PMID- 7762893
OWN - NLM
STAT- MEDLINE
DCOM- 19950623
LR  - 20071115
IS  - 0003-1348 (Print)
IS  - 0003-1348 (Linking)
VI  - 61
IP  - 6
DP  - 1995 Jun
TI  - Injury severity score as a guide to nutritional management of the pediatric 
      trauma patient.
PG  - 475-80
AB  - Age, degree of injury, different metabolic rates, and growth complicate the 
      estimation of nutritional requirements in the pediatric trauma victim. This study 
      was designed to determine energy requirements of the injured child in relation to 
      injury severity. Fourteen patients of 600 seen in a 5-year period met our 
      criteria for evaluation with significant weight loss, caloric deficit recorded to 
      the lowest weight, and details of injury. There were 10 males and four females 
      with a mean age of 11.24 years (+/- 5.5). Mean injury scores included ISS 24.24 
      +/- 5.96, PTS 4.8 +/- 1.7, and TSS 11.79 +/- 2.78. The closest Theoretical 
      Caloric Requirement (ThCR) that would have produced the Cumulative Caloric 
      Deficit was calculated from the actual weight loss and Caloric Intake. Eighty-six 
      per cent of the ThCR were less than or equal to the 1989 Recommended Dietary 
      Allowances (RDA) (mean -16.43 +/- 24%). The per cent increase of the ThCR above 
      the basal was significantly higher for lower ISS scores (P < 0.05). When compared 
      to RDA, the per cent change of the ThCR for mild injuries were 1.8 +/- 27.9% 
      above the RDA and were 26.5 +/- 17.2% below the RDA for the severe injuries. 
      These findings are consistent with the child with milder injuries resuming 
      activity and the growth process earlier than a severely injured child. We would 
      recommend calculating caloric requirements based on the RDA for milder injuries 
      and on 0.75 RDA for the more severely injured child (ISS > 25).
FAU - Tormoen, S
AU  - Tormoen S
AD  - Department of Surgery, University of South Alabama College of Medicine, Mobile, 
      USA.
FAU - Powell, R W
AU  - Powell RW
FAU - Luterman, A
AU  - Luterman A
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Energy Intake
MH  - Energy Metabolism
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Humans
MH  - *Injury Severity Score
MH  - Male
MH  - Multiple Trauma/classification/metabolism/*therapy
MH  - Nutritional Requirements
MH  - *Nutritional Support/methods
MH  - Therapy, Computer-Assisted
MH  - Weight Loss
EDAT- 1995/06/01 00:00
MHDA- 1995/06/01 00:01
CRDT- 1995/06/01 00:00
PHST- 1995/06/01 00:00 [pubmed]
PHST- 1995/06/01 00:01 [medline]
PHST- 1995/06/01 00:00 [entrez]
PST - ppublish
SO  - Am Surg. 1995 Jun;61(6):475-80.