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Effect of early enteral nutrition on morbidity and mortality in children with burns.
MedLine Citation:
PMID:  20403667     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
MATERIALS AND METHODS: This clinical trial was carried out with a total number of 688 children with burns hospitalised in the Burn Department across a 2-year period (September 2002-September 2004). The subjects were randomised into two groups. A total of 322 patients received only intravenous resuscitation, in accordance with current treatment protocols, in the first 48 h and were considered as the late enteral nutrition group (LEN group); 366 patients were nourished early enteral nutrition group (EEN group), such that both groups received similar amounts of fluid in the first 48 h. Initiation of enteral nutrition commenced between 3 and 6 h following the burn. The patients were kept in the unit until they were discharged. Wound management did not vary between groups.
RESULTS: In our study, the mean age was 5±3 years in the LEN group and 5±3.5 years in the EEN group. Hot liquids were the most common cause of burns in both groups. The mean percentage of burn was reported as 20±13 in the LEN group and 22±15 in the EEN group. Mean duration of hospitalisation was 16.4±3.7 days in the LEN group and 12.6±1.3 in the EEN group for cured patients (P<0.05). A total of 40 patients (12%) in the LEN group and 31 patients (8.5%) in the EEN group expired (P<0.05).
CONCLUSION: Our research showed that EEN decreases duration of hospitalisation and mortality in children with burns.
Authors:
Enayatollah Nemat Khorasani; Fariba Mansouri
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Publication Detail:
Type:  Journal Article     Date:  2010-04-18
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  36     ISSN:  1879-1409     ISO Abbreviation:  Burns     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1067-71     Citation Subset:  IM    
Copyright Information:
Copyright © 2009 Elsevier Ltd and ISBI. All rights reserved.
Affiliation:
Department of Pediatrics, Kermanshah University of Medical Sciences, Mashhad, Khorasan, Iran. khorasani@dr.com
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