How Much can Supplementation Prevent Malnutrition in Burnt Patients?

Abstract: Burn injuries result in a complex physiological response characterized by hypermetabolism, increased catabolism, and profound alterations in nutrient requirements. Optimal nutritional support is critical in improving clinical outcomes, promoting wound healing, reducing infections, and preserving lean body mass. This article reviews current evidence on the metabolic demands following thermal injury, the role of macronutrients and micronutrients, and best practices for nutritional assessment and intervention in burn patients. Emphasis is placed on early enteral nutrition, individualized caloric and protein needs, and the supplementation of key nutrients such as vitamin C, vitamin A, zinc, and glutamine. Understanding and implementing effective nutritional strategies is essential for enhancing recovery and reducing morbidity and mortality in this vulnerable population. We Conducted a comparative and prospective study of 3 months between January and March 2025, in the university hospital Mohamed VI of Marrakech (Morocco), and specifically in the aesthetic and reconstructive surgery department along with the burn care unit, tracking the different clinical and nutritional parameters available of 3 groups of patients to evaluate the magnitude of the effect that supplementation, and secondarily, proper nutrition can have in the prevention of Malnutrition.