{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T01:57:46Z","timestamp":1784944666586,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,9]],"date-time":"2020-12-09T00:00:00Z","timestamp":1607472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Research regarding the impact of acute spinal cord injury (aSCI) on energy expenditure is limited. Patients with aSCI are prone to complications of both over\u2010 and under\u2010feeding, making appropriate nutrition support pivotal to patient care. The purpose of this study was to describe energy expenditure and assess the performance of predictive equations in mechanically ventilated adults with aSCI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adult patients admitted to a single trauma center from March 2017 through June 2018 with aSCI and a documented indirect calorimetry (IC) within 6 weeks of injury were included for analysis. Predictive equations evaluated included Penn State 2003b (PS 2003b), the derived Weir equation, 25 kcal\/kg and 30 kcal\/kg. Sub\u2010set analysis was performed for patients with and without obesity, isolated aSCI, and concomitant traumatic injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On hundres fifteen IC studies in 51 patients were included for analysis. Median energy expenditure was 1747 kcal\/day (interquartile range [IQR], 1492\u20132099 kcal\/day), or 22.7 kcal\/kg (IQR, 19.3\u201325.9 kcal\/kg). When stratified by hospital day, energy expenditure ranged from 20 to 25 kcal\/kg. PS 2003b and the derived Weir equation had similar correlation coefficients (<jats:italic>r<\/jats:italic> = 0.81 and 0.82, respectively). The 25 and 30 kcal\/kg performed unacceptably (<jats:italic>r<\/jats:italic> = 0.61). PS 2003b predicted within 10% of measured energy expenditure most frequently. All equations were biased towards overfeeding, except for PS 2003b in the obese subset.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the absence of IC, PS 2003b or the derived Weir equation may be acceptable predictive equations in this population. However, bedside clinicians should monitor carefully for signs and symptoms of overfeeding.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10609","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T16:29:04Z","timestamp":1607617744000},"page":"464-471","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Measured vs Predicted Energy Expenditure in Mechanically Ventilated Adults With Acute, Traumatic Spinal Cord Injuries"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8060-5389","authenticated-orcid":false,"given":"Stacy L.","family":"Pelekhaty","sequence":"first","affiliation":[{"name":"University of Maryland Medical Center  Baltimore Maryland USA"},{"name":"R Adams Cowley Shock Trauma Center  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine L.","family":"Ramirez","sequence":"additional","affiliation":[{"name":"St. Luke's University Health Network  Bethlehem Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Massetti","sequence":"additional","affiliation":[{"name":"R Adams Cowley Shock Trauma Center  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dino","family":"Gaetani","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Riggin","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center  Baltimore Maryland USA"},{"name":"R Adams Cowley Shock Trauma Center  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Schwartzbauer","sequence":"additional","affiliation":[{"name":"University of Maryland Medical Center  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deb M.","family":"Stein","sequence":"additional","affiliation":[{"name":"Zuckerberg San Francisco General  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"National Spinal Cord Injury Statistical Center, Facts and Figures at a Glance","year":"2019"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607191015003319"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607189013003277"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066611403270"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115621863"},{"key":"e_1_2_7_7_1","volume-title":"International Standards for Neurological Classifications of Spinal Cord Injury","author":"American Spinal Injury Association","year":"2000"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000215112.84523.F0"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.14.1754"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607111415859"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-1087-2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2007.06.010"},{"key":"e_1_2_7_13_1","volume-title":"Trauma Nursing: From Resuscitation Through Rehabilitation","author":"Russo\u2010McCourt TA","year":"2009"},{"key":"e_1_2_7_14_1","unstructured":"Academy of Nutrition and Dietetics Evidence Analysis Library.SCI: Assessment: Energy Needs in Acute and Rehabilitation Phases 2009. 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