Audit of successful weight maintenance in adult and paediatric survivors of thermal injury at a UK regional burn centre

Background: Thermal injury is associated with significant weight loss, particularly of lean body mass. Weight loss increases the risk of morbidity and increased length of stay (LOS). Appropriate nutrition support can improve these outcomes. The aim of this audit was to evaluate the success of nutrit...

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Veröffentlicht in:Journal of human nutrition and dietetics 2004-10, Vol.17 (5), p.435-441
1. Verfasser: Windle, E.M
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description Background: Thermal injury is associated with significant weight loss, particularly of lean body mass. Weight loss increases the risk of morbidity and increased length of stay (LOS). Appropriate nutrition support can improve these outcomes. The aim of this audit was to evaluate the success of nutrition intervention in minimizing weight loss in adults and children with thermal injury. Method: Patients referred for nutrition support were monitored for weight change during their inpatient care episode. Sixty cases met the study criteria. Admission and discharge weight profiles were identified. The degree of weight loss was calculated. Comparison was made to a recognized standard of acceptable weight loss. Results: On admission five (13.2%) adults were found to be clinically underweight. All children were within the acceptable weight percentile range. Adults demonstrated higher (mean +/- SD) percentage weight loss (8.1 +/- 6.0%) than children (4.7 +/- 4.5%). About 76.7% of all cases met the standard used. More children (95.5%) met the standard than adults (65.8%). Conclusions: Most subjects maintained weight within an acceptable limit during the inpatient episode. Children appeared particularly successful at weight maintenance. Reasons are multifactorial and warrant further investigation.
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Weight loss increases the risk of morbidity and increased length of stay (LOS). Appropriate nutrition support can improve these outcomes. The aim of this audit was to evaluate the success of nutrition intervention in minimizing weight loss in adults and children with thermal injury. Method: Patients referred for nutrition support were monitored for weight change during their inpatient care episode. Sixty cases met the study criteria. Admission and discharge weight profiles were identified. The degree of weight loss was calculated. Comparison was made to a recognized standard of acceptable weight loss. Results: On admission five (13.2%) adults were found to be clinically underweight. All children were within the acceptable weight percentile range. Adults demonstrated higher (mean +/- SD) percentage weight loss (8.1 +/- 6.0%) than children (4.7 +/- 4.5%). About 76.7% of all cases met the standard used. More children (95.5%) met the standard than adults (65.8%). 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Diseases of the skin due to physical agents ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; nutrition support ; Nutritional Requirements ; Nutritional Support - methods ; paediatric ; thermal injury ; Traumas. Diseases due to physical agents ; Treatment Outcome ; United Kingdom ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; weight</subject><ispartof>Journal of human nutrition and dietetics, 2004-10, Vol.17 (5), p.435-441</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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Weight loss increases the risk of morbidity and increased length of stay (LOS). Appropriate nutrition support can improve these outcomes. The aim of this audit was to evaluate the success of nutrition intervention in minimizing weight loss in adults and children with thermal injury. Method: Patients referred for nutrition support were monitored for weight change during their inpatient care episode. Sixty cases met the study criteria. Admission and discharge weight profiles were identified. The degree of weight loss was calculated. Comparison was made to a recognized standard of acceptable weight loss. Results: On admission five (13.2%) adults were found to be clinically underweight. All children were within the acceptable weight percentile range. Adults demonstrated higher (mean +/- SD) percentage weight loss (8.1 +/- 6.0%) than children (4.7 +/- 4.5%). About 76.7% of all cases met the standard used. More children (95.5%) met the standard than adults (65.8%). 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subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
body mass index
Body Weight - physiology
Burns - physiopathology
Burns - therapy
Child
Child, Preschool
Dietary Supplements
Feeding. Feeding behavior
Female
Food, Formulated
Fundamental and applied biological sciences. Psychology
Hospitalization
Humans
Infant
Infant, Newborn
Injuries of the skin. Diseases of the skin due to physical agents
Length of Stay
Male
Medical sciences
Middle Aged
nutrition support
Nutritional Requirements
Nutritional Support - methods
paediatric
thermal injury
Traumas. Diseases due to physical agents
Treatment Outcome
United Kingdom
Vertebrates: anatomy and physiology, studies on body, several organs or systems
weight
title Audit of successful weight maintenance in adult and paediatric survivors of thermal injury at a UK regional burn centre
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