From the Guidelines

High protein diets are used in burn patients to promote wound healing, support immune function, and reduce muscle weakness and mortality.

The use of high protein diets in burn patients is supported by guidelines from international bodies such as the American Society for Parenteral and Enteral Nutrition (ASPEN) and the European Society for Clinical Nutrition and Metabolism (ESPEN) 1.
These guidelines recommend a protein intake of at least 1.2-1.3 g/kg/day for critically ill patients, including those with burns 1.
Reaching these protein targets, along with a moderate energy intake, has been associated with improved clinical outcomes, including reduced mortality and length of hospital stay 1.
Additionally, high protein diets may help to mitigate the catabolic effects of severe burns, which can lead to significant muscle loss and weakness 1.
The use of anabolic agents, such as oxandrolone, in combination with high protein diets and exercise, has also been shown to be beneficial in promoting recovery and reducing morbidity in burn patients 1.

The optimal protein intake for burn patients may vary depending on individual factors, such as the severity of the burn and the patient's overall health status.
It is essential to ensure that the protein intake is balanced with adequate energy intake to support wound healing and overall recovery 1.
Further research is needed to determine the most effective nutrition strategies for burn patients, including the use of personalized nutrition plans and anabolic agents 1.

From the Research

The use of high protein diets in burn patients is based on the idea of counteracting the catabolic response to burns, which is characterized by a hypermetabolic state 2.
Burn injury results in a significant increase in metabolic demand, and providing adequate protein is crucial to minimize protein catabolism and promote wound healing 3.
Current nutritional support guidelines for burn patients recommend a daily administration of calories between 1.37 and 1.7 times the basal metabolic rate, with 20% or more of these calories as protein 4.

Some studies suggest that high protein diets may lead to increased weight gain in burn patients, although the evidence is not consistent across all studies 2, 5.
High protein intake has been shown to improve muscle function and strength in burn patients during the recovery phase 5.
Blended protein nutritional support has been found to reduce burn-induced inflammation and organ injury in animal models, suggesting a potential therapeutic benefit 6.

The goal of nutritional support for burn patients is to provide adequate calories and protein to support wound healing and minimize protein catabolism 3.
Various formulas and guidelines are available for calculating energy and protein needs in burn patients, and the choice of feeding method (parenteral or enteral) depends on individual patient factors 3.
Monitoring of nutritional status and adjustment of nutritional support as needed is crucial to optimize outcomes in burn patients 3.