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. 2024 Jun 25;14(3):58-64.
doi: 10.62347/YGQW7641. eCollection 2024.

Impact of an enteral nutrition protocol in critically ill patients with burn injuries

Ada Selina Jutba  1   2 , Amir Kamel  1 , Quynhnhu Nguyen  3 , Kunal Patel  3 , Julie Cash  4 , Janet Popp  5 , Pavel Mazirka  6 , Laura Roberson  5 , Ashlee Allen  5 , Quennie Omalay  5 , Amalia Cochran  6
Affiliations

Impact of an enteral nutrition protocol in critically ill patients with burn injuries

Ada Selina Jutba et al. Int J Burns Trauma. .

Abstract

Objectives: The objective of this study is to characterize the University of Florida (UF) Health Shands Burn Centers enteral nutrition protocol as it relates to total protein intake and clinical outcomes.

Methods: This retrospective chart review study included 99 adult patients admitted to the UF Health Shands Burn Center from January 2012 through August 2016 with burns of twenty percent or greater TBSA and required enteral nutrition supplementation.

Results: Patients received an average of 137.8 g or 2.03 g/kg protein daily. Fifteen percent of patients experienced graft loss. The median length of stay was 35 days. Seventy-six percent survived to hospital discharge. There was no significant association between total protein intake and incidence of severe diarrhea (P=0.132).

Conclusion: The institutions protocol achieved high protein administration while still being consistent with recommendations from the American Society of Enteral and Parenteral Nutrition (ASPEN).

Keywords: Protein; burn; critically ill; diarrhea; enteral nutrition; thermal injury.

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Conflict of interest statement

Dr. Amalia Cochran receives a salary as editor for JAMA Surgery and royalties as editor for UpToDate®.

Figures

Figure 1
Figure 1
Protein intake/day by percent TBSA with best-fit line.
Figure 2
Figure 2
Daily protein intake by number of severe diarrhea days with best-fit line.
See this image and copyright information in PMC

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