An evaluation of nutritional practice in a paediatric burns unit
| dc.contributor.author | Vijfhuize, Sanne | |
| dc.contributor.author | Verburg, Manon | |
| dc.contributor.author | Marino, Luise | |
| dc.contributor.author | van Dijk, Monique | |
| dc.contributor.author | Rode, Heinz | |
| dc.date.accessioned | 2017-06-30T09:00:52Z | |
| dc.date.available | 2017-06-30T09:00:52Z | |
| dc.date.issued | 2010 | |
| dc.date.updated | 2016-01-12T08:27:01Z | |
| dc.description.abstract | Introduction. Burn injuries evoke a systemic metabolic response with profound effects on organ function, susceptibility to infection, wound healing, growth and development, and mortality. Children are especially vulnerable to nutritional deficiencies owing to their limited energy reserves. Methods. We evaluated the feeding practice in a paediatric burns unit. All children admitted to the unit were studied for a minimum of 3 consecutive days. Patients were divided into two groups: those with burns less than 20% (group 1) and burns ≥20% of total body surface area (TBSA) (group 2). Dietary prescriptions, intake, compliance with feeding practices, and the use of supplementary nutrition were assessed. Under-feeding and over-feeding were defined when there was a discrepancy between prescribed and actual food intake. Results. Forty children (mean age 5.8 years) were studied. They sustained between 2% and 55% TBSA burns. Inadequate caloric intake was seen in 19 of 29 patients and in 9 of 11 patients in groups 1 and 2, respectively. In contrast, excess protein supplementation was seen in 24 of 29 group 1 patients and 6 of 11 group 2 patients. The dietician’s food prescription was followed for 170 of 211 days; prescription compliance was correct in only 39 of 211 days. Conclusion. Adequate nutrition is essential for burns patients, but several factors can lead to either under- or over-feeding. A daily dietary consumption chart and evaluation of compliance are essential for each patient. There should be greater acceptability of tube enteral feeding. | |
| dc.identifier.apacitation | Vijfhuize, S., Verburg, M., Marino, L., van Dijk, M., & Rode, H. (2010). An evaluation of nutritional practice in a paediatric burns unit. <i>SAMJ South African Medical Journal</i>, http://hdl.handle.net/11427/24678 | en_ZA |
| dc.identifier.chicagocitation | Vijfhuize, Sanne, Manon Verburg, Luise Marino, Monique van Dijk, and Heinz Rode "An evaluation of nutritional practice in a paediatric burns unit." <i>SAMJ South African Medical Journal</i> (2010) http://hdl.handle.net/11427/24678 | en_ZA |
| dc.identifier.citation | Rode, Heinz;Marino, L V. (2010). An evaluation of nutritional practice in a paediatric burns unit, 100 | |
| dc.identifier.ris | TY - Journal Article AU - Vijfhuize, Sanne AU - Verburg, Manon AU - Marino, Luise AU - van Dijk, Monique AU - Rode, Heinz AB - Introduction. Burn injuries evoke a systemic metabolic response with profound effects on organ function, susceptibility to infection, wound healing, growth and development, and mortality. Children are especially vulnerable to nutritional deficiencies owing to their limited energy reserves. Methods. We evaluated the feeding practice in a paediatric burns unit. All children admitted to the unit were studied for a minimum of 3 consecutive days. Patients were divided into two groups: those with burns less than 20% (group 1) and burns ≥20% of total body surface area (TBSA) (group 2). Dietary prescriptions, intake, compliance with feeding practices, and the use of supplementary nutrition were assessed. Under-feeding and over-feeding were defined when there was a discrepancy between prescribed and actual food intake. Results. Forty children (mean age 5.8 years) were studied. They sustained between 2% and 55% TBSA burns. Inadequate caloric intake was seen in 19 of 29 patients and in 9 of 11 patients in groups 1 and 2, respectively. In contrast, excess protein supplementation was seen in 24 of 29 group 1 patients and 6 of 11 group 2 patients. The dietician’s food prescription was followed for 170 of 211 days; prescription compliance was correct in only 39 of 211 days. Conclusion. Adequate nutrition is essential for burns patients, but several factors can lead to either under- or over-feeding. A daily dietary consumption chart and evaluation of compliance are essential for each patient. There should be greater acceptability of tube enteral feeding. DA - 2010 DB - OpenUCT DP - University of Cape Town J1 - SAMJ South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - An evaluation of nutritional practice in a paediatric burns unit TI - An evaluation of nutritional practice in a paediatric burns unit UR - http://hdl.handle.net/11427/24678 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/24678 | |
| dc.identifier.vancouvercitation | Vijfhuize S, Verburg M, Marino L, van Dijk M, Rode H. An evaluation of nutritional practice in a paediatric burns unit. SAMJ South African Medical Journal. 2010; http://hdl.handle.net/11427/24678. | en_ZA |
| dc.language.iso | eng | |
| dc.publisher.department | Department of Paediatrics and Child Health | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.source | SAMJ South African Medical Journal | |
| dc.source.uri | http://www.samj.org.za/index.php/samj | |
| dc.title | An evaluation of nutritional practice in a paediatric burns unit | |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |