Burns: Modified metabolism and the nuances of nutrition therapy

Madeline Houschyar, Mimi R. Borrelli, Christian Tapking, Zeshaan N. Maan, Susanne Rein, Malcolm P. Chelliah, Clifford C. Sheckter, Dominik Duscher, Ludwik K. Branski, Christoph Wallner, Bjö Behr, Marcus Lehnhardt, Frank Siemers, Khosrow S. Houschyar

Research output: Contribution to journalArticle

Abstract

Objective: To review the effects of burn injury on nutritional requirements and how this can best be supported in a healthcare setting. Method: A literature search for articles discussing nutrition and/or metabolism following burn injury was carried out. PubMed, Embase and Web of Science databases were searched using the key search terms 'nutrition' OR 'metabolism' AND 'burn injury' OR 'burns'. There was no limitation on the year of publication. Results: A total of nine articles met the inclusion criteria, the contents of which are discussed in this manuscript. Conclusion: Thermal injury elicits the greatest metabolic response, among all traumatic events, in critically ill patients. In order to ensure burn patients can meet the demands of their increased metabolic rate and energy expenditure, adequate nutritional support is essential. Burn injury results in a unique pathophysiology, involving alterations in endocrine, inflammatory, metabolic and immune pathways and nutritional support needed during the inpatient stay varies depending on burn severity and idiosyncratic patient physiologic parameters. Declaration of interest: The authors have no conflicts of interest.

Original languageEnglish (US)
Pages (from-to)184-191
Number of pages8
JournalJournal of Wound Care
Volume29
Issue number3
DOIs
StatePublished - Mar 2 2020

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Keywords

  • body composition
  • burn
  • metabolism
  • nutrients
  • nutrition
  • requirements

ASJC Scopus subject areas

  • Fundamentals and skills
  • Nursing (miscellaneous)

Cite this

Houschyar, M., Borrelli, M. R., Tapking, C., Maan, Z. N., Rein, S., Chelliah, M. P., Sheckter, C. C., Duscher, D., Branski, L. K., Wallner, C., Behr, B., Lehnhardt, M., Siemers, F., & Houschyar, K. S. (2020). Burns: Modified metabolism and the nuances of nutrition therapy. Journal of Wound Care, 29(3), 184-191. https://doi.org/10.12968/jowc.2020.29.3.184