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Intensive Care Medicine

, Volume 17, Issue 7, pp 403–409 | Cite as

Energy expenditure and outcome in patients with multiple organ failure following abdominal surgery

  • E. Forsberg
  • M. Soop
  • A. Thörne
Originals

Abstract

A possible relationship between hypermetabolism (energy expenditure expressed as percentage above the estimated basal metabolic rate) and clinical outcome was investigated in 29 artificially ventilated patients with infection and multiple organ failure following abdominal surgery. The average energy expenditure and hypermetabolism were 126±19 kJ (30±5 kcal)/kg/24h and 36±12%, respectively. Survivors of the intensive care period (n=20) had a 15% higher hypermetabolism (41±11 vs 26±8%,p<0.01) than patients who died in the intensive care unit (n=9). Six of the patients died after intensive care. On comparing hypermetabolism in survivors (n=14) and non-survivors (n=15) of the period of hospitalization, no significant difference was discernible. The results demonstrate that patients with multiple organ failure have a moderate hypermetabolism and suggest that the hypermetabolism is comparatively reduced in patients with a fatal outcome during intensive care.

Key words

Indirect calorimetry Infection Intensive care Multiple organ failure Patient outcome assessment Prognosis 

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Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • E. Forsberg
    • 1
  • M. Soop
    • 1
  • A. Thörne
    • 2
  1. 1.Departments of AnaesthesiologyHuddinge University Hospital, Karolinska InstituteStockholmSweden
  2. 2.Departments of SurgeryHuddinge University Hospital, Karolinska InstituteStockholmSweden

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