The impact of patient weight on burn resuscitation

Liu, Nehemiah T.; Fenrich, Craig; Serio-Melvin, Maria; Peterson, Wylan; Cancio, Leopoldo C.; Salinas, José

doi:10.1097/ta.0000000000001486

Cited by 21 publications

(18 citation statements)

References 26 publications

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“…The present study showed the Body Mass Index (BMI) mean indicate as a preobese stage. The present finding is merly in agreement with (Liu et al, [8] ) who carried out a study entitilled as "the impact of patient weight on burn resuscitation" and found that the mean BMI was in the preobese stage. "From the investigator point of view".…”

Section: Discussionsupporting

confidence: 93%

“…The current study demonstrated a significant statistical difference in Body Mass Index (BMI) category in relation to patient's status. In the same line (Liu, et al, [8] ) conducted a study titiled as" The impact of patient weight on burn resuscitation" and reported that there is a significant statistical relationship between total sample, obese, and nonobese burned patients. On the other hand, (Tsurumi, et al, [11] ) who conducted a study about "do standard burn mortality formulae work on a population of severely burned children and adults?"…”

Section: Discussionmentioning

confidence: 99%

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Factors Affecting Mortality among Patients with Major Burn at Intensive Care Units

Shaheen

2019

The Medical Journal of Cairo University

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Background: Critically ill patients with burn are a risk group whose outcomes are negatively affected by many factors. Among these factors are sepsis, total body surface burned area, and depth of the burn. Aim of Study: To assess factors affecting mortality among burned patients at Intensive Care Units. Patient and Methods: The target population in the study were the adult male and female patients admitted to the ICU and have burn more than or equal 20% over a period of six months. This study was conducted from February to August 2017 in the ICU affiliated to 185 Kasr Al-Aini Hospital for Burn and Emergency which consists of 10 rooms each room contains 4 beds. Three tools were developed by the investigator and utilized for data collection, These tools are: Tool 1: Personal background and medical data, Tool 2: Burn assessment tool, and Tool 3: Burn management tool. Results: More than half (55.2%) of the studied sample died and approximately half (44.7%) discharged from the ICU. A significant statistical difference was found between died and discharged subjects regarding length of ICU stay (t/p 2.04/0.04), body mass index (χ 2 /p 20.395/0.002), TBSA (t/p 8.20/0.000), depth of burn (χ 2 /p 32.709/0.000), occurance of wound infection (x 2 /p 20.73/0.000). No significant statistical difference was found between died and discharged patients regarding age (t/p 1.7/0.08), heart rate (t/p 1.96/0.054), gender (χ 2 /p 0.017/0.897) and mechanism of injury (χ 2 /p 0.508/0.476).

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Factors Affecting Mortality among Patients with Major Burn at Intensive Care Units

Shaheen

2019

The Medical Journal of Cairo University

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“…Considering the filter mechanism within the process of stepwise multiple linear regression, we believe such results indicated that these variables were statistically relevant to TCC solitarily according to correlation analysis or simple linear regression, but only tracheotomy had a significant effect on TCC in this patient set. Inhalation injuries have been involved in previous burns fluid research, but most of these studies showed imbalance a higher volume in each target group with a higher incidence of inhalational injury, 8,11 and most other research studies excluded patients with inhalation injuries. Moreover, to our knowledge, it was not stated whether inhalational injury had been taken into account for the determination of the resuscitation volume.…”

Section: Discussionmentioning

confidence: 99%

“…4,9,10 There has been sporadic research on other factors that influence fluid volume calculation, including inhalational injury, mechanical ventilation, and obesity, although there has been no consensus in terms of findings. 8,11,12 Furthermore, questions regarding whether different depths of burn injury should be treated differently when calculating the fluid volume has drawn attention, resulting in opposing perspectives. 13,14 Meanwhile, methods that treat full-thickness burn area (FTBA) and partial-thickness burn area (PTBA) differently, such as the Burn Index, have long been used.…”

Section: Introductionmentioning

confidence: 99%

Different Depths May Not Determine the Fluid Resuscitation Volume in Early-stage Management of Severe Burns: A Model-comparison Retrospective Analysis of Fluid Volume Determining Factors

Ning

Jiang

Qiu

et al. 2021

Journal of Burn Care &Amp; Research

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Background Large-volume fluid resuscitation remains irreplaceable in the early-stage management of severe burns. We aimed to explore the relationship between fluid volume and other indicators. Method Data of severe burn patients with successful resuscitation in the early stage was collected. Correlation and linear regression analyses were performed. Multiple linear regression models, related goodness-of-fit assessment (adjusted R-square and Akaike Information Criterion), scatter plots and paired t-test for two models, and a likelihood ratio test were performed. Results 96 patients were included. The median of total burn area (TBA) was 70%TBSA, with full thickness burn area (FTBA)/TBA of 0.4, a resuscitation volume of 1.93 mL/kg/%TBSA. Among volume-correlated indicators, two linear regression models were established (Model 1: TBA × weight and tracheotomy; and Model 2: FTBA × weight, partial thickness burn area (PTBA) × weight, and tracheotomy). For these models, close values of Akaike Information Criterion, adjusted R-squares, outliers of the prediction range, and the result of paired t-test, all suggest similarity between two models estimations, while the likelihood ratio test for coefficients of FTBA × weight and PTBA × weight showed a statistical difference. Conclusion inhalational injury and decompression surgery only correlated with volume, while Tracheotomy, TBA × weight, FTBA × weight, and PTBA × weight correlated with and were accepted in linear models of volume. Although FTBA and PTBA differed statistically, there may be no need to distinguish them when estimating the resuscitation volume requirements in this patient set. Further study about different depths fluid should be conducted.

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“…For adult patients between 40 and 130 kg, this reliably produces an initial rate that falls within the Brooke and Parkland recommendations [39][40][41]. Many attempts have been made to improve upon existing equations by incorporating additional variables and calculations with the goal of accurately predicting ongoing fluid needs [42][43][44][45][46]. The Rule of Ten, however, was developed in response to calls for a simplified burn resuscitation formula that emphasizes the importance of precise titration over complex equations, minimizes recall and calculation errors, and is rapidly implemented during an emergency without delaying care [4,32,[47][48][49].…”

Section: Resuscitation Calculationsmentioning

confidence: 99%

State of the Art: An Update on Adult Burn Resuscitation

Causbie

Sattler

Basel

et al. 2021

EBJ

Self Cite

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Treatment of patients with severe burn injuries is complex, relying on attentive fluid resuscitation, successful management of concomitant injuries, prompt wound assessment and closure, early rehabilitation, and compassionate psychosocial care. The goal of fluid resuscitation is to maintain organ perfusion at the lowest possible physiologic cost. This requires careful, hourly titration of the infusion rate to meet individual patient needs, and no more; the risks of over-resuscitation, such as compartment syndromes, are numerous and life-threatening. Recognizing runaway resuscitations and understanding how to employ adjuncts to crystalloid resuscitation are paramount to preventing morbidity and mortality. This article provides an update on fluid resuscitation techniques in burn patients, to include choosing the initial fluid infusion rate, using alternate endpoints of resuscitation, and responding to the difficult resuscitation.

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The impact of patient weight on burn resuscitation

Abstract: Therapeutic/care management, level IV.

Cited by 21 publications

References 26 publications

Factors Affecting Mortality among Patients with Major Burn at Intensive Care Units

Factors Affecting Mortality among Patients with Major Burn at Intensive Care Units

Different Depths May Not Determine the Fluid Resuscitation Volume in Early-stage Management of Severe Burns: A Model-comparison Retrospective Analysis of Fluid Volume Determining Factors

State of the Art: An Update on Adult Burn Resuscitation

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