PROGNOSIS OF INHALATION INJURY IN SEVERE BURN PATIENTS ON EMERGENCY PHASE

Ida Ayu Agung Laksmi

Abstract

Background: Inhalation injury in severe burns is a serious problem cause mortality and morbidity. Survival prognosis of severe burn is most important for patients and family in the emergency phase. The purpose of this study is to analyze the impact of inhalation injury in severe burn patient during emergency phase in Sanglah Hospital, Bali, Indonesia.

Methods: This study was a cohort retrospective design of the 78 samples of medical records at Sanglah Hospital in a period of 2 years, from March 2014 until March 2016.
Results: The results of logistic regressions with mediation show that inhalation injury is a predictor factor of patient’s survival (p = 0.000) that mediated by respiratory rate. The equation obtained y” = -6.608 + (5.589) (Inhalation Injury) + (1.942) (RR). The probability for patient with severe burn to die in the first 48 hours if the patient has an inhalation injury and has a respiratory rate in the first 8 hours after fluid resuscitation of more than 24 x/m is 71.4%.

Conclusions: Patient with inhalation injury on severe burn has better prognosis if respiratory rate on first 8 hours is less than 24 cycles per minute. 

Full Text:

PDF

References

Marx JA, Hockberger RS & Walls RM. Rosen’s Emergency Medicine: Concepts and Clinical Practice, 7th Edition. Philadelphia: Mosby Elsevier, 2009.

Bláha J. Physiology and pathology of skin after burns and derangement of gene expression. Acta Chir Plast 2006; 48:127-132.

Singer AJ, Lee CC, Thode HC Jr: Epidemiology of burns in the ED, 1996-2004. Ann Emerg Med 2007; 14:S65

Tanizaki S. Assessing inhalation injury in the emergency room. Open Access Emergency Medicine. 2015; 7: 31-35.

doi: 10.2147/OAEM.S74580

Chen M, Chen M, Wen B, Lee M, & Ma H. The impact of inhalation injury in patients with small and moderate burns. Burns,

;40:1481–1486.

Dries FW & Endorf DJ. Inhalation injury: epidemiology, pathology, treatment strategy. Scandinavian Journal of Trauma,

Resuscitation and Emergency Medicine. 2013;21(31).

You K, et al. Inhalation injury in burn patients: Establishing the link between diagnosis and prognosis. Burns. 2014; 40: 1470–1475.

Taylor SL, et al. Predicting mortality from burns: The need for age-group specific models. Burns. 2014; 40:1106–1115.

Zanasi S, de Abreu LC, Heinke T, et al. Factors Associated with Survival of Burned Patients. International Archives of Medicine.

; 8 (77). doi: 10.3823/1676

Kraft, R, et al. Optimized Fluid Management Improves Outcomes of Pediatric Burn Patients. Journal of surgical research. 2013;181.

Chen C, Chen, L, Wen B, Liu S, & Ma, H. Objective estimates of the probability of death in acute burn injury: A proposed Taiwan

burn score. Trauma Acute Care Surgical. 2012; 73:1583-1589.

Davis JS, Prescott AT, et al. A New Algorithm to Allow Early Prediction of Mortality in Elderly Burn Patients. Burn. 2012; 38: 1114-

Snell JA, Loh WN, Mahambrey T, & Shokrollahi K. Clinical review: The critical care management of the burn patient. Critical Care.

; 17 (241).

Yang TH, Yim H, Cho YS. et al. Investigation of relationship between inhalation injury assessment and prognosis in burn patients.

Journal of the Korean Surgical Society. 2011; 81:1-9. Doi: 10.4174/jkss.2011.81.1.1

Mlcak RP, Suman OE, & Herndon DN. Respiratory management of inhalation injury. Burns. 2007; 33:2–13.

Rahayuningsih T. Penatalaksanaan Luka Bakar (Combustio). Profesi. 2012; 8.

Refbacks

  • There are currently no refbacks.