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The potential association of later initiation of oral/enteral nutrition on euthyroid sick syndrome in burn patients.
MedLine Citation:
PMID:  23401683     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Objective. The aim of this study was to determine if early initiation of oral/enteral nutrition in burn patients minimizes the drop in fT3 levels, reduces the potential for euthyroid sick syndrome (ESS), and shortens the length of hospital stay (LHS). Subjects and Methods. We retrospectively evaluated the statistical association of serum fT3, fT4, and TSH at the first (2nd-5th day) and second sample collection (9th-12th day) after the burn injury in 152 burn patients. Three groups were established depending on time of initiation of the oral/enteral nutrition: <24 h before the injury (Group 1), 24-48 h after the injury (Group 2), and >48 h after the injury (Group 3). Results. They were expressed as mean ± standard deviation. We found that LHS and the fT3 levels were statistically different in the 3 groups. The LHS (in days) was, respectively, in each group, 16.77 ± 4.56, 21.98 ± 4.86, and 26.06 ± 5.47. Despite the quantifiable drop in fT3, ESS was present only at the first sample collection (2.61 ± 0.92 days) in Group 3, but there was no group with ESS at the second sample collection (9.89 ± 1.01 days). Our data suggest that early initiation of nutritional supplementation decreases the length of hospitalization and is associated with decreasing fT3 serum concentration depression. Conclusion. Early initiation of oral/enteral nutrition counteracts ESS and improves the LHS in burn patients.
Authors:
Joaquín Pérez-Guisado; Jesús M de Haro-Padilla; Luis F Rioja; Leo C Derosier; Jorge I de la Torre
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Publication Detail:
Type:  Journal Article     Date:  2013-01-21
Journal Detail:
Title:  International journal of endocrinology     Volume:  2013     ISSN:  1687-8337     ISO Abbreviation:  Int J Endocrinol     Publication Date:  2013  
Date Detail:
Created Date:  2013-02-12     Completed Date:  2013-02-13     Revised Date:  2013-04-12    
Medline Journal Info:
Nlm Unique ID:  101516376     Medline TA:  Int J Endocrinol     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  707360     Citation Subset:  -    
Affiliation:
Service of Plastic, Aesthetic and Reconstructive Surgery, Reina Sofía University Hospital, Avenida Menéndez Pidal s/n, 14004 Córdoba, Spain.
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