PMID- 19669707
OWN - NLM
STAT- MEDLINE
DCOM- 20091102
LR  - 20211020
IS  - 1432-055X (Electronic)
IS  - 0003-2417 (Linking)
VI  - 58
IP  - 8
DP  - 2009 Aug
TI  - [Intensive care patients. Determining daily energy expenditure - a comparison of 
      two methods].
PG  - 787-94
LID - 10.1007/s00101-009-1552-x [doi]
AB  - INTRODUCTION: Using indirect calorimetry (IC), required energy demand may be 
      determined. The SenseWear (SW) armband uses skin temperature, galvanic skin 
      response, heat flux, and a 2-axis accelerometer to estimate daily energy 
      expenditure (EE). The aim of the present study was to evaluate accuracy of the 
      SenseWear measurements in critically ill and ventilated patients. MATERIAL AND 
      METHODS: After approval of the local ethics committee and written informed 
      consent, critically ill and ventilated patients were enrolled. During a 24-h 
      study period EE was continuously measured using the SW armband (standardized 
      position at right upper arm); an IC was performed additionally. Measurement bias 
      (DeltaEE) was calculated as DeltaEE=EE(SW)-EE(IC). Daily energy expenditure of 
      both techniques (IC vs. SW) was compared using regression analysis and the Bland 
      Altman method. The t-Test for paired samples was used for statistical analysis, 
      p<0.05 was considered statistically significant. RESULTS AND DISCUSSION: In 
      total, 23 critically ill and ventilated patients (17 male, 6 female; means: 
      59.9+/-17.3 years; body mass index 28.0+/-6.3 kg/m(-2)) were investigated. A mean 
      bias of DeltaEE=-565.65+/-1,748.07 kJ (-135.0+/-417.2 kcal) [range: 
      -4,709.56+/-2,224.89 kJ (-1,124 to +531 kcal); p=0.3547] was calculated. 
      Bland-Altman analysis revealed that SW slightly overestimates IC energy 
      expenditure for critically ill patients in the hypo- and normocaloric range 
      [<7,123 kJ/24 h: DeltaEE=+644.42+/-1,038.70 kJ (<1,700 kcal/24 h: 
      DeltaEE=+153.8+/-247.9 kcal); p=0.0838], but significantly underestimated IC 
      values in the hypercaloric range [>10,056 kJ/24 h: DeltaEE=-2,679.09+/-1,698.63 
      kJ (>2,400 kcal/24 h: DeltaEE=-639.4+/-405.4 kcal); p=0.0098]. CONCLUSIONS: The 
      SenseWear armband is non-invasive, convenient and easy to handle, but has a 
      significant measurement bias in the hypercaloric range. Although IC is still best 
      suited to determining metabolic need in intubated patients, measurements with the 
      SenseWear armband provide significant advantages, e.g. in non-intubated patients, 
      and give a fair estimation of daily energy expenditure when used alone.
FAU - Rokuss, K
AU  - Rokuss K
AD  - Klinik fur Anasthesiologie und Operative Intensivmedizin, Universitatsmedizin 
      Mannheim, Mannheim.
FAU - Kalenka, A
AU  - Kalenka A
FAU - Bender, H-J
AU  - Bender HJ
FAU - Hinkelbein, J
AU  - Hinkelbein J
LA  - ger
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Intensivmedizinische Patienten: Abschatzung des taglichen Energiebedarfs - 
      Vergleich zweier Verfahren.
PL  - Germany
TA  - Anaesthesist
JT  - Der Anaesthesist
JID - 0370525
SB  - IM
MH  - Aged
MH  - Calorimetry, Indirect
MH  - *Critical Care
MH  - Critical Illness/*therapy
MH  - Data Interpretation, Statistical
MH  - Energy Metabolism/*physiology
MH  - Female
MH  - Galvanic Skin Response/physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Ambulatory/methods
MH  - Reproducibility of Results
MH  - Respiration, Artificial
MH  - Skin Temperature/physiology
EDAT- 2009/08/12 09:00
MHDA- 2009/11/03 06:00
CRDT- 2009/08/12 09:00
PHST- 2009/08/12 09:00 [entrez]
PHST- 2009/08/12 09:00 [pubmed]
PHST- 2009/11/03 06:00 [medline]
AID - 10.1007/s00101-009-1552-x [doi]
PST - ppublish
SO  - Anaesthesist. 2009 Aug;58(8):787-94. doi: 10.1007/s00101-009-1552-x.