Nutrition and metabolism in the rehabilitative phase of recovery in burn children: a review of clinical and research findings in a speciality pediatric burn hospital

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• 作者：Kathy Prelack ; Yong Ming Yu ; Robert L Sheridan
• 关键词：Pediatric burns ; Nutrition ; Burn rehabilitation
• 刊名：Burns & Trauma
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：3
• 期：1
• 全文大小：582KB
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• 作者单位：Kathy Prelack (1)
  Yong Ming Yu (1)
  Robert L Sheridan (1)
  
  1. Shriners Hospitals For Children, Boston, Massachusetts, USA
  
• 刊物类别：Traumatic Surgery;
• 刊物主题：Traumatic Surgery;
• 出版者：BioMed Central
• ISSN：2321-3876

文摘

During the rehabilitation phase of burn injury, patient care transitions from critical care medicine to restorative treatment strategies that encompass physical and occupational therapies, nutrition repletion, and psychosocial support for community reintegration. As pediatric burn patients undergo rehabilitation, nutrition assessment remains ongoing to define nutritional status and any alterations in metabolism that may take place. For some, a persistent hypermetabolic state appears evident, and weight loss may continue. The severity and duration however varies among patients. Many patients enter their rehabilitative phase with visible lean body mass depletion, and the focus of nutritional therapy for them shifts to replenishing nutritional status, while supporting rehabilitative efforts. Over the past decade, we have conducted studies on energy and protein metabolism, body composition, including bone mineralization, and general wellness in over 130 patients to better understand changes in metabolism and nutritional status during the rehabilitative phase of recovery. This abstract summarizes our findings. Keywords Pediatric burns Nutrition Burn rehabilitation