{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:18:45Z","timestamp":1782271125269,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Severe burn injuries are associated with hypermetabolism. This study aimed to compare the measured energy expenditure (mEE) with predicted energy requirements (pERs), and to correlate energy expenditure (EE) with clinical parameters in adults with severe burn injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were retrospectively analysed on 29 burn patients (median (interquartile range) age: 46 (28\u201361) years, % total body surface area burn: 37% (18\u201346%)) admitted to an intensive care unit. Indirect calorimetry was performed on 1\u20134 occasions per patient to measure EE. mEE was compared with pER calculated using four prediction equations. Bland\u2013Altman and correlation analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean\u2009\u00b1\u2009SD mEE was 9752\u2009\u00b1\u20092089\u2009kJ\/day (143\u2009\u00b1\u200932% of predicted basal metabolic rate). Bland\u2013Altman analysis demonstrated clinically important overestimation for three of the four prediction equations and wide 95% limits of agreement for all equations. Overestimation of EE was more marked early post\u2010burn. mEE correlated with day post\u2010burn (<jats:italic>r<\/jats:italic>\u2009=\u20090.42, <jats:italic>P<\/jats:italic>\u2009=\u20090.004) and number of operations prior to first EE measurement (<jats:italic>r<\/jats:italic>\u2009=\u20090.34, <jats:italic>P<\/jats:italic>\u2009=\u20090.016), but not with % total body surface area (<jats:italic>r<\/jats:italic>\u2009=\u20090.02, <jats:italic>P<\/jats:italic>\u2009=\u20090.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with severe burn injury exhibit hypermetabolism. The observed poor agreement between pER and mEE at an individual level indicates the value of indirect calorimetry in determining EE in burn injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15119","type":"journal-article","created":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T06:39:30Z","timestamp":1554878370000},"page":"578-583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Predictive energy equations are inaccurate for determining energy expenditure in adult burn injury: a retrospective observational study"],"prefix":"10.1111","volume":"89","author":[{"given":"James","family":"Leung","sequence":"first","affiliation":[{"name":"Victorian Adult Burns Service The Alfred Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma J.","family":"Ridley","sequence":"additional","affiliation":[{"name":"Nutrition Department The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Cleland","sequence":"additional","affiliation":[{"name":"Victorian Adult Burns Service The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Surgery, Central Clinical School Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua F.","family":"Ihle","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine The Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eldho","family":"Paul","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5735-8044","authenticated-orcid":false,"given":"Susannah J.","family":"King","sequence":"additional","affiliation":[{"name":"Victorian Adult Burns Service The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Nutrition Department The Alfred Hospital  Melbourne Victoria Australia"},{"name":"Department of Dietetics, Human Nutrition and Sport La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318176c4b3"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607111417446"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0021245"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2013.02.012"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2006.06.014"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198409000-00007"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000060260.61478.A7"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000089641.06306.68"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2009.05.001"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1538-4"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2006.00661.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.12.008"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.08.037"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e31817db85f"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115621863"},{"key":"e_1_2_7_17_1","unstructured":"NSW Statewide Burn Injury Service. Clincial practical guidelines nutrition burn patient management.2011. [Cited 19 May 2018.] Available from URL:https:\/\/www.aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0009\/162639\/SBIS_Nutrition_CPG_new_format.pdf(forthcoming)."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114567898"},{"key":"e_1_2_7_19_1","first-page":"1073","article-title":"AARC clinical practice guideline. Metabolic measurement using indirect calorimetry during mechanical ventilation\u20142004 revision & update","volume":"49","year":"2004","journal-title":"Respir. 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