The influence of body mass index on burn surface area estimated from the area of the hand

Berry, Miles G.; Evison, Demetrius; Roberts, A.H.N.

doi:10.1016/s0305-4179(00)00145-5

Cited by 46 publications

(38 citation statements)

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“…These findings corroborate previous studies that describe this distribution in burn victims (9)(10)(11)(12)(13)(14). An important factor that indirectly affects life conditions of the studied population, which can be related to nutritional behavior, is the low level of formal education (Table 2).…”

Section: Introductionsupporting

confidence: 91%

“…Burns provoked by alcohol are more profound than those caused by scalding, since the time of exposure to heat in burns by flammable liquid is longer (8,9). Nutritional status has been reported, in various studies, as an important factor in recovery of burn patients by reducing complications and rates of morbidity and mortality, which are generally elevated in these patients (9)(10)(11)(12)(13)(14). The mean height of patients was 1.67 m, while average weight was 73.86 kg and BMI was 25.81 kg/m 2 .…”

Section: Introductionmentioning

confidence: 99%

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Nutritional, immunological and microbiological profiles of burn patients

Barbosa¹,

Calvi²,

Pereira³

2009

J. Venom. Anim. Toxins incl. Trop. Dis

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ABSTRACT:A burn is a lesion on an organic tissue resultant from direct or indirect action of heat on the organism. The present study aimed to evaluate the nutritional, immunological and microbiological status of burn patients at the Bauru State Hospital, São Paulo state, Brazil, in 2007. Eight patients, aged more than 18 years and injured up to 24 hours, were evaluated at the moment of hospitalization and seven days later. All victims were males with a mean age of 38 years. On average, 17.5% of their body surfaces were burned and 50% of the patients were eutrophic. There were significant alterations in levels of erythrocytes, hemoglobin, hematocrit, total protein and albumin due to increased endothelial permeability, direct destruction of proteins in the heat-affected area and blood loss from lesions or debridement. At a second moment, cytokines IL-6 and TNF-α had augmented significantly, with IL-6 presenting elevated levels in relation to controls at the first moment. Microbiological analysis showed that 100% of the samples collected at hospital admission were negative and after one week Staphylococcus aureus was found in all cultures. Therefore, a burn patient may be considered immunosuppressed and these results indicate significant nutritional, immunological and microbiological alterations that can interfere in his recovery.

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Section: Introductionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Nutritional, immunological and microbiological profiles of burn patients

Barbosa¹,

Calvi²,

Pereira³

2009

J. Venom. Anim. Toxins incl. Trop. Dis

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show abstract

“…Moreover, these areas have been utilized for heat exchange in thermal physiology, exposure assesment in toxicology and the development of equipment in ergonomics [21, 28,29]. Traditionally, the patient's whole hand has been used as an estimate of 1% of the total body surface area for assessing the size of burn [6,7,21,30]. Conversely, Advanced Trauma Life Support teaching uses the area of palm alone (not including the fingers) as 1% [6,8,27,30].…”

Section: Discussionmentioning

confidence: 99%

“…Traditionally, the patient's whole hand has been used as an estimate of 1% of the total body surface area for assessing the size of burn [6,7,21,30]. Conversely, Advanced Trauma Life Support teaching uses the area of palm alone (not including the fingers) as 1% [6,8,27,30]. There is a problem with the term "palm" as it can mean either the entire palmar surface of the hand or the palmar surface excluding the five digits [8].…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, it was established that standard doctrine for the hand position, for estimating the surface of the hand, digits were extended and adducted so it was used in this paper [30]. When we analyzed the literature for the mean values of HSA, Amirsheybani et al determined the area of the hand 0.78% of the body surface area in adults in USA with using similar method that excluded the thumb for estimating the hand width value [2].…”

Section: Discussionmentioning

confidence: 99%

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