Estimating the usage of allograft in the treatment of major burns

Autor: B. Philp, Peter Dziewulski, Odhran Shelley, L. Simpson, J. L. Atkins, C. W.M. Horner
Rok vydání: 2010
Předmět:
Zdroj: Burns : journal of the International Society for Burn Injuries. 37(4)
ISSN: 1879-1409
Popis: Aim To assess the amount of allograft used in the past treatment of major burns and calculate a figure to guide estimation of the quantity of allograft required to treat future patients and aid resource planning. Methods A retrospective observational study. Records of 143 patients treated with major burns at a regional centre, from January 2004 to November 2008 were accessed with biometric data and quantity of allograft used being recorded. This data was used to calculate an allograft index (cm 2 allograft used/burn surface area (cm 2 )) ( AI ) for each patient. Results 112 of the 143 patients had complete sets of data, of the 112, 89 patients survived the initial stay in hospital. For all data average AI = 1.077 ± 0.090. AI varied according to burn % area with burns 2 allo/cm 2 burn, increasing in a logarithmic fashion ( R 2 = 0.995) for burn areas >40%. Conclusions The ability to estimate deceased donor skin requirements based on % body surface area affected is important in the care planning for patients with major burns. Our findings of 0.5 cm 2 allograft/cm 2 burn for injuries less than 40% TBSA, increasing to 1.82 cm 2 allograft/cm 2 burn for injuries up to 80% TBSA can be used for planning purposes for individual services and for burn disaster planning.
Databáze: OpenAIRE
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