ORIGINAL ARTICLE
Year : 2018 | Volume
: 31 | Issue : 1 | Page : 225--228
Serum albumin and base deficit as prognostic factors for mortality in major burn patients
Mohamed A Megahed1, Shawky S M. Gad2, Rana H El-Helbawy3, Mohamed M Mansour4 1 Department of Plastic�Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt 2 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt 3 Department of Chest, Faculty of Medicine, Menoufia University, Menoufia, Egypt 4 Department of Plastic Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt
Correspondence Address:
Mohamed M Mansour Zagazig, Sharquia Egypt
Objective
The objective of this study was to assess serum albumin and base deficit as prognostic factors for mortality in major burn patients.
Background
Hypoalbuminemia is a common clinical deficiency in burn patients and is associated with complications related to increased extravascular fluid, including edema, abnormal healing, and susceptibility to sepsis. Base deficit is routinely calculated on blood gas analysis, and it provides the best estimate of the degree of tissue anoxia and shock at the whole body level, particularly in hemorrhagic shock. A�rising base deficit indicates increasing metabolic acidosis, and may stratify mortality in patients after major trauma. Some prognostic scales do not include biochemical parameters, whereas others consider them together with comorbidities. The purpose of this study was to determine whether serum albumin and base deficit can predict mortality in burn patients.
Patients and methods
This study included 42�patients. All patients were admitted to the burn ICU at Menoufia University Hospital. Serum albumin and base deficit were estimated in patients at admission, after 3�days, and after 1�week.
Results
The mean of serum albumin on admission was 3.33�±�0.44�g/dl, after 3�days it was 2.85�±�0.54�g/dl, and after 1�week it was 2.46�±�0.67�g/dl, and the mean of base deficit was 5.75�±�2.40, 5.24�±�2.05, and 5.45�±�2.76, respectively. These results were significant�(P�<�0.001).
Conclusion
Statistically, serum albumin and base deficit can be used as prognostic factors for mortality, and colloid therapy should be continued for the first week, not only for the first 3�days.
How to cite this article:
Megahed MA, M. Gad SS, El-Helbawy RH, Mansour MM. Serum albumin and base deficit as prognostic factors for mortality in major burn patients.Menoufia Med J 2018;31:225-228
|
How to cite this URL:
Megahed MA, M. Gad SS, El-Helbawy RH, Mansour MM. Serum albumin and base deficit as prognostic factors for mortality in major burn patients. Menoufia Med J [serial online] 2018 [cited 2024 Mar 29 ];31:225-228
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=1;spage=225;epage=228;aulast=Megahed;type=0 |
|