The effectiveness of early enteral nutrition in burn patients

dc.contributor.author	Μαρβάκη, Χριστίνα	el
dc.contributor.author	Joannovich, I.	en
dc.contributor.author	Κυρίτση, Ε.	el
dc.contributor.author	Ιορδάνου, Παναγιώτα Σ.	el
dc.contributor.author	Οικονόμου, Θεοδώρα	el
dc.date.accessioned	2015-04-27T17:09:25Z
dc.date.available	2015-04-27T17:09:25Z
dc.date.issued	2015-04-27
dc.identifier.uri	http://hdl.handle.net/11400/9096
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.medbc.com/annals/	en
dc.subject	Burns
dc.subject	Εγκαύματα
dc.title	The effectiveness of early enteral nutrition in burn patients	en
heal.type	journalArticle
heal.classification	Nutrition
heal.classification	Hospital patients
heal.classification	Διατροφή
heal.classification	Ασθενείς
heal.classificationURI	http://skos.um.es/unescothes/C02780
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh85062249
heal.classificationURI	N/A-Διατροφή
heal.classificationURI	N/A-Ασθενείς
heal.language	en
heal.access	free
heal.recordProvider	Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2001
heal.bibliographicCitation	Marvaki, C., Joannovich, I., Kiritsi, E., Iordanou, P. and Iconomou, T. (2001) The effectiveness of early enteral nutrition in burn patients. "Annals of Burns and Fire Disasters", 14 (4). Available from: http://www.medbc.com/annals/review/vol_14/num_4/text/vol14n4p192.asp [Accessed: 27/04/2015].	en
heal.abstract	This study was performed in order to investigate the effectiveness of early enteral nutrition (EEN) in burn patients, in association with their post-burn nutritional state and immunological response. Patients with burns in more than 25% of the total body surface area (TBSA) admitted to the Department of Plastic Surgery and Burn Unit of the General State Hospital of Athens over a three-year period were included in our study. A nutritional support protocol was followed that included EEN in the first 6 h via a nasogastric tube and administration of nutritional formulas of different nutritional value, according to each patient’s needs and tolerance. We administered to our patients: 1) low kcal value, 0.5 kcal/ml with 2 g/%; 2) standard value, 1 kcal/ml with 4 g/%; 3) high kcal value, 1.5 kcal/ml with 6 g/%. The following markers were used to assess the effectiveness of EEN: total serum proteins, serum albumin, serum globulin, absolute number of lymphocytes, immunoglobulin IgA, IgM, IgG, serum iron, and total iron binding capacity (TIBC). Blood samples were collected from each patient on days 1, 8, and 15 after admission for the measurement of the nutritional markers. Data were collected on a specially designed assessment chart. This was followed by statistical analysis for evaluation of the results. Thirty-one patients (age range 17-95 yr, mean 43.7 ± 12.2 yr; TBSA burn range, 25-85%, mean 43.4 ± 18.67%) were studied. All mean protein values increased significantly between the first and third measurements: total proteins increased from 5.06 to 6.33 mg/dl (p < 0.001); serum albumin from 2.97 to 3.40 mg/dl (p < 0.005); serum globulin from 2.06 to 2.91 mg/dl (p < 0.001); iron from 34.56 to 48.44 mg/l (p < 0.008); and TIBC from 84.80 to 120.60 mg/l (p < 0.001). There were no significant changes in the absolute number of lymphocytes or in immunoglobulin IgA, IgM, IgG. Our results demonstrated that early enteral nutrition provided optimal preservation of the patients’ nutritional state and maintained nutritional markers at normal values.	en
heal.journalName	Annals of Burns and Fire Disasters	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	false