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Biomedical subjects

C S Ireton

Publications and source records attributed to C S Ireton.

3 recordsLinked to original sources

Evaluation of energy expenditures in burn patients.

Energy expenditures were estimated using the Curreri equation (CEE), the Harris-Benedict equations (HBEE), and a modification of the Harris-Benedict equations (MHBEE) and then were measured by indirect calorimetry (MEE) in 17 adult patients with burns covering 26% to 79% of their body surface areas. The mean CEE (3,831 kcal/day) was significantly greater, and the mean HBEE (1,813 kcal/day) was significantly less than the mean MEE (2,500 kcal/day). The mean MHBEE (2,720 kcal/day) and the mean MEE were not significantly different.

Adult↗

Predicting energy expenditures in burned patients.

Daily caloric requirements in patients with major burns are frequently estimated using the Curreri formula (25 X body weight (kg) + 40 X % BSA burned). In nonburned patients modifications of the Harris-Benedict formulas have been used to estimate energy requirements. These equations have not been validated against measured energy expenditures in burned patients. Thirty-five patients with second- and third-degree burns covering from 10 to 75% of the body surface area underwent assessments of energy expenditures by indirect calorimetry and by the Curreri and Harris-Benedict formulas. The mean energy expenditure calculated from the Harris-Benedict formulas (BEE) underestimated the mean measured energy expenditure (MEE) by 23% (p less than 0.001), while the mean energy expenditure calculated from the Curreri formula (CEE) overestimated the mean MEE by 58% (p less than 0.001). There were significant correlations between the MEE, BEE, and CEE. In patients with burns greater than 20% of the body surface area, the correlation between MEE and BEE was higher than that found with the Curreri formula.

Adolescent↗