在患有严重烧伤的患者中,高超代谢恶化与白细胞计数增加
Beth A Shields1, Alexis D Caponera1, Jasmine D Geromiller2
1Burn Center, U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, TX, US.
概括
在严重烧伤患者中,意外减肥的预测因素包括白细胞数量升高,热量不足和达到最低体重的时间. 了解这些因素可以帮助管理烧伤后的代谢反应.
科学领域:
- 烧伤护理 烧伤护理
- 代谢反应的反应
- 炎症 炎症是一种炎症.
背景情况:
- 严重的体重减轻是大烧伤后的一个已知的并发症,通常与超高代谢期间的营养支持不足有关.
- 虽然临床策略已经尽量减少体重减轻,但一些患者仍然经历了意想不到的减肥.
研究的目的:
- 确定大烧伤 (≥20% TBSA) 的成年患者意外体重减轻的预测因素.
主要方法:
- 在2017年9月至2023年2月期间入院的63名成年烧伤患者 (≥20%的TBSA) 的回顾性描述性研究.
- 使用多变量分析来评估影响减肥的因素,包括从受伤到最低体重的几天,平均白细胞 (WBC) 数乘以几天和热量赤字.
主要成果:
- 在31天的时间里,患者的体重平均下降了3公斤.
- 体重减轻的重要预测因素是从受伤到最低体重的几天,平均WBC x天和热量赤字 (p <0.01).
- 预测方程解释了减肥变异的54% (R2=0.54).
结论:
- 升高的白细胞计数,可能表明败血症或全身炎症,有助于比预期的超高代谢反应增加.
- 建议在高WBC患者中使用代谢车研究进行进一步的研究,以更好地理解这种关系.
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