Clinical Outcome of Patients With Severe Burns Presenting to the Emergency Department

Gokdemir,

doi:10.4021/jcs19e

Cited by 5 publications

(5 citation statements)

References 19 publications

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“…Studies of HRQoL in children after burns are few, but a systematic review by Spronk et al found that children with more severe burns, or with a facial or hand burn had poorer HRQoL 41. Severe burns can result in systemic damage, often require multiple surgical procedures involving readmission for reconstructive surgery and impact on the physical functioning of the area(s) affected 42…”

Section: Discussionmentioning

confidence: 99%

Predictors of health-related quality of life following injury in childhood and adolescence: a pooled analysis

et al. 2021

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BackgroundInjury is a leading contributor to the global disease burden in children and places children at risk for adverse and lasting impacts on their health-related quality of life (HRQoL) and development. This study aimed to identify key predictors of HRQoL following injury in childhood and adolescence.MethodsData from 2259 injury survivors (<18 years when injured) were pooled from four longitudinal cohort studies (Australia, Canada, UK, USA) from the paediatric Validating Injury Burden Estimates Study (VIBES-Junior). Outcomes were the Paediatric Quality of Life Inventory (PedsQL) total, physical, psychosocial functioning scores at 1, 3–4, 6, 12, 24 months postinjury.ResultsMean PedsQL total score increased with higher socioeconomic status and decreased with increasing age. It was lower for transport-related incidents, ≥1 comorbidities, intentional injuries, spinal cord injury, vertebral column fracture, moderate/severe traumatic brain injury and fracture of patella/tibia/fibula/ankle. Mean PedsQL physical score was lower for females, fracture of femur, fracture of pelvis and burns. Mean PedsQL psychosocial score was lower for asphyxiation/non-fatal submersion and muscle/tendon/dislocation injuries.ConclusionsPostinjury HRQoL was associated with survivors’ socioeconomic status, intent, mechanism of injury and comorbidity status. Patterns of physical and psychosocial functioning postinjury differed according to sex and nature of injury sustained. The findings improve understanding of the long-term individual and societal impacts of injury in the early part of life and guide the prioritisation of prevention efforts, inform health and social service planning to help reduce injury burden, and help guide future Global Burden of Disease estimates.

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Section: Discussionmentioning

confidence: 99%

Predictors of health-related quality of life following injury in childhood and adolescence: a pooled analysis

et al. 2021

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“…The results of the uni-variance test in this study show that the average systolic blood pressure of the respondents in this study was 110.72, which means it is still in the normal range. According to Gokdemir et al (2012), the systolic blood pressure that can be a risk of mortality for burn patients is a systolic blood pressure of less than 90 mmHg as a sign of hypotension. In this study, the heart rate is not significantly correlated with survival rate.…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Hemodynamic Status and Survival Rates in Severe Burn Patients During Emergency Phase

Rahagia

Anggrasari

2020

sjik

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Disturbance in the hemodynamic status in the severe burn is a serious problem that occurs most frequently in the emergency phase. The hemodynamic status of burn patients is influenced by the physiological response of the body to the characteristics of the burn severity. This study aimed to analyze the relationship between the hemodynamic status and the survival rate of severe burn patients in the emergency phase at RSSA Malang. This research was a documentary analysis employing a retrospective design on 80 samples of the medical records in RSSA Malang in the last 2 years. The results of the relationship analysis showed that the factors associated with the survival rate were the systolic blood pressure (p = 0.000) and respiratory rate (p = 0.000). Thus, monitoring the hemodynamic status in the emergency phase is vital to evaluate the effectiveness of therapy in increasing the survival rate in severe burn patients.

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“…Further, mortality rate is affected by factors such as age, sex, size of burn injury, respiratory damage, trauma, and pneumonia [21]. The ABSI and APACHE II score are used to compensate for the shortcomings of the current methods of diagnosis and prognosis of burn injuries; however, there is a need for more reliable and accurate methods.…”

Section: Discussionmentioning

confidence: 99%

Correlation between Serum Neutrophil Gelatinase Associated Lipocalin and Burn Severity: A Pilot Study

Lee¹,

Lee²,

Choi³

et al. 2017

JBM

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The severity of an initial burn injury is critical for determining the treatment plan and prognosis of burn patients. Here, we measured serum neutrophil gelatinase-associated lipocalin (NGAL) levels to determine whether NGAL can be used as a biomarker for severity of burn injuries. A study of the demographic, clinical, and laboratory markers for various organ damage was performed at Bestian Burn Center (n = 10 healthy people, n = 31 patients). NGAL and organ damage marker levels were measured in 31 patients with severe burns within 2 -3 days following their admission to the intensive care unit. Serum NGAL level of the expired patients was 788.5 (685.0 -998.0) pg/mL, whereas that of the discharged patients was 421.2 (356.2 -480.6) pg/mL, showing that the initial serum NGAL level can be used to estimate mortality. We also determined the correlation between serum NGAL level and the currently used severity markers (total body surface area burned and abbreviated burn severity index) and confirmed that serum NGAL level could be used as a severity marker. We also found that serum NGAL level was correlated with damage of organs such as the liver, kidney, heart, and respiratory organs in patients with severe burns.

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Clinical Outcome of Patients With Severe Burns Presenting to the Emergency Department

Cited by 5 publications

References 19 publications

Predictors of health-related quality of life following injury in childhood and adolescence: a pooled analysis

Predictors of health-related quality of life following injury in childhood and adolescence: a pooled analysis

Correlation Between Hemodynamic Status and Survival Rates in Severe Burn Patients During Emergency Phase

Correlation between Serum Neutrophil Gelatinase Associated Lipocalin and Burn Severity: A Pilot Study

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