肠内营养方案对重症烧伤患者的影响。
Impact of an enteral nutrition protocol in critically ill patients with burn injuries.
作者信息
Jutba Ada Selina, Kamel Amir, Nguyen Quynhnhu, Patel Kunal, Cash Julie, Popp Janet, Mazirka Pavel, Roberson Laura, Allen Ashlee, Omalay Quennie, Cochran Amalia
机构信息
Department of Pharmacy, University of Florida Health Shands Hospital Gainesville, FL, USA.
Department of Pharmacy, Memorial Hermann Memorial City Medical Center Houston, TX, USA.
出版信息
Int J Burns Trauma. 2024 Jun 25;14(3):58-64. doi: 10.62347/YGQW7641. eCollection 2024.
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).
目的
本研究的目的是描述佛罗里达大学（UF）健康珊兹烧伤中心的肠内营养方案，及其与总蛋白摄入量和临床结果的关系。
方法
这项回顾性图表审查研究纳入了2012年1月至2016年8月期间入住UF健康珊兹烧伤中心的99例成年患者，这些患者的烧伤面积达到或超过总体表面积的20%，且需要肠内营养补充。
结果
患者每日平均摄入137.8克或2.03克/千克蛋白质。15%的患者出现植皮失败。中位住院时间为35天。76%的患者存活至出院。总蛋白摄入量与严重腹泻发生率之间无显著关联（P=0.132）。
结论
该机构的方案实现了高蛋白给药，同时仍符合美国肠内和肠外营养学会（ASPEN）的建议。
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