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Prolonged progressive hypermetabolism during COVID-19 hospitalization undetected by common predictive energy equations by Niederer, Laura E. (author);Miller, Hilary (author);Haines, Krista L. (author);Molinger, Jeroen (author);Whittle, John (author);MacLeod, David B. (author);McClave, Stephen A. (author);Wischmeyer, Paul E. (author) is a Medicine article available to read on EtoBox.
What is Prolonged progressive hypermetabolism during COVID-19 hospitalization undetected by common predictive energy equations about?
## Background & aims: Indirect calorimetry (ic) is the gold-standard for determining measured resting energy expenditure (mree) in critical illness. when ic is not available, predicted resting energy expenditure (pree) equations are commonly utilized, which often inaccurately predict metabolic demands leading to over- or under-feeding. this study aims to longitudinally assess mree via ic in critically ill patients with sars-cov-2 (covid-19) infection throughout the entirety of, often prolonged, intensive care unit (icu) stays and compare mree to commonly utilized pree equations. ## Methods: This single-center prospective cohort study of 38 mechanically ventilated covid-19 patients from april 1, 2020 to february 1, 2021. the q-nrg® metabolic monitor was used to obtain ic data. the harris-benedict (hb), mifflin st-jeor (msj), penn state university (psu), and weight-based equations from the american society of parenteral and enteral nutrition - society of critical care medicine (aspen-sccm) clinical guidelines were utilized to assess the accuracy of common pree equations and their ability to predict hypo/hypermetabolism in covid-19 icu patients. ## Results: The ic measures collected r
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- Author
- Niederer, Laura E. (author);Miller, Hilary (author);Haines, Krista L. (author);Molinger, Jeroen (author);Whittle, John (author);MacLeod, David B. (author);McClave, Stephen A. (author);Wischmeyer, Paul E. (author)
- Publisher
- Elsevier BV
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)