Table 14.2.
Factors affecting energy expenditure in burn patients
| Increase | Decrease | No effect | |
|---|---|---|---|
| Physiologic effects | |||
| Age | √ | ||
| Malnutrition | √ | ||
| Wound size | √ | ||
| Sepsis | √ | ||
| Protein catabolism | √ | ||
| Pancreatitis | √ | ||
| Pain | √ | ||
| Fever | √ | ||
| Treatment effects | |||
| Mechanical ventilation | √ | ||
| Wound closure | √ | ||
| Warm environment | √ | ||
| Surgical procedure | √ | ||
| Initiation of nutrition support | √ | ||
| Physical therapy | √ | ||
| Medication effects | |||
| Growth hormone | √ | ||
| Corticosteroids | √ | ||
| Vasoactive agents | √ | ||
| Neuromuscular blockade | √ | ||
Reprinted from Burns: Journal of the International Society for Burn Injuries, Ref. [56], Copyright 2007, with permission from Elsevier