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Graves C, Saffle J, Cochran A, et al.
Journal of burn care & research : official publication of the American Burn Association. Date of publication 2009 Jan 1;volume 30(1):77-82.
1. J Burn Care Res. 2009 Jan-Feb;30(1):77-82. doi: 10.1097/BCR.0b013e3181921f0d. Actual burn nutrition care practices: an update. Graves C(1), Saffle J, Cochran A. Author information: (1)Department of Nutrition Care, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA. In 1989, Williamson published a survey of nutrition care practices in burn centers. Nutrition practices have evolved since then; we conducted a study to determine the current scope of nutrition care in burn centers. With IRB approval, a 64 question survey was emailed to 103 burn centers listed in the Burn Care Resources in North America. Follow-up emails were sent to those who did not respond within 2 weeks. Sixty-five centers (63%) responded and included 66% of currently verified burn centers. Due to incomplete surveys, most questions had 45 to 50 responses. The centers averaged 246 annual admissions and all admitted non-burn patients. Eighty percent of dietitians had >5 years burn experience (vs 17% in 1989) and 90% also worked in other intensive care settings. Most dietitians reported advanced training or education (83%). Nutrition assessment, support and monitoring methods have changed though most centers continue to use serum proteins for assessment. Indirect calorimetry use has increased with most centers (78%) adding a 'stress factor' of 10 to 30% above measured energy needs. More centers provided specialized formulas including high-protein (82 vs 8.8%) and immune-enhancing (53 vs 12.3%) than in 1989. All gave a variety of vitamin and mineral supplements. Anabolic steroid and glutamine use was common (92 and 69%). Eighty percent of centers used glucose protocols with 54% having a goal of
Appears in following Topics:
Acute Burns - Introduction and Assessment
Acute Burns - Treatment