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Grammatikopoulou MG, Theodoridis X, Gkiouras K, Stamouli EM, Mavrantoni ME, Dardavessis T, Bogdanos DP, et al.
JPEN. Journal of parenteral and enteral nutrition. Date of publication 2019 May 1;volume 43(4):490-496.
1. JPEN J Parenter Enteral Nutr. 2019 May;43(4):490-496. doi: 10.1002/jpen.1452. Epub 2018 Oct 15. AGREEing on Guidelines for Nutrition Management of Adult Severe Burn Patients. Grammatikopoulou MG(1)(2)(3), Theodoridis X(2), Gkiouras K(3), Stamouli EM(4), Mavrantoni ME(3), Dardavessis T(3), Bogdanos DP(5)(6). Author information: (1)Department of Nutrition and Dietetics, Alexander Technological Educational Institute, Thessaloniki, Greece. (2)Department of Medicine, Faculty of Health Sciences, University of Thessaly, Larissa, Greece. (3)Department of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece. (4)Department of Pharmacy, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece. (5)Department of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece. (6)Division of Transplantation, Immunology and Mucosal Biology, MRC Centre for Transplantation, King's College London Medical School, London, UK. BACKGROUND: Severe burns are associated with a plethora of profound metabolic, immunologic, and physiologic responses, demanding prompt and adequate management. The objective of the present study was to review, compare, and critically appraise medical nutrition therapy guidelines for adult patients with severe burns, and produce salient points for the future update of relevant guidelines. METHODS: A total of 8 clinical practice guidelines developed by the American Burn Association (ABA), the European Burn Association (EBA), the European Society for Parenteral and Enteral Nutrition (ESPEN), the Midlands National Health Service, the Society for Critical Care Medicine (SCCM)/American Society for Parenteral and Enteral Nutrition (ASPEN), the Spanish Society of Intensive Care Medicine and Coronary Units and Spanish Society of Parenteral and Enteral Nutrition, the Indian Association for Parenteral and Enteral Nutrition (IAPEN), and the International Society for Burn Injury regarding medical nutrition therapy in burn patients was independently reviewed by a team of 4 multidisciplinary researchers using the Appraisal of Guidelines for Research & Evaluation (AGREE II) instrument. RESULTS: From the appraised guidelines, the SCCM/ASPEN guidelines received the greatest scoring in the majority of AGREE domains compared with ABA, EBA, and IAPEN, which obtained the lowest scores. On the other hand, the ESPEN guidelines provided the majority of information concerning nutrition support and medical nutrition therapy. CONCLUSION: Our study identified gaps in most nutrition guidelines and emphasized methodologic issues that could improve the quality of future guidelines concerning nutrition support among adult severe burn patients. © 2018 American Society for Parenteral and Enteral Nutrition. DOI: 10.1002/jpen.1452 PMID: 30320409
Appears in following Topics:
Acute Burns - Treatment
Acute Burns - Treatment