High-carbohydrate, high-protein, low-fat versus low-carbohydrate, high-protein, high-fat enteral feeds for burns
The available evidence suggests that use of high-carbohydrate, high-protein, low-fat enteral feeds in patients with at least 10% total body surface area burns might reduce the incidence of pneumonia compared with use of a low-carbohydrate, high-protein, high-fat diet. The available evidence is inconclusive regarding the effect of either enteral feeding regimen on mortality. Note that the available evidence is limited to two small studies judged to be of moderate risk of bias.
In people with burn injuries energy and protein requirements increase to approximately double the requirements of a healthy person. Aggressive high-protein enteral feeding is used in the post-burn period to improve recovery and healing. However, inappropriate nutritional support could lead to adverse outcomes. This review examines the evidence for improved clinical outcomes in burn patients treated with high-carbohydrate, high-protein, low-fat enteral feeds (high-carbohydrate enteral feeds) compared with those treated with low-carbohydrate, high-protein, high-fat enteral enteral feeds (high-fat enteral feeds).
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