title: Comparison of measured resting energy expenditure versus predictive equations in pediatric burn patients.
abstract: Many equations have been developed to estimate resting energy expenditure (REE) in thermally injured patients. A consensus has not been reached on the accuracy of these equations in children. The purpose of our study was to compare three predictive equations: Harris Benedict x 2 multiplier (HB x 2), Mayes (MG), and the WorId Health Organization x 2 multiplier (WHO x 2) with measured resting energy expenditure x I.3 multiplier (MREE x 1.3) in pediatric burn patients. MREE was measured by open-circuit indirect calorimetry in 10 burned children (6 boys, 4 girls) aged 2 to 10 years with TBSA burn ranges from 35% to 97%. MREE x 1.3 was compared with values obtained by HB x 2, MG, and WHO x 2 predictive equations. When comparing MREE x 1.3 with all three equations, significant differences were found when compared with HB x 2 and MG, but there were no significant difference between MREE x 1.3 vs WHO x 2. The HB x 2 and MG equations overpredicted MREE x 1.3 by 29% and 19%, respectively. Many predictive equations have been developed to predict energy expenditure in burns, but their accuracy in predicting MREE x 1.3 is variable. A larger study comparing/contrasting predictive equations and resting energy expenditure measured by indirect calorimetry is needed to improve the prediction of energy needs in burned children.
authors.affiliation: Shriners Hospital for Children Northern California, Sacramento 95817, USA.
authors.forename: Rungsinee A
authors.initials: RA
authors.lastname: Liusuwan
authors.forename: Tina L
authors.initials: TL
authors.lastname: Palmieri
authors.forename: Lysa
authors.initials: L
authors.lastname: Kinoshita
authors.forename: David G
authors.initials: DG
authors.lastname: Greenhalgh
mesh_terms: D001481:Basal Metabolism / Q000502:physiology*; D001944:Breath Tests; D002056:Burns / Q000378:metabolism* / Q000628:therapy; D002153:Calorimetry, Indirect; D002245:Carbon Dioxide / Q000378:metabolism; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D002149:Energy Intake; D005260:Female; D006801:Humans; D008297:Male; D009751:Nutritional Requirements; D010101:Oxygen Consumption; D012189:Retrospective Studies
chemical_list: D002245:Carbon Dioxide