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
