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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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. |
doi_str_mv | 10.1111/j.1365-277X.2004.00551.x |
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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%). 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.</description><identifier>ISSN: 0952-3871</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/j.1365-277X.2004.00551.x</identifier><identifier>PMID: 15357697</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>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</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%). 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>body mass index</subject><subject>Body Weight - physiology</subject><subject>Burns - physiopathology</subject><subject>Burns - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dietary Supplements</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Food, Formulated</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Injuries of the skin. Diseases of the skin due to physical agents</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nutrition support</subject><subject>Nutritional Requirements</subject><subject>Nutritional Support - methods</subject><subject>paediatric</subject><subject>thermal injury</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>United Kingdom</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>weight</subject><issn>0952-3871</issn><issn>1365-277X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNklFv0zAUhSMEYmXwF8BCgrcEO44dW-JlqmBjm8YDVOPNunWcziVNOjtZ23_PDak2iSf8Ysv-ztXxPTdJCKMZw_VpnTEuRZqX5a8sp7TIKBWCZftnyezx4Xkyo1rkKVclO0lexbimlEpG6cvkhAkuSqnLWbI7Gyrfk64mcbDWxVgPDdk5v7rryQZ827sWWuuIbwlUQ9MTaCuyBVd56IO3qAoP_qELcSzR37mwgQbh9RAOBJAmiysS3Mp3Ld4vh9AS69o-uNfJixqa6N4c99Nk8fXLz_lFev39_Nv87Dq1heIslapUvBSwXOoKZE7LWrKiprbgheYqZ5VaKlqUSlqRa4nfZQCy0JVVteIAlp8mH6e629DdDy72ZuOjdU0DreuGaKRUkmlFEXz_D7ju0C56M0xrXbBCaITUBNnQxRhcbbbBbyAcDKNmTMaszRiAGQMwYzLmbzJmj9K3x_rDcuOqJ-ExCgQ-HAGIFpo6YN99fOLG6DhlyH2euJ1v3OG_DZjLixs8oDyd5D72bv8oh_DbyBJbbW5vzs2tFJdzelUYhfy7ia-hM7AKaGnxI0cfFKdL4EDxP0FiwU8</recordid><startdate>200410</startdate><enddate>200410</enddate><creator>Windle, E.M</creator><general>Blackwell Science Ltd</general><general>Blackwell Science</general><general>Blackwell Publishing Ltd</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200410</creationdate><title>Audit of successful weight maintenance in adult and paediatric survivors of thermal injury at a UK regional burn centre</title><author>Windle, E.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4831-6878375abb9da6207f614f0c43493821d8b804786c52969521aa649dc8f83aac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>body mass index</topic><topic>Body Weight - physiology</topic><topic>Burns - physiopathology</topic><topic>Burns - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dietary Supplements</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Food, Formulated</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Injuries of the skin. Diseases of the skin due to physical agents</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nutrition support</topic><topic>Nutritional Requirements</topic><topic>Nutritional Support - methods</topic><topic>paediatric</topic><topic>thermal injury</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>United Kingdom</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Windle, E.M</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human nutrition and dietetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Windle, E.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Audit of successful weight maintenance in adult and paediatric survivors of thermal injury at a UK regional burn centre</atitle><jtitle>Journal of human nutrition and dietetics</jtitle><addtitle>J Hum Nutr Diet</addtitle><date>2004-10</date><risdate>2004</risdate><volume>17</volume><issue>5</issue><spage>435</spage><epage>441</epage><pages>435-441</pages><issn>0952-3871</issn><eissn>1365-277X</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>15357697</pmid><doi>10.1111/j.1365-277X.2004.00551.x</doi><tpages>7</tpages></addata></record> |
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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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