Comparison of resting energy expenditures and caloric intake in children with severe burns

Dennis Gore, R. L. Rutan, M. Hildreth, M. H. Desai, David Herndon

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Nutritional support is provided to children after severe burn injuries in amounts derived from empirical formulas or measurements of resting energy expenditure. To scrutinize these methods, indirect calorimetry measurements were performed on 74 survivors of burns (≥40% total body surface area) and compared to their actual caloric intake, percent weight change, and optimal caloric requirements formulated from the Curreri and Shriners' equations. These parameters showed that in spite of an initial deficit in actual caloric intake as compared to formulated goals, weight was maintained, whereas resting energy expenditures ranged from 30% to 40% below the actual caloric intake. Furthermore, a subgroup of patients (n = 42) who met ± 20% of their formulated needs were stratified by extent of burn; this illustrated a significant weight gain in the more severely burned children. In conclusion, nutritional formulas in popular use overestimate caloric requirements in severe burns, whereas resting energy expenditure measurements require an additional factor of 30% to maintain body weight.

Original languageEnglish (US)
Pages (from-to)400-404
Number of pages5
JournalJournal of Burn Care and Rehabilitation
Volume11
Issue number5
StatePublished - 1990

Fingerprint

Energy Intake
Burns
Energy Metabolism
Weights and Measures
Indirect Calorimetry
Nutritional Support
Body Surface Area
Weight Gain
Survivors
Body Weight
Wounds and Injuries

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery
  • Nursing(all)
  • Health Professions(all)

Cite this

Comparison of resting energy expenditures and caloric intake in children with severe burns. / Gore, Dennis; Rutan, R. L.; Hildreth, M.; Desai, M. H.; Herndon, David.

In: Journal of Burn Care and Rehabilitation, Vol. 11, No. 5, 1990, p. 400-404.

Research output: Contribution to journalArticle

Gore, Dennis ; Rutan, R. L. ; Hildreth, M. ; Desai, M. H. ; Herndon, David. / Comparison of resting energy expenditures and caloric intake in children with severe burns. In: Journal of Burn Care and Rehabilitation. 1990 ; Vol. 11, No. 5. pp. 400-404.
@article{67d3ed66faaa4d4eab3a5ca7c7b351ac,
title = "Comparison of resting energy expenditures and caloric intake in children with severe burns",
abstract = "Nutritional support is provided to children after severe burn injuries in amounts derived from empirical formulas or measurements of resting energy expenditure. To scrutinize these methods, indirect calorimetry measurements were performed on 74 survivors of burns (≥40{\%} total body surface area) and compared to their actual caloric intake, percent weight change, and optimal caloric requirements formulated from the Curreri and Shriners' equations. These parameters showed that in spite of an initial deficit in actual caloric intake as compared to formulated goals, weight was maintained, whereas resting energy expenditures ranged from 30{\%} to 40{\%} below the actual caloric intake. Furthermore, a subgroup of patients (n = 42) who met ± 20{\%} of their formulated needs were stratified by extent of burn; this illustrated a significant weight gain in the more severely burned children. In conclusion, nutritional formulas in popular use overestimate caloric requirements in severe burns, whereas resting energy expenditure measurements require an additional factor of 30{\%} to maintain body weight.",
author = "Dennis Gore and Rutan, {R. L.} and M. Hildreth and Desai, {M. H.} and David Herndon",
year = "1990",
language = "English (US)",
volume = "11",
pages = "400--404",
journal = "Journal of Burn Care and Research",
issn = "1559-047X",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Comparison of resting energy expenditures and caloric intake in children with severe burns

AU - Gore, Dennis

AU - Rutan, R. L.

AU - Hildreth, M.

AU - Desai, M. H.

AU - Herndon, David

PY - 1990

Y1 - 1990

N2 - Nutritional support is provided to children after severe burn injuries in amounts derived from empirical formulas or measurements of resting energy expenditure. To scrutinize these methods, indirect calorimetry measurements were performed on 74 survivors of burns (≥40% total body surface area) and compared to their actual caloric intake, percent weight change, and optimal caloric requirements formulated from the Curreri and Shriners' equations. These parameters showed that in spite of an initial deficit in actual caloric intake as compared to formulated goals, weight was maintained, whereas resting energy expenditures ranged from 30% to 40% below the actual caloric intake. Furthermore, a subgroup of patients (n = 42) who met ± 20% of their formulated needs were stratified by extent of burn; this illustrated a significant weight gain in the more severely burned children. In conclusion, nutritional formulas in popular use overestimate caloric requirements in severe burns, whereas resting energy expenditure measurements require an additional factor of 30% to maintain body weight.

AB - Nutritional support is provided to children after severe burn injuries in amounts derived from empirical formulas or measurements of resting energy expenditure. To scrutinize these methods, indirect calorimetry measurements were performed on 74 survivors of burns (≥40% total body surface area) and compared to their actual caloric intake, percent weight change, and optimal caloric requirements formulated from the Curreri and Shriners' equations. These parameters showed that in spite of an initial deficit in actual caloric intake as compared to formulated goals, weight was maintained, whereas resting energy expenditures ranged from 30% to 40% below the actual caloric intake. Furthermore, a subgroup of patients (n = 42) who met ± 20% of their formulated needs were stratified by extent of burn; this illustrated a significant weight gain in the more severely burned children. In conclusion, nutritional formulas in popular use overestimate caloric requirements in severe burns, whereas resting energy expenditure measurements require an additional factor of 30% to maintain body weight.

UR - http://www.scopus.com/inward/record.url?scp=0024998222&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024998222&partnerID=8YFLogxK

M3 - Article

C2 - 2246309

AN - SCOPUS:0024998222

VL - 11

SP - 400

EP - 404

JO - Journal of Burn Care and Research

JF - Journal of Burn Care and Research

SN - 1559-047X

IS - 5

ER -