Effect of nutritional regimen for moderate burn patients on graft take

ABSTRACT

Early and individually estimated nutritional care plan is considered to be an important component of therapy for burn healing and graft take. This study aimed to determine the effect of nutritional regimen for moderate burn patients on graft take. It was carried out at the Burns Units of the Main University Hospital in Alexandria. Fifty recent moderate burned patients within 12 hours post burn were included. Included patients were divided sequentially into a control [n=30] and an experimental [n=20] groups and they were uncomplicated with any condition or disease that recommends special dietary regimen. Four tools were developed and used for data collection. A nutritional assessment sheet, food intake record, graft checklist, and dietary plans were done individually for the experimental group. Weekly modifications were done as required. Calculations of caloric requirements were based on Curreri formula [25 Kcal x weight [Kg]] + [40 Kcal x% TBSA]. Adequate level of caloric intake was attained by all patients of the experimental group versus only 20% of patients of the control group. Half of the control group reached the satisfactory level, however the intake of the rest percentage [30%] was unsatisfactory. The majority of both control and experimental groups [90% and 100%] respectively reached the adequate level of fat intake. Unsatisfactory level of fat intake was recorded by only 10% of the patients of control group. Adequate level of food intake-especially calories and proteins, showed significant relationship with graft take among burned patients despite the deterioration which was noticed in the nutritional indicators as anthropometric measurements and laboratory investigations