A re-evaluation of energy expenditure during parenteral nutrition. Ann Surg 1982 Mar;195(3):282-6
Date
03/01/1982Pubmed ID
6800313Pubmed Central ID
PMC1352633DOI
10.1097/00000658-198203000-00007Scopus ID
2-s2.0-0020078280 (requires institutional sign-in at Scopus site) 54 CitationsAbstract
Nutritional support regimens are currently based on estimates of energy expenditure, and these estimates are then increased substantially in patients with severe trauma or sepsis because of a presumed hypermetabolic state. Forty-four patients on parenteral nutrition were evaluated using indirect calorimetry to measure actual energy expenditure, and an attempt was made to correlate metabolic rate with clinical diagnosis. We found no statistical difference in metabolic rates between groups of patients classified as malnourished, stressed, or catabolic, If high levels of nonprotein energy substrates are to be administered to a catabolic or "hypermetabolic" patient group, the justification must be on a basis other than a significant increase in actual rate of energy expenditure.
Author List
Quebbeman EJ, Ausman RK, Schneider TCAuthor
Edward J. Quebbeman MD Emeritus Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
CalorimetryEnergy Metabolism
Female
Humans
Male
Nutrition Disorders
Parenteral Nutrition
Parenteral Nutrition, Total
Postoperative Complications
Surgical Procedures, Operative
Wounds and Injuries
