The 1995 Clinical Research Award. Younger pediatric patients with burns are at risk for continuing postdischarge weight loss.
Pediatric patients with severe burns exhibit growth delays. This study investigates weight history after discharge. Twenty-seven children with burns covering more than 40% of their total body surface area were studied from admission until 2 to 4 years after injury. Younger children decreased their weights for height; older patients mainly increased theirs. Alterations during the first year of follow-up correlated with alterations until 2 and 3 years (r = 0.91 and r = 0.76, respectively). Once initiated, net weight gain continued, whereas net weight losses diminished with time. Preburn equivalent weights, however, could not be reached within 3 years. Special attention must be paid to children who are close to or less than their ideal body weights at the time of injury, especially if they are young, because further weight loss may be critical. Outpatient nutritional therapy should be focused to control these developments.
Mittendorfer
B
B
Shriners Burns Institute, Galveston, TX 77550, USA.
Hildreth
M A
MA
Desai
M H
MH
Herndon
D N
DN
D000293:Adolescent; D017677:Age Distribution; D001363:Awards and Prizes; D001481:Basal Metabolism; D002056:Burns / Q000378:metabolism* / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009747:Nutritional Physiological Phenomena; D010351:Patient Discharge; D012189:Retrospective Studies; D015430:Weight Gain / Q000502:physiology; D015431:Weight Loss / Q000502:physiology