Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1159/000446708 http://hdl.handle.net/11449/173099 |
Resumo: | Background: There are multiple equations for predicting resting energy expenditure (REE), but how accurate they are in severe acute kidney injury (AKI) patients is not clear. Our aim was to determine if predictive equations for estimated REE accurately reflect the requirements of AKI patients. Methods: We included in this prospective and observational study AKI patients AKIN-3 assessed by indirect calorimetry (IC). Bland-Altman, intraclass correlation coefficient and precision (percentagem of predicted values within 10% of measured values) were performed to compare REE by equations with REE measured by IC. Results: IC was applied in 125 AKI patients. The mean age was 62.5 ± 16.6 and 65.6% were male. Mean REE measured was 2,029.11 ± 760.4 kcal/day. There were low precision, and poor agreement between measured and predicted REE by the Harris-Benedict (HB), Mifflin, Ireton-Jones, Penn state, American College of Chest Physicians, and Faisy equations. HB without using injury factor was the least precise (18% of precision). Modified Penn state equation had the best precision, although the precision rate was only 41%. For all equations, the limits of agreement range were large leading to the potential under or overfeeding of individual patients. Conclusion: None of these equations accurately estimated measured REE in severe AKI patients and most of them underestimated energy needs. |
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Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patientsAcute kidney injuryEnergy expenditureIndirect calorimetryBackground: There are multiple equations for predicting resting energy expenditure (REE), but how accurate they are in severe acute kidney injury (AKI) patients is not clear. Our aim was to determine if predictive equations for estimated REE accurately reflect the requirements of AKI patients. Methods: We included in this prospective and observational study AKI patients AKIN-3 assessed by indirect calorimetry (IC). Bland-Altman, intraclass correlation coefficient and precision (percentagem of predicted values within 10% of measured values) were performed to compare REE by equations with REE measured by IC. Results: IC was applied in 125 AKI patients. The mean age was 62.5 ± 16.6 and 65.6% were male. Mean REE measured was 2,029.11 ± 760.4 kcal/day. There were low precision, and poor agreement between measured and predicted REE by the Harris-Benedict (HB), Mifflin, Ireton-Jones, Penn state, American College of Chest Physicians, and Faisy equations. HB without using injury factor was the least precise (18% of precision). Modified Penn state equation had the best precision, although the precision rate was only 41%. For all equations, the limits of agreement range were large leading to the potential under or overfeeding of individual patients. Conclusion: None of these equations accurately estimated measured REE in severe AKI patients and most of them underestimated energy needs.Internal Medicine Department UNESP - Universidade Estadual Paulista Faculdade de Medicina de BotucatuNutritionists UNESP - Universidade Estadual Paulista Faculdade de Medicina de BotucatuInternal Medicine Department UNESP - Universidade Estadual Paulista Faculdade de Medicina de BotucatuNutritionists UNESP - Universidade Estadual Paulista Faculdade de Medicina de BotucatuUniversidade Estadual Paulista (Unesp)De Góes, Cassiana R. [UNESP]Berbel-Bufarah, Marina N. [UNESP]Sanches, Ana Claudia S. [UNESP]Xavier, Patrícia S. [UNESP]Balbi, André L. [UNESP]Ponce, Daniela [UNESP]2018-12-11T17:03:38Z2018-12-11T17:03:38Z2016-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article276-284application/pdfhttp://dx.doi.org/10.1159/000446708Annals of Nutrition and Metabolism, v. 68, n. 4, p. 276-284, 2016.1421-96970250-6807http://hdl.handle.net/11449/17309910.1159/0004467082-s2.0-849751566732-s2.0-84975156673.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengAnnals of Nutrition and Metabolism1,3171,317info:eu-repo/semantics/openAccess2023-10-10T06:05:05Zoai:repositorio.unesp.br:11449/173099Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-10T06:05:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
title |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
spellingShingle |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients De Góes, Cassiana R. [UNESP] Acute kidney injury Energy expenditure Indirect calorimetry |
title_short |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
title_full |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
title_fullStr |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
title_full_unstemmed |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
title_sort |
Poor agreement between predictive equations of energy expenditure and measured energy expenditure in critically ill acute kidney injury patients |
author |
De Góes, Cassiana R. [UNESP] |
author_facet |
De Góes, Cassiana R. [UNESP] Berbel-Bufarah, Marina N. [UNESP] Sanches, Ana Claudia S. [UNESP] Xavier, Patrícia S. [UNESP] Balbi, André L. [UNESP] Ponce, Daniela [UNESP] |
author_role |
author |
author2 |
Berbel-Bufarah, Marina N. [UNESP] Sanches, Ana Claudia S. [UNESP] Xavier, Patrícia S. [UNESP] Balbi, André L. [UNESP] Ponce, Daniela [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
De Góes, Cassiana R. [UNESP] Berbel-Bufarah, Marina N. [UNESP] Sanches, Ana Claudia S. [UNESP] Xavier, Patrícia S. [UNESP] Balbi, André L. [UNESP] Ponce, Daniela [UNESP] |
dc.subject.por.fl_str_mv |
Acute kidney injury Energy expenditure Indirect calorimetry |
topic |
Acute kidney injury Energy expenditure Indirect calorimetry |
description |
Background: There are multiple equations for predicting resting energy expenditure (REE), but how accurate they are in severe acute kidney injury (AKI) patients is not clear. Our aim was to determine if predictive equations for estimated REE accurately reflect the requirements of AKI patients. Methods: We included in this prospective and observational study AKI patients AKIN-3 assessed by indirect calorimetry (IC). Bland-Altman, intraclass correlation coefficient and precision (percentagem of predicted values within 10% of measured values) were performed to compare REE by equations with REE measured by IC. Results: IC was applied in 125 AKI patients. The mean age was 62.5 ± 16.6 and 65.6% were male. Mean REE measured was 2,029.11 ± 760.4 kcal/day. There were low precision, and poor agreement between measured and predicted REE by the Harris-Benedict (HB), Mifflin, Ireton-Jones, Penn state, American College of Chest Physicians, and Faisy equations. HB without using injury factor was the least precise (18% of precision). Modified Penn state equation had the best precision, although the precision rate was only 41%. For all equations, the limits of agreement range were large leading to the potential under or overfeeding of individual patients. Conclusion: None of these equations accurately estimated measured REE in severe AKI patients and most of them underestimated energy needs. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-07-01 2018-12-11T17:03:38Z 2018-12-11T17:03:38Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1159/000446708 Annals of Nutrition and Metabolism, v. 68, n. 4, p. 276-284, 2016. 1421-9697 0250-6807 http://hdl.handle.net/11449/173099 10.1159/000446708 2-s2.0-84975156673 2-s2.0-84975156673.pdf |
url |
http://dx.doi.org/10.1159/000446708 http://hdl.handle.net/11449/173099 |
identifier_str_mv |
Annals of Nutrition and Metabolism, v. 68, n. 4, p. 276-284, 2016. 1421-9697 0250-6807 10.1159/000446708 2-s2.0-84975156673 2-s2.0-84975156673.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Annals of Nutrition and Metabolism 1,317 1,317 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
276-284 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803649371986722816 |