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KMID : 0853020140170010020
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Journal of Korean Burn Society
2014 Volume.17 No. 1 p.20 ~ p.24
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Plasma Lactate and Base Deficit: Early Predictors of Morbidity in Burn Patients
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Ha Chul-Min
Ahn Hyo-Yong
Cho In-Soo
Jung Young-Min
Choi Soo-Yerl
Pyo Chang-Hae
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Abstract
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Purpose: Plasma lactate and base deficit has been used as a marker to determine the status of tissue perfusion in trauma and clinically ill patients and also to predict the outcome of these patients. This study was performed to investigate the effect of plasma lactate and base deficit in predicting burn pa-tients outcome.
Methods: A retrospective review was performed on 102 pa-tients from January 2012 to December 2013 who were admit-ted as severe burn patients to our burn care unit. Plasma lac-tate and base deficit were measured upon admission to the hospital and SIRS score, hospital day, ABSI and TBSA were collected after admission.
Results: 102 patients were enrolled. Initial base deficit, hos-pital day, burn surface area and ABSI score showed stat-istical differences between low SIRS group and high SIRS group. The SIRS score, hospital day and ABSI score showed statistical differences between high base deficit group and low base deficit group (P＜0.05). But there were no stat-istical differences in plasma lactate between two groups (P＞0.05).
Conclusion: In this study, initial base deficit but not plasma lactate, was predictor of morbidity following burn injury.
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KEYWORD
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Burn, Plasma lactate, Base deficit, SIRS
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