The significance of different predictive equations for resting energy expenditure in patients receiving invasive mechanical ventilation
10.3760/cma.j.issn.0578-1426.2018.08.012
- VernacularTitle: 不同方法检测有创机械通气患者静息能量消耗及其意义
- Author:
Xingyu JIA
1
;
Chen HUA
;
Lijun LIU
;
Jianjun ZHU
Author Information
1. Department of Intensive Care Unit, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China
- Publication Type:Case Reports
- Keywords:
Energy metabolism;
Indirect calorimetry;
Ventilators, mechanical
- From:
Chinese Journal of Internal Medicine
2018;57(8):596-598
- CountryChina
- Language:Chinese
-
Abstract:
To calculate resting energy expenditure (REE) in patients receiving invasive mechanical ventilation and compare different predictive equations with indirect calorimetry(IC).A total of 60 patients in intensive care unit(ICU) were enrolled. Measure calculating daily REE in the first week included IC, Harris-Benedict formula, Penn State formula and Swinamer formula. Daily REE did not exhibit significant difference in the first week of mechanical ventilation by IC (all P>0.05).All patients' REE values by IC were higher than those by Harris-Benedict formula (all P<0.01). By Penn State formula, REE in day l, 2, and 5 were comparable (all P>0.05) with those by IC, whereas the consistency between the two methods was poor. Similarly, daily REE by Swinamer formula calculation in the first week did not show significant difference (all P>0.05), with acceptable consistency as IC. Resting energy expenditure in patients receiving invasive mechanical ventilation dose not significantly change during the first week. Swinamer formula is more accurate than other equations when IC is considered as the standard method.