THEORY AND PRACTICE OF RESTING ENERGY EXPENDITURES EVALUATION OF THE PATIENTS IN THE INTENSIVE CARE DEPARTMENTS
https://doi.org/10.21292/2078-5658-2016-13-4-61-67
Abstract
Nutritive support is the equally important component of the intensive care and it is impossible without the adequate evaluation of resting energy expenditures (REE) of a specific patient. This article describes the most common evaluation techniques of REE, among which the technique of the indirect calorimetry is the most informative. The review included calculation equations for REE evaluations studied the most. The most sensitive equation which informativeness is confirmed by prospective studies is Penn State formula, and the Harris-Benedict equation is not suitable for the use in the intensive care department. It is worth highlighting that the use of equations is acceptable only when the indirect calorimetry technique is not available.
About the Authors
S. M. Efremov
Anesthesiology and Intensive Care Center by E. N. Meshalkin Research Institute of Blood Circulation Pathology, Novosibirsk
Russian Federation
Doctor of Medical Sciences, Senior Researcher of Anesthesiology and Intensive Care Center
Russian Federation
Doctor of Medical Sciences, Senior Researcher of Anesthesiology and Intensive Care Center
V. O. Talaban
Anesthesiology and Intensive Care Center by E. N. Meshalkin Research Institute of Blood Circulation Pathology, Novosibirsk
Russian Federation
Doctor of Intensive Care Department for Adults
Russian Federation
Doctor of Intensive Care Department for Adults
V. V. Artemieva
Novosibirsk State Medical University, Novosibirsk
Russian Federation
Student
Russian Federation
Student
M. N. Deryagin
Anesthesiology and Intensive Care Center by E. N. Meshalkin Research Institute of Blood Circulation Pathology, Novosibirsk
Russian Federation
Candidate of Medical Sciences, Senior Researcher of of Anesthesiology and Intensive Care Center
Russian Federation
Candidate of Medical Sciences, Senior Researcher of of Anesthesiology and Intensive Care Center
V. V. Lomivorotov
Anesthesiology and Intensive Care Center by E. N. Meshalkin Research Institute of Blood Circulation Pathology, Novosibirsk
Russian Federation
Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intesive Care Center
Russian Federation
Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intesive Care Center
References
1. Efremov S.M., Lomivorotov V.V., Deryagin M.N. et al. Choice of formula for early enteral feeding in cardiac surgery. Vestnik Intens. Terapii, 2014, vol. 2, pp. 43-51. (In Russ.)
2. Leyderman I.N., Malkova O.G., Levit А.L. et al. Protocols and procedures of nutritional support in the surgical clinic. Vestn. Ural. Med. Akad. Nauki, 2009, vol. 3, pp. 89-91. (In Russ.)
3. Popova T.S., Shestopalov А.E., Protsenko D.N. et al. Practice of nutritional support in the intensive care departments of the Russian Federation. Vestnik Anasteziol. i Reanimatol., 2011, vol. 8, pp. 7-10. (In Russ.)
4. Boullata J., Williams J., Cottrell F., et al. Accurate determination of energy needs in hospitalized patients. J. Am. Diet. Assoc., 2007, vol. 107, pp. 393-401.
5. Bursztein S., Saphar P., Singer P. et al. A mathematical analysis of indirect calorimetry measurements in acutely ill patients. Am. J. Clin. Nutr., 1989, vol. 50, pp. 227-230.
6. Brandi L.S., Santini L., Bertolini R. et al. Energy expenditure and severity of injury and illness indices in multiple trauma patients. Crit. Care Med., 1999, vol. 27, pp. 2684-2689.
7. Braunschweig C., Gomez S., Sheean P.M. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days. J. Am. Diet. Assoc., 2000, vol. 100, pp. 1316-1322.
8. Campbell C.G., Zander E., Thorland W. Predicted vs measured energy expenditure in critically ill, underweight patients. Nutr. Clin. Pract., 2005, vol. 20, pp. 276-280.
9. Cerra F.B., Benitez M.R., Blackburn G.L. et al. Applied nutrition in ICU patients. A consensus statement of the American College of Chest Physicians. Chest, 1997, vol. 111, pp. 769-778.
10. Dickerson R.N., Gervasio J.M., Riley M.L. et al. Accuracy of predictive methods to estimate resting energy expenditure of thermally-injured patients. JPEN. J. Parenter. Enteral Nutr., 2002, vol. 26, pp. 17-29.
11. Faisy C., Guerot E., Diehl J.L. et al. Assessment of resting energy expenditure in mechanically ventilated patients. Am. J. Clin. Nutr., 2003, vol. 78, pp. 241-249.
12. Fung E.B. Estimating energy expenditure in critically ill adults and children. AACN Clin. 2000, issues 11, pp. 480-497.
13. Frankenfield D. Energy Dynamics, in: Matarese L, Gottschlich M, eds. (ed): Contemp. Nutr. Support Pract. (ed 2-nd). Philadelphia, PA, Saunders. 2003, pp. 100.
14. Frankenfield D.C., Ashcraft C.M. Estimating energy needs in nutrition support patients. JPEN. J. Parenter. Enteral Nutr., 2011, vol. 35, pp. 563-570.
15. Frankenfield D.C., Ashcraft C.M., Galvan D.A. Longitudinal prediction of metabolic rate in critically ill patients. JPEN. J. Parenter. Enteral Nutr., 2012, vol. 36, pp. 700-712.
16. Frankenfield D.C., Ashcraft C.M., Galvan D.A. Prediction of resting metabolic rate in critically ill patients at the extremes of body mass index. JPEN. J. Parenter. Enteral Nutr., vol. 37, pp. 361-367.
17. Frankenfield D.C., Coleman A., Alam S. et al. Analysis of estimation methods for resting metabolic rate in critically ill adults. JPEN. J. Parenter. Enteral Nutr., 2009, vol. 33, pp. 27-36.
18. Frankenfield D., Hise M., Malone A. et al. Prediction of resting metabolic rate in critically ill adult patients: results of a systematic review of the evidence. J. Am. Diet. Assoc., 2007, vol. 107, pp. 1552-1561.
19. Frankenfield D.C., Smith J.S., Cooney R.N. Validation of 2 approaches to predicting resting metabolic rate in critically ill patients. JPEN. J. Parenter. Enteral Nutr., 2004, vol. 28, pp. 259-264.
20. Glynn C.C., Greene G.W., Winkler M.F., et al. Predictive versus measured energy expenditure using limits-of-agreement analysis in hospitalized, obese patients. JPEN. J. Parenter. Enteral Nutr., vol. 23, pp. 147-154.
21. Gottschlich M.M., DeLegge M.H., Guenter P. The A.S.P.E.N. Nutrition Support Core Curriculum: A Case-Based Approach – The Adult Patient. Silver Spring, MD, American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). 2007, URL: http://media.axon.es/pdf/77790.pdf
22. Hamwi G. Therapy: changing dietary concepts, in: Danowski T, ed. (ed): Diabetes Mellit. Diagnosis Treat. vol. 1, New York, NY, American Diabetes Association. 1964, pp. 73-78.
23. Haugen H.A., Chan L.N., Li F. Indirect calorimetry: a practical guide for clinicians. Nutr. Clin. Pract., 2007, vol. 22, pp. 377-388.
24. Harris J.A., Benedict F. A biometric study of basal metabolism in man. Wash-ington DC, Washington DC, 1919. 284 p.
25. Heidegger C.P., Berger M.M., Graf S. et al. Optimisation of energy provision with supplemental parenteral nutrition in critically ill patients: a randomised controlled clinical trial. Lancet (London, England), 2013, vol. 381, pp. 385-393.
26. Heyland D.K., Schroter-Noppe D., Drover J.W. et al. Nutrition support in the critical care setting: current practice in canadian ICUs-opportunities for improvement?. JPEN. J. Parenter. Enteral Nutr., 2003, vol. 27, pp. 74-83.
27. Ireton-Jones C., Jones J.D. Improved equations for predicting energy expenditure in patients: the Ireton-Jones Equations. Nutr. Clin. Pract., 2002, vol. 17, pp. 29-31.
28. MacDonald A., Hildebrandt L. Comparison of formulaic equations to determine energy expenditure in the critically ill patient. Nutrition, 2003, vol. 19, pp. 233-239.
29. Martin K., Wallace P., Rust P.F. et al. Estimation of resting energy expenditure considering effects of race and diabetes status. Diabetes Care, 2004, vol. 27, pp. 1405-1411.
30. McClave S.A., Lowen C.C., Kleber M.J. et al Clinical use of the respiratory quotient obtained from indirect calorimetry. JPEN. J. Parenter. Enteral Nutr., 2003, vol. 27, pp. 21-26.
31. McClave S.A., McClain C.J., Snider H.L. Should indirect calorimetry be used as part of nutritional assessment?. J. Clin. Gastroenterol., 2001, vol. 33, pp. 14-19.
32. Mifflin M.D., St Jeor S.T., Hill L.A. et al. A new predictive equation for resting energy expenditure in healthy individuals. Am. J. Clin. Nutr., 1990, vol. 51, pp. 241-247.
33. Roza A.M., Shizgal H.M. The Harris Benedict equation reevaluated: resting energy requirements and the body cell mass. Am. J. Clin. Nutr., 1984, vol. 40, pp. 168-182.
34. Singer P., Anbar R., Cohen J. et al. The tight calorie control study (TICACOS): a prospective, randomized, controlled pilot study of nutritional support in critically ill patients. Intens. Care Med., vol. 37, 2011, pp. 601-609.
35. Singer P., Pogrebetsky I., Attal-Singer J. et al Comparison of metabolic monitors in critically ill, ventilated patients. Nutrition, 2006, vol. 22, pp. 1077-1086.
36. Somanchi M., Tao X., Mullin G.E. The facilitated early enteral and dietary management effectiveness trial in hospitalized patients with malnutrition. JPEN. J. Parenter. Enteral Nutr., 2011, vol. 35, pp. 209-216.
37. Sundström M., Tjäder I., Rooyackers O. et al. Indirect calorimetry in mechanically ventilated patients. A systematic comparison of three instruments. Clin. Nutr., 2013, vol. 32, pp. 118-121.
38. Swinamer D.L., Grace M.G., Hamilton S.M. et al. Predictive equation for assessing energy expenditure in mechanically ventilated critically ill patients. Crit. Care Med., 1990, vol. 18, pp. 657-661.
39. Walker R.N., Heuberger R.A. Predictive equations for energy needs for the critically ill. Respir. Care, 2009, vol. 54, pp. 509-521.
40. Wier J.B. New methods for calculating metabolic rate with special reference to protein metabolism. J. Physiol., 1949, vol. 109, pp. 1-9.
41. Wooley J.A., Sax H.C. Indirect calorimetry: applications to practice. Nutr. Clin. Pract., 2003, vol. 18, pp. 434-439.
42. Zijlstra N., ten Dam S.M., Hulshof P.J.M. et al. 24-hour indirect calorimetry in mechanically ventilated critically ill patients. Nutr. Clin. Pract., 2007, vol. 22, pp. 250-255.
Review
For citations:
Efremov S.M., Talaban V.O., Artemieva V.V., Deryagin M.N., Lomivorotov V.V. THEORY AND PRACTICE OF RESTING ENERGY EXPENDITURES EVALUATION OF THE PATIENTS IN THE INTENSIVE CARE DEPARTMENTS. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2016;13(4):61-67. (In Russ.) https://doi.org/10.21292/2078-5658-2016-13-4-61-67
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