scholarly journals Clinical outcome and comparison of burn injury scoring systems in burn patient in Indonesia

2021 ◽  
Vol 11 (3) ◽  
pp. 331-334
Author(s):  
Risa Herlianita ◽  
Edi Purwanto ◽  
Indri Wahyuningsih ◽  
Indah Dwi Pratiwi
Keyword(s):  
Clinical Outcome ◽  
Burn Injury ◽  
Scoring Systems ◽  
Burn Patient

scholarly journals Validation of Predictive Ability of Bobi Score in Burn Patients

2021 ◽  
Vol 6 (4) ◽  
Keyword(s):  
Burn Injury ◽  
Prognostic Score ◽  
Area Under The Curve ◽  
Predictive Ability ◽  
Scoring Systems ◽  
Good Prediction ◽  
Burn Patients ◽  
Severe Burns ◽  
Inhalation Burn ◽  
Outstanding Result

Introduction: Scoring systems have been used successfully in burn centers to predict the prognosis and take measures for careful monitoring of the burned patient. Belgium Outcome Burn Injury score is one of them which takes into consideration age, burn surface area, and presence of inhalation burn. Objectives: This presentation aims to validate the use of the BOBI prognostic score in our patients. Patients and Methods: The study is a retrospective analytical study that utilized the investigation of the medical charts of 1515 patients hospitalized with severe burns within the ICU of the Service of Burns in Tirana, Albania during 2010-2019. Results: The overall mortality of our patients was 7.06% (107 deaths in 1515 patients). Up to BOBI score 6, we have noticed better mortality than prediction while there is a very good prediction up to score 10. Area Under the Curve was 0.978 (p<0.0001) which is an outstanding result in being a classifier between deaths and survivors. Conclusions: BOBI score is a very good prediction score for mortality in burn patients.

scholarly journals Association Between Serum Albumin And The Success Of Fluid Resuscitation In Children Hospitalizen In Cipto Mangunkusumo Hospital Burn Center

2019 ◽  
Vol 5 (2) ◽  
pp. 226-233
Author(s):  
Rismala Dewi ◽  
Karina Kaltha ◽  
Aditya Wardhana ◽  
Piprim B. Yanuarso
Keyword(s):  
Serum Albumin ◽  
Fluid Resuscitation ◽  
Sampling Method ◽  
Burn Injury ◽  
Significant Loss ◽  
Mortality And Morbidity ◽  
Burn Center ◽  
Pediatric Resuscitation ◽  
Almost All ◽  
Burn Patient

Background : Burn injury has a great impact on mortality and morbidity in children. Significant loss of albumin (hypoalbuminemia) in burn patient often leads to serious complications. However, it is still unclear whether serum albumin has a role in the success of fluid resuscitation in children with burn injury. Method : This is a retrospective cohort study based on medical record of children hospitalized with burn injury at Cipto Mangunkusumo Hospital Burn Centre from January 2012-March 2018. The subjects collected with the total sampling method. Result : Most burn injury happen because of scalds, and have grade 2 burn injury with PELOD score<10. Almost all subjects was succesfully resuscitated in the first 24 hour (95,1%). No association was found between the success of fluid resuscitation with either serum albumin [RR 1,175(95%CI 0,3-4,4) p=0,812], or with ureum, creatinin, lactate level, weight and the degree/extent of the burn injury. Conclusion: The success rate of fluid resuscitation in pediatric burn injury was quite high in Cipto Mangunkusumo Hospital Burn Centre. No association was found between serum albumin and the success of fluid resuscitation during the first 24 hour period. Keywords: albumin, burn, pediatric, resuscitation  

scholarly journals Using acute kidney injury severity and scoring systems to predict outcome in patients with burn injury

2016 ◽  
Vol 115 (12) ◽  
pp. 1046-1052 ◽  
Author(s):  
George Kuo ◽  
Shih-Yi Yang ◽  
Shiow-Shuh Chuang ◽  
Pei-Chun Fan ◽  
Chih-Hsiang Chang ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Injury Severity ◽  
Burn Injury ◽  
Kidney Injury ◽  
Scoring Systems ◽  
Acute Kidney Injury Severity

Abstract 15183: Do Two Scoring Systems of Coronary Stenosis, Syntax Score and Gensini Score, Similarly Predict Clinical Outcome After Pci in Patients With Stable Angina Pectoris?

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Naoto Murakami ◽  
Nobuaki Kokubu ◽  
Junichi Nishida ◽  
Mamoru Hase ◽  
Takefumi Fujito ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Coronary Stenosis ◽  
Characteristic Curve ◽  
Scoring Systems ◽  
Syntax Score ◽  
Heart Team ◽  
Gensini Score ◽  
The Mean ◽  
Stable Cad

Background: Few studies have examined if two score systems of coronary stenosis, SYNTAX score and Gensini score, are different as predictors of prognosis in patients with coronary artery disease (CAD). Here we examined this issue in patients with stable CAD after percutaneous coronary intervention (PCI). Methods: We retrospectively analyzed 795 consecutive patients who underwent coronary angiography for suspected stable CAD from January 2007 to August 2012. One hundred fifty-nine patients received PCI according to consensus of the Heart Team in our institute and patients’ consents. Overall severity of coronary stenosis and complexity in each patient was quantified by both the SYNTAX score and Gensini score, and patients were divided into high score group and low score group by the mean of the score in overall patients. Follow-up period was 15.9 ± 14.4 months, and MACE was defined as a composite of cardiac death, myocardial infarction, target vessel revascularization and/or congestive heart failure. Results: The mean SYNTAX score and Gensini score were 19.0 ± 12.4 and 47.8 ± 26.9, respectively. Long-term MACE in a group with high SYNTAX score (≧19, n=71) tended to be higher than a group with low SYNTAX score (<19, n=78), but not significant (Figure 1). However, long-term MACE was significantly higher in a group with high Gensini score (≧48, n=62) than that in a group with low Gensini score (<48, n=97) (Figure 2). In receiver operating characteristic curve analysis, optimal cut-off value of Gensini score to predict MACE was 66.5, of which sensitivity and specificity were 41.2% and 85.6%, respectively (area under curve 0.63, p=0.008). Conclusion: Gensini score is not inferior to SYNTAX in prediction of the clinical outcome after PCI in patients with stable CAD. Prognosis after PCI is favorable in patients with low Gensini score (especially those with GS<66.5).

Laryngotracheal Reconstruction in the Pediatric Burn Patient: Surgical Techniques and Decision Making

2020 ◽  
Vol 41 (4) ◽  
pp. 882-886
Author(s):  
Asitha D L Jayawardena ◽  
Sarah Bouhabel ◽  
Robert L Sheridan ◽  
Christopher J Hartnick
Keyword(s):  
Decision Making ◽  
Multidisciplinary Approach ◽  
Burn Injury ◽  
Surgical Techniques ◽  
Surgical Decision ◽  
Laryngotracheal Reconstruction ◽  
Unaffected Skin ◽  
Surgical Decision Making ◽  
Insight Into ◽  
Burn Patient

Abstract The management of laryngotracheal stenosis (LTS) in the pediatric burn patient is complex and requires a multidisciplinary approach. The mainstay of treatment for LTS is laryngotracheal reconstruction (LTR), however, limited reports of burn-specific LTR techniques exist. Here, we provide insight into the initial airway evaluation, surgical decision making, anesthetic challenges, and incision modifications based on our experience in treating patients with this pathology. The initial airway evaluation can be complicated by microstomia, trismus, and neck contractures—the authors recommend treatment of these complications prior to initial airway evaluation to optimize safety. The surgical decision making regarding pursuing single-stage LTR, double-stage LTR, and 1.5-stage LTR can be challenging—the authors recommend 1.5-stage LTR when possible due to the extra safety of rescue tracheostomy and the decreased risk of granuloma, which is especially important in pro-inflammatory burn physiology. Anesthetic challenges include obtaining intravenous access, securing the airway, and intravenous induction—the authors recommend peripherally inserted central catheter when appropriate, utilizing information from the initial airway evaluation to secure the airway, and avoidance of succinylcholine upon induction. Neck and chest incisions are often within the TBSA covered by the burn injury—the authors recommend modifying typical incisions to cover unaffected skin whenever possible in order to limit infection and prevent wound healing complications. Pediatric LTR in the burn patient is challenging, but can be safe when the surgeon is thoughtful in their decision making.

scholarly journals Clinical outcome measures and scoring systems used in prospective studies of port wine stains: A systematic review

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0235657 ◽  
Author(s):  
M. Ingmar van Raath ◽  
Sandeep Chohan ◽  
Albert Wolkerstorfer ◽  
Chantal M. A. M. van der Horst ◽  
Jacqueline Limpens ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Outcome ◽  
Outcome Measures ◽  
Prospective Studies ◽  
Scoring Systems ◽  
Port Wine ◽  
Port Wine Stains

Change of serum phosphate level and clinical outcome of hypophosphatemia in massive burn patient

2012 ◽  
Vol 73 (5) ◽  
pp. 1298-1302 ◽  
Author(s):  
Hyeong Tae Yang ◽  
Haejun Yim ◽  
Yong Suk Cho ◽  
Dohern Kim ◽  
Jun Hur ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Serum Phosphate ◽  
Phosphate Level ◽  
Serum Phosphate Level ◽  
Burn Patient

40 Implementation of a Nursing-driven Volume-based Enteral Feeding Protocol

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S27-S27
Author(s):  
Kristin Moore ◽  
Cheryl Cooper ◽  
Kayleigh Fagert ◽  
Amalia Cochran ◽  
Sheela S Thomas ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Enteral Nutrition ◽  
Clinical Outcomes ◽  
Burn Injury ◽  
Burn Patients ◽  
Improvement Project ◽  
Related Data ◽  
Catching Up ◽  
Time Period ◽  
Burn Patient

Abstract Introduction Nutrition in the burn patient is vital to proper wound healing and graft take, counteracting the hypermetabolic response, and improving patient outcomes. Studies support early, aggressive enteral nutrition for burn patients. Enteral nutrition is often interrupted during hospitalization, causing patients to fail to achieve their nutritional goals. To maximize nutritional support for burn patients, our institution implemented a nurse-driven, volume-based enteral infusion protocol (VBP). The goal of this quality improvement project was to compare clinical outcomes and volume of enteral nutrition received by the burn patient pre- and post-VBP. Methods A single-center retrospective analysis was conducted at one adult burn center comparing pre- and post-implementation of a VBP. Patients aged 18–89 years admitted to the SICU for initial management of burn injury between November 2014 – May 2015 (pre-VBP) and June 2015 – January 2016 (post-VBP) were included; for stepdown patients the time period ranged from June 2017 – December 2017 (pre-VBP) and February 2018 – September 2018 (post-VBP). Pertinent demographic and burn-related data were collected. Clinical outcomes included length of stay (LOS), complications as defined by National Burn Repository, duration of mechanical ventilation, percent weight gain or loss, and percent of enteral volume received. Results In the SICU, there were 10 patients pre-protocol and 12 patients post-protocol. When comparing pre-VBP to post-VBP demographics, mean TBSA was 19.6% (1–40.5) vs 24.83% (2–61.5%), with a mean age of 64.4 vs 60.7 years. For clinical outcomes, mean number of complications was 1.6 vs 2, with mean ventilator days of 16.2 vs 16.4, SICU mean length of stay/TBSA 1.99 vs 2.23 days, and hospital mean LOS/TBSA 3.83 vs 2.54 days. Overall prescribed amount of enteral nutrition received pre-VBP was 105% vs post-VBP amount received at 95% (p=0.09). For the step-down unit, there were 8 patients pre-protocol and 6 patients post-protocol. Overall prescribed amount of enteral nutrition received pre-VBP was 83% vs post-VBP amount received at 89% (p=0.3815). Conclusions While clinical outcomes remain unchanged during the evaluation period, our patients met their prescribed enteral nutrition volume requirements when a nurse-driven VBP was initiated. In addition, for non-ICU patients, a trend was seen towards increased tube feeds with VBP. Applicability of Research to Practice Nurse-driven VBPs allow for RNs to adjust the rate of enteral nutrition by “catching up” for interruptions in feeding to meet the patient’s nutritional goals for the day.

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