A re-evaluation of energy expenditure during parenteral nutrition
Nutritional support regimens are currently based on estimates of energy expenditure, and these estimates are then increased substantially in patients with severe trauma or sepsis because of a presumed hypermetabolic state. Forty-four patients on parenteral nutrition were evaluated using indirect cal...
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| Veröffentlicht in: | Annals of surgery 1982-03, Vol.195 (3), p.282-286 |
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| container_title | Annals of surgery |
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| creator | Quebbeman, E J Ausman, R K Schneider, T C |
| description | Nutritional support regimens are currently based on estimates of energy expenditure, and these estimates are then increased substantially in patients with severe trauma or sepsis because of a presumed hypermetabolic state. Forty-four patients on parenteral nutrition were evaluated using indirect calorimetry to measure actual energy expenditure, and an attempt was made to correlate metabolic rate with clinical diagnosis. We found no statistical difference in metabolic rates between groups of patients classified as malnourished, stressed, or catabolic, If high levels of nonprotein energy substrates are to be administered to a catabolic or "hypermetabolic" patient group, the justification must be on a basis other than a significant increase in actual rate of energy expenditure. |
| doi_str_mv | 10.1097/00000658-198203000-00007 |
| format | Article |
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Forty-four patients on parenteral nutrition were evaluated using indirect calorimetry to measure actual energy expenditure, and an attempt was made to correlate metabolic rate with clinical diagnosis. We found no statistical difference in metabolic rates between groups of patients classified as malnourished, stressed, or catabolic, If high levels of nonprotein energy substrates are to be administered to a catabolic or "hypermetabolic" patient group, the justification must be on a basis other than a significant increase in actual rate of energy expenditure.</description><identifier>ISSN: 0003-4932</identifier><identifier>EISSN: 1528-1140</identifier><identifier>DOI: 10.1097/00000658-198203000-00007</identifier><identifier>PMID: 6800313</identifier><language>eng</language><publisher>United States</publisher><subject>Calorimetry - methods ; Energy Metabolism ; Female ; Humans ; Male ; Nutrition Disorders - metabolism ; Nutrition Disorders - therapy ; Parenteral Nutrition - standards ; Parenteral Nutrition, Total - standards ; Postoperative Complications ; Surgical Procedures, Operative ; Wounds and Injuries - metabolism</subject><ispartof>Annals of surgery, 1982-03, Vol.195 (3), p.282-286</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-44c397b2fb279ce70a160b716c4d82d883b2cdecbea4d02efcf668021ffba27a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1352633/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1352633/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6800313$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quebbeman, E J</creatorcontrib><creatorcontrib>Ausman, R K</creatorcontrib><creatorcontrib>Schneider, T C</creatorcontrib><title>A re-evaluation of energy expenditure during parenteral nutrition</title><title>Annals of surgery</title><addtitle>Ann Surg</addtitle><description>Nutritional support regimens are currently based on estimates of energy expenditure, and these estimates are then increased substantially in patients with severe trauma or sepsis because of a presumed hypermetabolic state. Forty-four patients on parenteral nutrition were evaluated using indirect calorimetry to measure actual energy expenditure, and an attempt was made to correlate metabolic rate with clinical diagnosis. We found no statistical difference in metabolic rates between groups of patients classified as malnourished, stressed, or catabolic, If high levels of nonprotein energy substrates are to be administered to a catabolic or "hypermetabolic" patient group, the justification must be on a basis other than a significant increase in actual rate of energy expenditure.</description><subject>Calorimetry - methods</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Nutrition Disorders - metabolism</subject><subject>Nutrition Disorders - therapy</subject><subject>Parenteral Nutrition - standards</subject><subject>Parenteral Nutrition, Total - standards</subject><subject>Postoperative Complications</subject><subject>Surgical Procedures, Operative</subject><subject>Wounds and Injuries - metabolism</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUMtOwzAQtBColMInIPnELeBXYueCVFW8pEpc4Gw5zroYpU5xkor-PQ6UCvZi7ezMeDQIYUquKSnlDRmnyFVGS8UIT0s2IvIITWnOEkwFOUbTBPFMlJydorOueyeECkXkBE0KlS6UT9F8jiNksDXNYHrfBtw6DAHiaofhcwOh9v0QAddD9GGFNyZC6CGaBoehj35UnKMTZ5oOLvbvDL3e370sHrPl88PTYr7MrKB5nwlheSkr5iomSwuSGFqQStLCilqxWileMVuDrcCImjBw1hUpJaPOVYZJw2fo9sd3M1RrqG0KknLoTfRrE3e6NV7_vwT_plftVlOes4LzZHC1N4jtxwBdr9e-s9A0JkA7dFqmfIlHElH9EG1suy6CO3xCiR7r17_160P935BM0su_IQ_Cfd_8C9v-goE</recordid><startdate>19820301</startdate><enddate>19820301</enddate><creator>Quebbeman, E J</creator><creator>Ausman, R K</creator><creator>Schneider, T C</creator><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>19820301</creationdate><title>A re-evaluation of energy expenditure during parenteral nutrition</title><author>Quebbeman, E J ; Ausman, R K ; Schneider, T C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-44c397b2fb279ce70a160b716c4d82d883b2cdecbea4d02efcf668021ffba27a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Calorimetry - methods</topic><topic>Energy Metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Nutrition Disorders - metabolism</topic><topic>Nutrition Disorders - therapy</topic><topic>Parenteral Nutrition - standards</topic><topic>Parenteral Nutrition, Total - standards</topic><topic>Postoperative Complications</topic><topic>Surgical Procedures, Operative</topic><topic>Wounds and Injuries - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quebbeman, E J</creatorcontrib><creatorcontrib>Ausman, R K</creatorcontrib><creatorcontrib>Schneider, T C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quebbeman, E J</au><au>Ausman, R K</au><au>Schneider, T C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A re-evaluation of energy expenditure during parenteral nutrition</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>1982-03-01</date><risdate>1982</risdate><volume>195</volume><issue>3</issue><spage>282</spage><epage>286</epage><pages>282-286</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><abstract>Nutritional support regimens are currently based on estimates of energy expenditure, and these estimates are then increased substantially in patients with severe trauma or sepsis because of a presumed hypermetabolic state. Forty-four patients on parenteral nutrition were evaluated using indirect calorimetry to measure actual energy expenditure, and an attempt was made to correlate metabolic rate with clinical diagnosis. We found no statistical difference in metabolic rates between groups of patients classified as malnourished, stressed, or catabolic, If high levels of nonprotein energy substrates are to be administered to a catabolic or "hypermetabolic" patient group, the justification must be on a basis other than a significant increase in actual rate of energy expenditure.</abstract><cop>United States</cop><pmid>6800313</pmid><doi>10.1097/00000658-198203000-00007</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Annals of surgery, 1982-03, Vol.195 (3), p.282-286 |
| issn | 0003-4932 1528-1140 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Calorimetry - methods Energy Metabolism Female Humans Male Nutrition Disorders - metabolism Nutrition Disorders - therapy Parenteral Nutrition - standards Parenteral Nutrition, Total - standards Postoperative Complications Surgical Procedures, Operative Wounds and Injuries - metabolism |
| title | A re-evaluation of energy expenditure during parenteral nutrition |
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