Early enteral nutrition does not decrease hypermetabolism associated with burn injury

Michael D. Peck, Mary Kessler, Bruce A. Cairns, Yih Harn Chang, Anastasia Ivanova, Wesley Schooler, Gayle Minard, Basil A. Pruitt, Ajai K. Malhotra, Leopoldo Cancio, Jay A. Yelon

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

Background: A prospective, randomized study was performed to compare the effects of early versus late enteral feeding on postburn metabolism. Methods: Burn patients were randomized to receive enteral feedings either within 24 hours (early) or 7 days (late) of injury. Basal energy expenditure (BEE) was calculated from Harris-Benedict equations and resting energy expenditure (REE) was obtained from indirect calorimetry. The average daily energy expenditure (DEE) was expressed as REE/BEE. Results: Average age, burn size, infections, and length of stay were similar between groups. Mortality between groups was similar (early, 28%; late, 38%) and not significantly influenced by inhalation injury. When controlled for percentage of total body surface area burn, inhalation injury, and age, the early group had an increased rather than decreased DEE, with a mean DEE calorie 0.17 more than the late group (p = 0.07). Conclusion: Early enteral feeding does not decrease the average energy expenditure associated with burn injury.

Original languageEnglish (US)
Pages (from-to)1143-1149
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume57
Issue number6
DOIs
StatePublished - Dec 1 2004

Keywords

  • Burns
  • Enteral feeding
  • Nutrition

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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    Peck, M. D., Kessler, M., Cairns, B. A., Chang, Y. H., Ivanova, A., Schooler, W., Minard, G., Pruitt, B. A., Malhotra, A. K., Cancio, L., & Yelon, J. A. (2004). Early enteral nutrition does not decrease hypermetabolism associated with burn injury. Journal of Trauma - Injury, Infection and Critical Care, 57(6), 1143-1149. https://doi.org/10.1097/01.TA.0000145826.84657.38