Evaluation of the results of nutritional intervention in burn patients at the Department of Burn and Reconstructive Plastic Sugery, Hue Central Hospital
Main Article Content
Abstract
Aims: This study aims to evaluate the effectiveness of nutritional interventions in burn patients.
Subjects and methods: A prospective interventional study was conducted on 20 inpatients at the Burn and Reconstructive Plastic Sugery, Hue Central Hospital, from January to May 2025. Nutritional status was assessed upon admission (T0) and at discharge preparation (T1) by evaluating changes in body weight, paraclinical indices, and the Subjective Global Assessment (SGA) tool. Data were analyzed using SPSS 20.
Results: Males accounted for 55%, mostly under 45 years old. The primary causes of burns were high-voltage electrical burns and thermal burns, with an average burn area of 13.6 ± 10.5%. The average hospital stay was 20.5 ± 9.0 days. Malnutrition was observed in 15% of patients based on BMI, while 80% were at risk according to SGA. Patients received an average of 6.9 ± 0.7 meals/day, providing 1842.8 ± 138.1 Kcal and 74.1 ± 6.8 g of protein per day. Serum protein levels significantly improved after nutritional intervention (p < 0.05).
Conclusion: Nutritional interventions play a crucial role in optimizing burn patient treatment, improving nutritional status, enhancing treatment outcomes, and ultimately contributing to better quality of life.
Article Details
Keywords
Burns, Nutritional Intervention, Nutritional Status, Hue Central Hospital
References
2. Mistiaen P, Van den Heede K: Nutrition Support Teams: A Systematic Review. JPEN Journal of parenteral and enteral nutrition 2020, 44(6):1004-1020.
3. Nunez JH, Clark AT: Burn Patient Metabolism and Nutrition. Physical medicine and rehabilitation clinics of North America 2023, 34(4):717-731.
4. Grada A, Phillips TJ: Nutrition and cutaneous wound healing. Clinics in dermatology 2022, 40(2):103-113.
5. Nguyễn NL, Phan QK, Ngô TH, Nguyễn HA: Nghiên cứu xác định công thức tối ưu tính nhu cầu năng lượng cho bệnh nhân bỏng nặng. Tạp chí Y học Thảm hoạ và Bỏng 2022(4): tr. 80-86.
6. Trần TL, Vũ TQ, Bạch TLA, Nguyễn TB, Nguyễn DĐ: Khảo sát tình trạng dinh dưỡng và khẩu phần ăn thực tế ở bệnh nhân bỏng người lớn tại Khoa Bỏng Người lớn, Bệnh viện Bỏng Quốc gia. Tạp chí Y học Thảm hoạ và Bỏng 2023(5): tr. 45-53.
7. Shirodkar M, Mohandas KM: Subjective global assessment: a simple and reliable screening tool for malnutrition among Indians. Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology 2005, 24(6):246-250.
8. Gottschlich MM, DeLegge MH, Guenter P, Parenteral ASf, Nutrition E: The ASPEN nutrition support core curriculum: a case-based approach-the adult patient, vol. 1: Citeseer; 2007.
9. Shields BA, Nakakura AM: Nutrition Considerations for Burn Patients: Optimizing Recovery and Healing. 2023, 4(4):537-547.
10. Biolo G, Fleming Rd, Maggi Sp, Nguyen Tt, Herndon Dn, Wolfe Rrjcs: Inhibition of muscle glutamine formation in hypercatabolic patients. 2000, 99(3):189-194.
11. Yu Y-M, Young VR, Castillo L, Chapman TE, Tompkins RG, Ryan CM, Burke JFJM: Plasma arginine and leucine kinetics and urea production rates in burn patients. 1995, 44(5):659-666.
12. Gottschlich MM, Jenkins M, Warden GD, Baumer T, Havens P, Snook JT, Alexander JWJJoP, Nutrition E: Differential effects of three enteral dietary regimens on selected outcome variables in burn patients. 1990, 14(3):225-236.
13. Tihista S, Echavarría EJCN: Effect of omega 3 polyunsaturated fatty acids derived from fish oil in major burn patients: A prospective randomized controlled pilot trial. 2018, 37(1):107-112.
14. McKeever LJTAANSCCreSS, MD: American Society for Parenteral, Nutrition E: Vitamins and trace elements. 2017:143-149.
15. van Zanten AR, Petit L, De Waele J, Kieft H, de Wilde J, van Horssen P, Klebach M, Hofman ZJCC: Very high intact-protein formula successfully provides protein intake according to nutritional recommendations in overweight critically ill patients: a double-blind randomized trial. 2018, 22:1-12.
16. Azevedo JRAd, Lima HCM, Montenegro WS, Souza SCdC, Nogueira IROM, Silva MM, Muniz NdAJRBdti: Optimized calorie and high protein intake versus recommended caloric-protein intake in critically ill patients: a prospective, randomized, controlled phase II clinical trial. 2019, 31:171-179.