Abstract

TORRES AMARO, Alejandro; JIMENEZ GARCIA, Rafael  and  SANTANA PORBEN, Sergio. Nutritional support and its relation to some prognostic indicators of burnt child. Rev Cubana Pediatr [online]. 2011, vol.83, n.4, pp.346-355. ISSN 0034-7531.

Introduction: burns are one of the major causes of accidents in child. Its size and the hypercatabolic status are determinant factors of treatment dynamics and the survival of child with large burns. Objective: to look for the possible relation between the nutritional support established during the firsts hours after resuscitation with some prognostic indicators in burnt children. Methods: an analytical and retrospective study was conducted including 252 children admitted in the burn service of the "Juan Manuel Márquez" Teaching Children Hospital of Marianao in La Habana with a stay higher of 7 days during the decade of 2000 to 2009. From the audit of medical records it was obtained the following prognostic indicators of burnt child: burnt body surface, stay time, weight loss percentage and mortality. Likewise it was possible to obtain information about the type of metabolic nutritional support used during treatment. Results: the above mentioned more used support was mixed where is combined the peripheral enteral and parenteral modality covering the 52 % of treated patients. The children with less percentage of weight loss (under 10 %) received the exclusive enteral way (53,1 % of treated cases) and in the 37,4 % the support was mixed, but using the peripheral modality of parenteral use. Conclusions: the nutritional strategy used in burnt child may to modify some prognostic indicators and must to be a therapeutical priority to prevent the clinical deterioration of these patients.

Keywords : burns; weight loss; nutritional support.

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