Effectiveness of Early Enteral Feeding in Major Burn Patient.
- Author:
Beong Hoon SOHN
1
;
Hyeong Tae YANG
;
Hae Jun LIM
;
Dohern KIM
;
Jun HUR
;
Wook CHUN
;
Jong Hyun KIM
;
Samuel LEE
;
Hyeon YOON
;
Yong Suk CHO
Author Information
1. Department of Burn Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. maruchigs@hallym.or.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Early enteral feeding;
Late enteral feeding;
Burn
- MeSH:
Body Surface Area;
Burns*;
Critical Illness;
Enteral Nutrition*;
Hospital Mortality;
Humans;
Length of Stay;
Lymphocyte Count;
Lymphocytes;
Methods;
Nutritional Support;
Observational Study;
Prealbumin;
Prognosis;
Prospective Studies;
Selection Bias;
Serologic Tests;
Transferrin
- From:Journal of Korean Burn Society
2013;16(2):104-108
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Early enteral feeding is recommended in cases of critical illness. However, it is unclear whether this recommendation is of most benefit to extremely ill patients. From our experiences, our authors believed that early enteral nutrition can lead to better prognosis of ICU patients. We aim to clarify the efficacy of early enteral feeding. METHODS: Eighty six critically ill patients were enrolled and grouped as "Early enteral feeding (EF)" and "Delayed enteral feeding (DF)" for this cross-sectional, prospective randomized observational study. To reduce the selection bias, we compare our groups to 20~39% (group A) TBSA (total body surface area, and 40~59% (group B) TBSA burned. BMI (body mass index), length of ICU stay, length of hospital stay, hospital mortality, serum prealbumin, serum transfferin and lymphocyte count data were collected over 28 days. RESULTS: There were no statistical differences in measured outcomes between early and late feeding groups. In serologic test; prealbumin, transferrin and lymphocyte, there is also no statistical difference except 2nd, 4th week of lymphocyte. EF group has higher lymphocyte than DF group. In the group A, however, prealbumin and transferrin was high in EF group during the whole 4 weeks of study. Comparing the ICU stay and hospital mortality, there was also no statistical significance. CONCLUSION: In this study, there is no significant association between hospital outcomes and timing of enteral feeding initiation. More active trials and many-sided studies will be needed to maximize the effect of early enteral nutritional support as a method to improve treatment for major burned patients.
