Characteristics of burn patients at a major burn center in Shanghai

Burns ◽  
2006 ◽  
Vol 32 (8) ◽  
pp. 1037-1043 ◽  
Author(s):  
Keith Tang ◽  
Liu Jian ◽  
Zhang Qin ◽  
Liao Zhenjiang ◽  
Manuel Gomez ◽  
...  
Keyword(s):  
Burn Patients ◽  
Burn Center ◽  
Major Burn

Epidemiology of 1974 Burn Patients at a Major Burn Center in Beijing

2012 ◽  
Vol 33 (5) ◽  
pp. e228-e233 ◽  
Author(s):  
Wang Cheng ◽  
Rong Yan-hua ◽  
Ning Fang-gang ◽  
Du Wei-li ◽  
Zhang Guo-an
Keyword(s):  
Burn Patients ◽  
Burn Center ◽  
Major Burn

A New Resuscitation Formula Based on Burn Index Provides More Reliable Prediction for Fluid Requirement in Adult Major Burn Patients

2021 ◽  
Author(s):  
Jianglin Tan ◽  
Junyi Zhou ◽  
Ning Li ◽  
Lili Yuan ◽  
Gaoxing Luo
Keyword(s):  
Fluid Resuscitation ◽  
Linear Regression Analysis ◽  
Fluid Volume ◽  
Multivariate Linear Regression Analysis ◽  
Burn Patients ◽  
Full Thickness ◽  
Burn Wound ◽  
Major Burn ◽  
Fluid Requirement ◽  
Actual Volume

Abstract The Third Military Medical University (TMMU) formula is widely used in fluid resuscitation in China. However, the actual volume needs usually exceed the prediction provided by the TMMU formula in major burn patients with a high proportion of full-thickness burn wounds. This retrospective study included 149 adult major burn patients (≥40% TBSA) who were admitted to the Burn Department, Southwest Hospital from 2014 to 2020 and received appropriate fluid resuscitation by the TMMU protocol. The actual volume infused in the first 48 hours postburn was compared to the estimation by the TMMU formula. A new fluid volume prediction formula was developed by multivariate linear regression analysis. The mean fluid requirements were 2.35 ml/kg/% TBSA and 1.75 ml/kg/% TBSA in the first and second 24 hours postburn, respectively. The TMMU formula underestimated the fluid requirement, and its prediction accuracy was 54.1% and 25.8% for the first and second 24 hours, respectively. The proportion of full-thickness burn wound was found to be associated with the fluid requirements postburn. A revised multifactorial formula consisting of the burn index, body weight, and inhalation injury was developed. Using the revised formula, the prediction reliability of resuscitation fluid volume improved to 65.3% and 61.1% in the first and second 24 hours, respectively. The TMMU formula showed low accuracy in predicting fluid requirements among major burn patients. A revised formula based on burn index was developed to provide better guidance for initiative fluid resuscitation for major burns by the TMMU protocol.

scholarly journals Alcohol use and smoking in burn patients at the Helsinki Burn Center

Burns ◽  
2018 ◽  
Vol 44 (1) ◽  
pp. 158-167 ◽  
Author(s):  
Raimo Palmu ◽  
Timo Partonen ◽  
Kirsi Suominen ◽  
Jyrki Vuola ◽  
Erkki Isometsä
Keyword(s):  
Alcohol Use ◽  
Burn Patients ◽  
Burn Center

scholarly journals Recommendations for management of burn patients in context of COVID-19 pandemic

2021 ◽  
Vol 4 (1) ◽  
pp. 69-72
Author(s):  
Sajid Rashid
Keyword(s):  
Staff Training ◽  
Skin Barrier ◽  
Learning System ◽  
Burn Patients ◽  
Burn Center ◽  
Structural Layout ◽  
Burn Out ◽  
Health Related ◽  
Appointment System ◽  
Spread Of Infection

It has been reported from china that burn centers have the highest risk of COVID-19 infection. The virus is highly contagious and damaging and mortality rate as high as 61.5% has been reported. Burn patients have low level of immunity, lack skin barrier and are prone to infections. Due to these facts, they have less ability to fight against the corona virus, so surgical practices for management of burn patients should be modified to prevent the spread of infection and decrease mortality. Keeping these facts in mind, we adopted certain changes in the protocols for management of burn patients at Rawalian burn center, Rawalpindi Pakistan. We are presenting new recommendations which were followed at the burn center during COVID-19 pandemic. These are the first ever recommendations from any burn center of Pakistan since the start of recent pandemic. With help of literature search we identified risk factors for infection during the course of treatment of burn patients. These recommendations include alterations in structural layout, administration procedures, burn patient care like the introduction of telemedicine, online appointment system and use of online messaging applications i.e., WhatsApp, staff training and strategies like online learning system to provide new knowledge regarding COVID-19 continuously. Issues of staff like over work, availability of personal protective equipment (PPEs), and their health-related anxiety and fear should be addressed properly for the prevention of burn out syndrome in them.

scholarly journals High Risk of Failed Skin Graft on Major Burn Patients with Complication of Hypernatremia

2021 ◽  
Vol 57 (2) ◽  
pp. 166
Author(s):  
Lynda Hariani ◽  
Agus Santoso Budi ◽  
Ephora Christina Wulandari
Keyword(s):  
Skin Graft ◽  
Healing Process ◽  
Cross Sectional Study ◽  
Electrolyte Imbalance ◽  
Wound Healing Process ◽  
Burn Patients ◽  
Sectional Study ◽  
Academic Hospital ◽  
Cross Sectional ◽  
Major Burn

The rate of failed skin graft in Dr. Soetomo General Academic Hospital Surabaya was around 26% of the cases, and it became a concern because skin graft was the main procedure to close large burn wounds. Many problems might affect this event; one of them was electrolyte imbalance. Hypernatremia was found in major burn patients. This condition disrupted the wound healing process of skin graft. This cross-sectional study evaluated patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018. 143 subjects participated in this study. Hypernatremia was found in 16% of all subjects (23 subjects), 19% with hypernatremia (28 subjects), and the majority of it, 65% with normonatremia (92 subjects). This study found that the risk of failed skin graft was higher on hypernatremia than normonatremia subjects. This risk was higher if the skin graft procedure took more than 10%.

Sign in / Sign up

Export Citation Format

Share Document