Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Surgery, University of Washington, Seattle, WA, USA.
Burns. 2023 Jun;49(4):820-829. doi: 10.1016/j.burns.2022.05.016. Epub 2022 May 20.
Enterally based resuscitation for major burn injuries has been suggested as a simple, operationally superior, and effective resuscitation strategy for use in austere contexts. However, key information to support its implementation is lacking, including palatability and acceptability of widely available rehydration drinks.
We performed a single-blinded, cross-sectional survey of 60 healthy children (5-14 years), adults (15-54 years) and older adults (≥55 years) to determine palatability and overall acceptability of five oral rehydration solutions (ORS) and a positive control drink (Sprite Zero®) in Ghana. Quantitative data were described and differences between our control drink and the others across age groups were visually examined with Likert plots. Qualitative responses were analyzed using a content analysis framework.
Twenty participants in each age group completed the study. Participants were as young as 5 years and as old as 84 years. Nearly two thirds of the sample identified as male (n = 38, 63% of all participants). The positive control was reported to taste 'good or 'very good' by the majority of participants (89%) followed by lemon-flavored ORS (78%) and orange-flavored ORS (78%). Conversely, homemade and low-osmolarity ORS were reported to taste 'good' or 'very good' by only 20% and 15% of participants, respectively. There were no major taste differences across the age groups. However, children more frequently reported positively (i.e., tastes 'good' or 'very good') about flavored and sweet drinks than did adults and older adults. When faced with the hypothetical situation of being critically injured and needing resuscitation, participants tended to be more agreeable to consuming all the drinks, even low-osmolarity and homemade ORS.
These findings can be used to support the development of protocols that may be more acceptable among patients undergoing enterally based resuscitation, thus improving the effectiveness of the treatment. Specifically, enterally based resuscitation should likely include citrus-flavored ORS when available, given superior palatability and the fact that different flavor additives for patients of different ages do not seem necessary.
对于大面积烧伤患者，肠内复苏已被建议作为一种在艰苦环境下使用的简单、操作上更优且有效的复苏策略。然而，支持其实施的关键信息仍然缺乏，包括广泛可用的补液饮料的适口性和可接受性。
我们在加纳对 60 名健康儿童（5-14 岁）、成人（15-54 岁）和老年人（≥55 岁）进行了一项单盲、横断面调查，以确定五种口服补液盐（ORS）和一种阳性对照饮料（Sprite Zero®）的适口性和总体可接受性。定量数据进行了描述，并用 Likert 图直观地检查了我们的对照饮料与其他饮料在不同年龄组之间的差异。定性反应使用内容分析框架进行了分析。
每个年龄组有 20 名参与者完成了研究。参与者年龄最小为 5 岁，最大为 84 岁。样本中近三分之二（n=38，所有参与者的 63%）为男性。大多数参与者（89%）认为阳性对照饮料口感“好”或“非常好”，其次是柠檬味 ORS（78%）和橙汁味 ORS（78%）。相反，自制和低渗 ORS 仅分别被 20%和 15%的参与者报告口感“好”或“非常好”。不同年龄组之间没有明显的口味差异。然而，儿童比成人和老年人更频繁地对有味道和甜味的饮料表示正面评价（即口感“好”或“非常好”）。当面临严重受伤和需要复苏的假设情况时，参与者往往更愿意接受所有的饮料，即使是低渗和自制的 ORS。
这些发现可用于支持制定更受接受肠内复苏患者的治疗方案，从而提高治疗效果。具体来说，在有条件的情况下，肠内复苏应该包括柑橘味的 ORS，因为它的口感更好，而且不同的口味添加剂对于不同年龄的患者似乎不是必需的。
