, A. D.; McManus, W. F.; Pruitt, Basil A.

In: Journal of Trauma, Vol. 37, No. 2, 1994, p. 167-170.

Research output: Contribution to journalArticle

Milner, EA, Cioffi, WG, Mason, AD, McManus, WF & Pruitt, BA 1994, 'A longitudinal study of resting energy expenditure in thermally injured patients', Journal of Trauma, vol. 37, no. 2, pp. 167-170.
Milner EA, Cioffi WG, Mason AD, McManus WF, Pruitt BA. A longitudinal study of resting energy expenditure in thermally injured patients. Journal of Trauma. 1994;37(2):167-170.
Milner, E. A. ; Cioffi, W. G. ; Mason, A. D. ; McManus, W. F. ; Pruitt, Basil A. / A longitudinal study of resting energy expenditure in thermally injured patients. In: Journal of Trauma. 1994 ; Vol. 37, No. 2. pp. 167-170.
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