Nutrition and metabolism in burn patients

Audra Clark, Jonathan Imran, Tarik Madni, Steven E. Wolf

Research output: Contribution to journalReview articlepeer-review


Severe burn causes significant metabolic derangements that make nutritional support uniquely important and challenging for burned patients. Burn injury causes a persistent and prolonged hypermetabolic state and increased catabolism that results in increased muscle wasting and cachexia. Metabolic rates of burn patients can surpass twice normal, and failure to fulfill these energy requirements causes impaired wound healing, organ dysfunction, and susceptibility to infection. Adequate assessment and provision of nutritional needs is imperative to care for these patients. There is no consensus regarding the optimal timing, route, amount, and composition of nutritional support for burn patients, but most clinicians advocate for early enteral nutrition with high-carbohydrate formulas. Nutritional support must be individualized, monitored, and adjusted throughout recovery. Further investigation is needed regarding optimal nutritional support and accurate nutritional endpoints and goals.

Original languageEnglish (US)
Article number11
JournalBurns and Trauma
Issue number1
StatePublished - Dec 1 2017
Externally publishedYes


  • Burn
  • Critical care
  • Metabolism
  • Nutrition

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine
  • Surgery
  • Biomedical Engineering
  • Dermatology
  • Immunology and Allergy


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