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Predictive equations do not accurately predict REE in critically ill infants and preschool children, resulting in inadequate feeding.
Predictive equations were applied to the subjects to compute predicted strength values.
Simple predictive equations of shoulder mechanical loading are provided.
The predictive equations were calibrated by using the literature database.
All predictive equations were accurate in less than 50%% of the patients with an RMSE ≥ 15%%.
When IC is unavailable, EE can be calculated by predictive equations or by VCO2-based calorimetry.
The EE VCO2) was accurate in 89 % of the patients, significantly better than the predictive equations.
In summary, all predictive equations, a through g, largely over- and underestimated the reference EE value.
The use of EE determined by predictive equations is recommended when IC cannot be used.
The EE VCO2) was significantly better than the predictive equations with a low and acceptable bias.
The results corroborate the previously reported [6, 15] inaccuracy of predictive equations for EE.
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