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Clark A, Imran J, Madni T, et al. Nutrition and metabolism in burn patients. Burns Trauma. 2017;5:11doi: 10.1186/s41038-017-0076-x.
Clark, A., Imran, J., Madni, T., & Wolf, S. E. (2017). Nutrition and metabolism in burn patients. Burns & trauma, 511. https://doi.org/10.1186/s41038-017-0076-x
Clark, Audra, et al. "Nutrition and metabolism in burn patients." Burns & trauma vol. 5 (2017): 11. doi: https://doi.org/10.1186/s41038-017-0076-x
Clark A, Imran J, Madni T, Wolf SE. Nutrition and metabolism in burn patients. Burns Trauma. 2017 Apr 17;5:11. doi: 10.1186/s41038-017-0076-x. eCollection 2017. PMID: 28428966; PMCID: PMC5393025.
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Burns Trauma. 2017 Apr 17;5:11. doi: 10.1186/s41038-017-0076-x. eCollection 2017.

Nutrition and metabolism in burn patients.

Burns & trauma

Audra Clark, Jonathan Imran, Tarik Madni, Steven E Wolf

Affiliations

  1. University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390 USA.

PMID: 28428966 PMCID: PMC5393025 DOI: 10.1186/s41038-017-0076-x

Abstract

Severe burn causes significant metabolic derangements that make nutritional support uniquely important and challenging for burned patients. Burn injury causes a persistent and prolonged hypermetabolic state and increased catabolism that results in increased muscle wasting and cachexia. Metabolic rates of burn patients can surpass twice normal, and failure to fulfill these energy requirements causes impaired wound healing, organ dysfunction, and susceptibility to infection. Adequate assessment and provision of nutritional needs is imperative to care for these patients. There is no consensus regarding the optimal timing, route, amount, and composition of nutritional support for burn patients, but most clinicians advocate for early enteral nutrition with high-carbohydrate formulas. Nutritional support must be individualized, monitored, and adjusted throughout recovery. Further investigation is needed regarding optimal nutritional support and accurate nutritional endpoints and goals.

Keywords: Burn; Critical care; Metabolism; Nutrition

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