Investigation of red cell distribution width as a prognostic criterion in severe burns

Abstract

This study was conducted to examine red cell distribution width (RDW) as a prognostic criterion in severe burns. The study is a descriptive correlational study and was carried out retrospectively. Patients with high RDW and low albumin values among severe burn injuries in the burn unit of a university hospital constituted half of the sample. Severe burns with RDW within normal range and a prognostic criterion for which albumin level normal and closest to normal accounted for the other half. RDW and albumin values were compared with the clinical results of patients with severe burns. IBM SPSS (Statistical Package for the Social Sciences) Statistics 25 was used for data analysis. Of the burn patients, 38.33% were between the age of 65-80, 51.67% were men, and 92.5% had third-degree burns. The mean albumin level of the patients was 2.39 ± 0.34 g/dL, and the mean RDW level was 18.47 ± 6.15%. The length of the stay in the intensive care unit was 13.45 ± 7.83 days, and the duration of central venous catheter use was 23.41 ± 8.25 days. High RDW and low albumin values were found to be associated with death, length of stay in the intensive care unit, and more blood transfusion. High RDW and hypoalbuminemia significantly affect the clinical results of severe burns. Both parameters are effective in determining the clinical course of burn patients, the length of hospital stay, presence of catheters and medication treatment protocol.

Analysis of risk factors of prolonged mechanical ventilation in patients with severe burn injury

“…Furthermore, studies have shown that the correlation of albumin and the lactic acid at admission as a correlate of complication rate, mortality, and length of stay in burn patients has been widely demonstrated. [29][30][31][32][33] As previously mentioned, the longer the duration of mechanical ventilation in burn patients, the higher the incidence of complications, the higher the mortality rate, and the longer the length of hospital stay. Therefore, there seems to be a specific correlation between albumin and lactic acid and prolonged mechanical ventilation, consistent with the present study's findings.…”

Investigation of the monocyte/high‐density lipoprotein ratio as a prognostic criterion in burn patients

“…The treatment process of burn cases, which are mostly preventable injuries, requires the utmost attention and a multidisciplinary approach. 1,2 According to the World Health Organisation (WHO), the American Burn Association and the Centers for Disease Control and Prevention (CDC), 1.1 million people are injured due to burns every year, 3,4 and 3500 people die due to burn injuries. 5 Multiple organ failure is common in burn patients with progressively worsening prognoses.…”

Examining the perceived stress and body image in burn patients: A cross‐sectional study

“…Burn injuries are one of the most common and extremely destructive health issues in human life 1 . Today, effective infection control, fluid resuscitation, nutritional supplements, and effective use of anabolic agents support healing of wounds in the preliminary period of burn injuries 2,3 . In addition, covering the burn surface with surgical grafting, multidisciplinary team approach, burn care, and rehabilitation practices are provided in burn treatment at an optimal level 4,5 .…”

“… 1 Today, effective infection control, fluid resuscitation, nutritional supplements, and effective use of anabolic agents support healing of wounds in the preliminary period of burn injuries. 2 , 3 In addition, covering the burn surface with surgical grafting, multidisciplinary team approach, burn care, and rehabilitation practices are provided in burn treatment at an optimal level. 4 , 5 Quality of life and social support needs in burn patients came to the fore in the 1970seconds by Munster, 6 discussing the social limitations of burn trauma in human life for the first time.…”