Burn Size Estimate Reliability

Miller, Sidney F.; Finley, Robert K.; Waltman, M; Lincks, Judie

doi:10.1097/00004630-199111000-00010

Cited by 55 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although LB has been proven to be less variable when compared with Rule of Nines, it still requires manual addition, a potential source of error. 7 Given the absence of significant variability between the LB and WF burn mapping tools, we can conclude based on the present study that WF mapping is as accurate as LB. The importance of burn mapping accuracy is underscored by the fact that burn-size estimates are often factored into triage decisions and into resuscitation protocols like the American Burn Association consensus formula.…”

Section: Discussionsupporting

confidence: 51%

“…12 Limitations of current mapping strategies such as LB, Rule of Nines, palmar comparisons, and serial halving have been further disputed as body types, weight differences, and surface areas are inherently variable. 3,7,10,[13][14][15][16][17][18] As noted by Nichter et al computer-based threedimensional mapping utilities required specific training. 19 In WF, the computer mouse is used for drawing in a simple manner, such that many first-time users have described it as easy and intuitive.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Traditional Burn Wound Mapping With a Computerized Program

Williams

King

Aden

et al. 2013

Journal of Burn Care & Research

View full text Add to dashboard Cite

Accurate burn estimation affects the use of burn resuscitation formulas and treatment strategies, and thus can affect patient outcomes. The objective of this process-improvement project was to compare the accuracy of a computer-based burn mapping program, WoundFlow (WF), with the widely used hand-mapped Lund-Browder (LB) diagram. Manikins with various burn representations (from 1% to more than 60% TBSA) were used for comparison of the WF system and LB diagrams. Burns were depicted on the manikins using red vinyl adhesive. Healthcare providers responsible for mapping of burn patients were asked to perform burn mapping of the manikins. Providers were randomized to either an LB or a WF group. Differences in the total map area between groups were analyzed. Also, direct measurements of the burn representations were taken and compared with LB and WF results. The results of 100 samples, compared using Bland-Altman analysis, showed no difference between the two methods. WF was as accurate as LB mapping for all burn surface areas. WF may be additionally beneficial in that it can track daily progress until complete wound closure, and can automatically calculate burn size, thus decreasing the chances of mathematical errors.

show abstract

Section: Discussionsupporting

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Comparison of Traditional Burn Wound Mapping With a Computerized Program

Williams

King

Aden

et al. 2013

Journal of Burn Care & Research

View full text Add to dashboard Cite

show abstract

“…However, the reliability of burn size estimates among different burn care professionals has been evaluated in several studies. 29,30 There is consistency among burn care surgeons and burn care nurses with respect to burn size estimation, which increases with experience. Hence, the accuracy of burn size estimates is likely to be greatest at burn centers, which have the most experience with burn injuries.…”

Section: Discussionmentioning

confidence: 99%

A Competing Risk Analysis for Hospital Length of Stay in Patients With Burns

et al. 2015

View full text Add to dashboard Cite

IMPORTANCE Current outcome predictors for illness and injury are measured at a single time point—admission. However, patient prognosis often changes during hospitalization, limiting the usefulness of those predictions. Accurate depiction of the dynamic interaction between competing events during hospitalization may enable real-time outcome assessment. OBJECTIVE To determine how the effects of burn outcome predictors (ie, age, total body surface area burn, and inhalation injury) and the outcomes of interest (ie, mortality and length of stay) vary as a function of time throughout hospitalization. DESIGN, SETTING, AND PARTICIPANTS In this retrospective study, we used the American Burn Association’s National Burn Repository, containing outcomes and patient and injury characteristics, to identify 95 579 patients admitted with an acute burn injury to 80 tertiary American Burn Association burn centers from 2000 through 2009. We applied competing risk statistical methods to analyze patient outcomes. MAIN OUTCOMES AND MEASURES We estimated the cause-specific hazard rates for death and discharge to assess how the instantaneous risk of these events changed across time. We further evaluated the varying effects of patient age, total body surface area burn, and inhalation injury on the probability of discharge and death across time. RESULTS Maximum length of stay among patients who died was 270 days and 731 days among those discharged. Total body surface area, age, and inhalation injury had significant effects on the subdistribution hazard for discharge (P < .001); these effects varied across time (P < .002). Burn size (coefficient –0.046) determined early outcomes, while age (coefficient –0.034) determined outcomes later in the hospitalization. Inhalation injury (coefficient –0.622) played a variable role in survival and hospital length of stay. CONCLUSIONS AND RELEVANCE Real-time measurement of dynamic interrelationships among burn outcome predictors using competing risk analysis demonstrated that the key factors influencing outcomes differed throughout hospitalization. Further application of this analytic technique to other injury or illness types may improve assessment of outcomes.

show abstract

“…Однако в литературе появля-ется все больше указаний, что ручные методы оцен-ки обожженной поверхности тела содержат ошибки [13][14][15][16]. В ряде публикаций представлены данные, что программы показывают значительно более низ-кие значения, при том что завышение глубины/ размера ожога по расчетам врачей составляло от 50 до 62% [2,4,16,17]. Высокое стандартное отклонение наблюдается у пациентов с малыми, разбросанными по телу площадями ожогов; низкое стандартное от-клонение -при несколько больших площадях.…”

Section: дискуссияunclassified

A Graphic Tool for Estimation of the Area of Burns in Children

Акименков¹,

Будкевич²,

Долотова³

et al. 2018

Ross. vestn. perinatol. pediatr.

View full text Add to dashboard Cite

The severity of burns depends both on their size and depth of affected tissues. The existing simple methods for estimation of the injured skin area are not precise, especially in children. During last decades, attempts were made to employ information technologies for more precise estimation of the skin area affected by the burn. Usually, a special template («skitsa») is used to represent a human body in a schematic way, allowing automatic calculation of affected area with high accuracy. It is especially important in children, since proportions of their bodies vary greatly at different ages.A computer graphic tool for estimation of area of burns was designed for the Department of Pediatric Burns. It uses an algorithm that allows to adjust burn data displayed on a two-dimensional template, taking into account the three-dimensional nature of the human body. Such correction increases burn area estimation accuracy. Additionally, this system allows using digital photographs of burn area for dynamic assessment of skin condition during treatment. A special algorithm is used to compensate for possible color distortions of the photographs in series, enabling better possibility of patient’s skin condition comparison at different times.

show abstract

Burn Size Estimate Reliability

Cited by 55 publications

References 0 publications

Comparison of Traditional Burn Wound Mapping With a Computerized Program

Comparison of Traditional Burn Wound Mapping With a Computerized Program

A Competing Risk Analysis for Hospital Length of Stay in Patients With Burns

A Graphic Tool for Estimation of the Area of Burns in Children

Contact Info

Product

Resources

About