Accuracy of predictive equations for resting energy expenditure estimation in mechanically ventilated Thai patients.

IF 0.4 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Asian Biomedicine Pub Date : 2023-02-01 DOI:10.2478/abm-2023-0041

Napplika Kongpolprom

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引用次数: 0

Abstract

Background: Indirect calorimetry (IC) is the most precise approach for estimating calorie demand in critically ill patients. Despite this, owing to unaffordable devices, it is rarely used in practice. Predictive equations are the alternatives.

Objectives: To assess the accuracy of 14 predictive resting energy expenditure(REE) equations in ventilated Thai patients.

Methods: We compared the accuracy and agreement of 14 equations. The equations included the American College of Chest Physicians(ACCP) equation, Harris-Benedict equation(HBE), 1.2×HBE, 1.5×HBE, Mifflin-St. Jeor(MSJ), Ireton-Jones 1992 and 2002, Penn State 2003(HBE and MSJ) and 2010, Swinamer 1990, Faisy, Brandi 1999, and 25 kcal/kg equation. An equation was ascertained as accurate if the calculated values fell within ±10% of the measured REEs. Spearman correlation coefficient, Bland-Altman method, and intraclass correlation coefficient were used to analysis.

Results: We obtained data from 24 ventilated patients undergoing REE measurement by IC. Fifty percent of them were male with a median age of 64.5 years, a median height of 160 cm, and a median body mass index of 22.95 kg/m². The predictive precision of all equations was poor, with largely different accuracies from 6.7% to 48.1%. The most reliable equation was Penn State 2010. The ACCP, HBE, MSJ, and Penn State 2003(HBE) tended to underestimate calorie need. Contrastingly, the other equations tended to overestimate REEs. Despite a moderate degree of correlations, the Bland-Altman plots demonstrated clinically unacceptable discrepancies between measured REE and REE calculated by each equation.

Conclusions: In ventilated Thai patients, there were no precise equations for determining REE.

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泰国机械通气患者静息能量消耗预测方程的准确性。

背景:间接量热法(IC)是估计危重病人热量需求最精确的方法。尽管如此，由于负担不起的设备，它很少在实践中使用。预测方程是备选方案。目的:评估14个预测泰国通气患者静息能量消耗(REE)方程的准确性。方法:比较14个方程的准确性和一致性。这些方程包括美国胸科医师学会(ACCP)方程、Harris-Benedict方程(HBE)、1.2×HBE、1.5×HBE、Mifflin-St。Jeor(MSJ)， ieton - jones 1992年和2002年，Penn State 2003年(HBE和MSJ)和2010年，Swinamer 1990年，Faisy, Brandi 1999年，25 kcal/kg方程。如果计算值落在测量值的±10%以内，则确定方程是准确的。采用Spearman相关系数、Bland-Altman法和类内相关系数进行分析。结果:我们获得了24例采用IC进行REE测量的通气患者的数据，其中50%为男性，中位年龄64.5岁，中位身高160 cm，中位体重指数22.95 kg/m2。所有方程的预测精度都很差，准确度从6.7%到48.1%差异很大。最可靠的数据是宾夕法尼亚州立大学2010年的数据。ACCP, HBE, MSJ和宾夕法尼亚州立大学2003(HBE)倾向于低估卡路里需求。相反，其他方程倾向于高估稀土元素。尽管存在中等程度的相关性，Bland-Altman图显示，在每个方程计算的REE和测量的REE之间存在临床不可接受的差异。结论:在通气的泰国患者中，没有精确的方程来确定REE。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asian Biomedicine 医学-医学：研究与实验

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Asian Biomedicine: Research, Reviews and News (ISSN 1905-7415 print; 1875-855X online) is published in one volume (of 6 bimonthly issues) a year since 2007. [...]Asian Biomedicine is an international, general medical and biomedical journal that aims to publish original peer-reviewed contributions dealing with various topics in the biomedical and health sciences from basic experimental to clinical aspects. The work and authorship must be strongly affiliated with a country in Asia, or with specific importance and relevance to the Asian region. The Journal will publish reviews, original experimental studies, observational studies, technical and clinical (case) reports, practice guidelines, historical perspectives of Asian biomedicine, clinicopathological conferences, and commentaries Asian biomedicine is intended for a broad and international audience, primarily those in the health professions including researchers, physician practitioners, basic medical scientists, dentists, educators, administrators, those in the assistive professions, such as nurses, and the many types of allied health professionals in research and health care delivery systems including those in training.