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Actual burn nutrition care practices: an update
Caran Graves1, Jeffrey Saffle, Amalia Cochran
1Department of Nutrition Care, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
Summary
Current burn center nutrition care shows increased dietitian experience and specialized formulas. Indirect calorimetry and glucose control protocols are more common, alongside anabolic steroid and supplement use.
Area of Science:
- Clinical Nutrition
- Burn Care Management
- Dietetic Practices
Background:
- Nutrition support is critical for burn patient recovery.
- Practices have evolved since the 1989 Williamson survey.
- Current practices in North American burn centers require updated assessment.
Purpose of the Study:
- To determine the current scope of nutrition care in burn centers.
- To identify changes in nutrition practices since 1989.
- To document the experience and training of burn dietitians.
Main Methods:
- A 64-question survey was emailed to 103 North American burn centers.
- IRB approval was obtained prior to data collection.
- Sixty-five centers (63%) responded, providing data on 45-50 questions each.
Main Results:
- Dietitians report increased experience (>5 years) and advanced training.
- Use of indirect calorimetry (78%) and specialized formulas (high-protein, immune-enhancing) has increased.
- Anabolic steroid (92%) and glutamine (69%) use is common; glucose control protocols are widely implemented (80%).
Conclusions:
- Burn nutrition care has advanced with more experienced staff and specialized interventions.
- Variability persists in nutrition assessment and monitoring methods.
- Increased use of indirect calorimetry, specialized formulas, and glucose control protocols reflects evolving standards of care.
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