Influence of body and environmental temperature on resting energy expenditure in severe burn patients

Phan Quoc Khanh1, Nguyen Nhu Lam2,, Nguyen Hai An2
1 Military hospital 4th
2 Le Huu Trac National Burn Hospital

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Abstract

This study evaluated the relationship between body temperature and the effect of room temperature on resting energy expenditure in 62 adult patients with severe burns. The core temperature increased steadily, peaked on the 14th day after burn, then gradually decreased and remained higher than the physiological level. Measured resting energy expenditure was 4.2 - 5.6 times higher than predicted ones based on the increase in body temperature at all times. When the room temperature reduced from 300C to 270C, the resting energy expenditure significantly increased from 2874.36 ± 528.19 Kcal/day to 3085.65 ± 634.05 Kcal/day (p < 0.01). It is necessary to keep a warm environment for severe burn patients to reduce hypermetabolic response.

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References

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