Determination of Energy and Nutrient Intakes in Pediatric Burned Patients

OGUZ, Esma; BASOGLU, Izel Aycan; CEBECİ, Aybike; GULADA, Begumhan Omeroglu; AKTAC, Sule

doi:10.33808/clinexphealthsci.750048

Determination of Energy and Nutrient Intakes in Pediatric Burned Patients

Sule Aktac, (Marmara Üniversitesi, Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye)

Izel Aycan Basoglu, (Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye)

Aybike Cebeci, (Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye)

Esma Oguz, (Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye)

Begumhan Omeroglu Gulada (Marmara Üniversitesi, Sağlık Bilimleri Enstitüsü, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye)

Clinical and Experimental Health Sciences

9 0

Yıl: 2021 Cilt: 11 Sayı: 4 Sayfa Aralığı: 689 - 694 Metin Dili: İngilizce DOI: 10.33808/clinexphealthsci.750048 İndeks Tarihi: 18-01-2022

Determination of Energy and Nutrient Intakes in Pediatric Burned Patients

Öz:

Objective: The prevalence of malnutrition defined by nutritional insufficiency is substantially high in children admitted to the burn center. This study aimed to evaluate the energy and nutrient intakes of pediatric burned patients. Methods: This prospective study was conducted between May 2016 and January 2017, involving 45 (2 to 18 years old) children and their caregivers. Data were collected via three 24 h dietary recall, socio-demographic questionnaire, and assessment of clinical characteristics was done in the Hospital Burns Centre. The energy and nutrient intakes of pediatric burned patients were calculated using computer software and compared with the nutritional recommendations. Statistical tests included analyses of t-test, ANOVA, Pearson Correlation test, and χ2 tests. Results: None of the children reached the requirements for energy and macronutrients. There was a negative correlation between the meeting of requirements and the age (P < 0.05). Oral enteral nutrition increased the meeting energy requirements (P < 0.05). Depending on the presence of a perioperative fasting period, the percentage of children who met the energy and protein requirements was significantly lower (P < 0.05). The burned area did not affect the percentage of children meeting their energy and protein intakes (P > 0.05). Conclusions: Oral enteral nutrition facilitates the ability of children to reach requirements; however, perioperative fasting periods and age are barriers to ensure adequate energy and nutrient intake in pediatric burned patients. Therefore, individualized nutritional support and education is vital for burned children to meet increased energy and nutrient requirements.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

[1] Diler B, Dalgic N, Karadag CA, Dokucu Aİ. Epidemiology and infections in a pediatric burn unit: experience of three years. J Pediatr Inf. 2012 ;6: 40-45.
[2] Zor Fatih, Ersoz N, Kulahci Y, Kapı E, Bozkurt M. Gold Standards in Primary Care Burn Treatment. Dicle Med J. 2009; 36: 219- 225.
[3] Sarı O, Onar T, Aydogan U. Wound and burn management in primary care. Smyrna Med J. 2011; 1: 53-56.
[4] O’Keefe GE, Hunt JL, Purdue GF. An evaluation of risk factors for mortality after burn trauma and the identification of genderdependent differences in outcomes. Journal of the American college of surgeons. 2001; 192: 153-160.
[5] Deveci M, Sengezer M, Er E, Selmanpakoglu N. Mortality analysis in burns. Turk J Plast Surg. 1998; 6: 108-113.
[6] Chan MM, Chan GM. Nutritional therapy for burns in children and adults. Nutrition. 2009; 25: 261-269.
[7] Cronin KJ, Butler PEM, McHugh M, Edwards G. A 1-year prospective study of burns in an Irish paediatric burn unit. Burns. 1996; 22: 221- 224.
[8] Paulman AA, Harrison JD. Taylor’s family medicine handbook. In: Basak O, Demirag SA eds. 3rd ed. Ankara, Gunes Med Press. 2011: 739-745.
[9] Guzel A, Aksu B, Aylanç H, Duran R, Karasalihoğlu S. Scalds in pediatric emergency department: a 5-year experience. Journal of burn care & research. 2009;30(3), 450-456.
[10] Sunderman C, Gottschlich M, Allgeier C, James L, Boerger L, Warner P. 55 Utilization of Z-Scores to Identify Malnutrition in the Pediatric Burn Abuse and Neglect Population. Journal of Burn Care & Research. 2018; 39(suppl_1), 32.
[11] Aktac S, Basoglu İA, Oguz E. Nutritional therapy in pediatric burn patients. In: Tayfur M (ed). Nutrition and Dietetics Current Issues – 7. Ankara: Hatiboğlu Publisher; 2018.p. 67- 85.
[12] Dibley MJ, Goldsby JB, Staehling NW, Trowbridge FL. Development of normalized curves for the international growth reference: historical and technical considerations. Am J Clin Nutr. 1987; 46: 736-748.
[13] Behrman R.E. Nelson Textbook of Pediatrics (14th ed) Philadelphia: WB Saunders, 1992.
[14] Murray KA. Burn Basics: How to Assess and Treat. The Canadian Journal of CME. 2007; 19: 62-64.
[15] Clark A, Imran J, Madni T, Wolf SE. Nutrition and metabolism in burn children. Burns Trauma. 2017; 5:11.
[16] Rodriguez NA, Jeschke MG, Williams FN, Kamolz FN, Herndon DV. Nutrition in burns: Galveston contributions. J Parenter Enteral Nutr. 2011; 35: 704-714.
[17] The American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins. Anesthesiology 2011; 114: 495–511.
[18] McCarthy H. Burns. In: Shaw V (ed). Clinical Paediatric Dietetics (4th ed) UK: John Wiley & Sons; 2015: 707-14.
[19] Vijfhuize S, Verburg M, Marino L, van Dijk M, Rode H. An evaluation of nutritional practice in a paediatric burns unit. S Afr Med J. 2010; 100: 383-386.
[20] Gottschlich MM, Jenkins ME, Mayes T, Khoury J, Kagan RJ, Warden GD. An evaluation of the safety of early vs delayed enteral support and effects on clinical, nutritional, and endocrine outcomes after severe burns. J Burn Care Rehabil. 2002; 23: 401-15.
[21] Lu G, Huang J, Yu J, Zhu Y, Cai L, Gu Z, et al. Influence of early post-burn enteral nutrition on clinical outcomes of patients with extensive burns. J Clin Biochem Nutr. 2011;48(3):222– 225.
[22] Mehta NM, Skillman HE, Irving SY, Coss-Bu JA, Vermilyea S, Farrington EA, et al. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Perenter Enteral Nutr. 2017;41(5):706– 742.
[23] Shahi, Niti, et al. Why delay? Early Enteral Nutrition in Pediatric Burn Patients Improves Outcomes. Journal of Burn Care & Research, 2020.
[24] Rollins C, Huettner F, Neumeister MW. Clinician’s Guide to Nutritional Therapy Following Major Burn Injury. Clin Plast Surg. 2017;44(3):555-566.
[25] Dylewski ML, Prelack K, Weber JM, et al. Malnutrition among pediatric burn patients: A consequence of delayed admissions. Burns. 2010;36(8):1185-1189.
[26] Kilicturgay AS, Sarkut P. Perioperative Nutritional Support in Surgical Patient. Turkiye Klinikleri J Gen Surg-Special Topics. 2015; 8: 44-50.
[27] Splinter WM, Schreiner MS. Preoperative fasting in children. Anesthesia & Analgesia. 1999; 89: 80-89.
[28] Smith I, Kranke P, Murat I, Smith A, O’Sullivan G, Søreide E, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiology. 2011; 28: 556-569.
[30] Togo HYA, Lopes EC. Preoperative fasting reduction in burned patients: A systematic review, Burns Open. 2020;4(4):176- 182.

APA	AKTAC S, BASOGLU I, CEBECİ A, OGUZ E, GULADA B (2021). Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. , 689 - 694. 10.33808/clinexphealthsci.750048
Chicago	AKTAC Sule,BASOGLU Izel Aycan,CEBECİ Aybike,OGUZ Esma,GULADA Begumhan Omeroglu Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. (2021): 689 - 694. 10.33808/clinexphealthsci.750048
MLA	AKTAC Sule,BASOGLU Izel Aycan,CEBECİ Aybike,OGUZ Esma,GULADA Begumhan Omeroglu Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. , 2021, ss.689 - 694. 10.33808/clinexphealthsci.750048
AMA	AKTAC S,BASOGLU I,CEBECİ A,OGUZ E,GULADA B Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. . 2021; 689 - 694. 10.33808/clinexphealthsci.750048
Vancouver	AKTAC S,BASOGLU I,CEBECİ A,OGUZ E,GULADA B Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. . 2021; 689 - 694. 10.33808/clinexphealthsci.750048
IEEE	AKTAC S,BASOGLU I,CEBECİ A,OGUZ E,GULADA B "Determination of Energy and Nutrient Intakes in Pediatric Burned Patients." , ss.689 - 694, 2021. 10.33808/clinexphealthsci.750048
ISNAD	AKTAC, Sule vd. "Determination of Energy and Nutrient Intakes in Pediatric Burned Patients". (2021), 689-694. https://doi.org/10.33808/clinexphealthsci.750048

APA	AKTAC S, BASOGLU I, CEBECİ A, OGUZ E, GULADA B (2021). Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. Clinical and Experimental Health Sciences, 11(4), 689 - 694. 10.33808/clinexphealthsci.750048
Chicago	AKTAC Sule,BASOGLU Izel Aycan,CEBECİ Aybike,OGUZ Esma,GULADA Begumhan Omeroglu Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. Clinical and Experimental Health Sciences 11, no.4 (2021): 689 - 694. 10.33808/clinexphealthsci.750048
MLA	AKTAC Sule,BASOGLU Izel Aycan,CEBECİ Aybike,OGUZ Esma,GULADA Begumhan Omeroglu Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. Clinical and Experimental Health Sciences, vol.11, no.4, 2021, ss.689 - 694. 10.33808/clinexphealthsci.750048
AMA	AKTAC S,BASOGLU I,CEBECİ A,OGUZ E,GULADA B Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. Clinical and Experimental Health Sciences. 2021; 11(4): 689 - 694. 10.33808/clinexphealthsci.750048
Vancouver	AKTAC S,BASOGLU I,CEBECİ A,OGUZ E,GULADA B Determination of Energy and Nutrient Intakes in Pediatric Burned Patients. Clinical and Experimental Health Sciences. 2021; 11(4): 689 - 694. 10.33808/clinexphealthsci.750048
IEEE	AKTAC S,BASOGLU I,CEBECİ A,OGUZ E,GULADA B "Determination of Energy and Nutrient Intakes in Pediatric Burned Patients." Clinical and Experimental Health Sciences, 11, ss.689 - 694, 2021. 10.33808/clinexphealthsci.750048
ISNAD	AKTAC, Sule vd. "Determination of Energy and Nutrient Intakes in Pediatric Burned Patients". Clinical and Experimental Health Sciences 11/4 (2021), 689-694. https://doi.org/10.33808/clinexphealthsci.750048