Accuracy of Prehospital Care Providers in Determining Total Body Surface Area Burned in Severe Pediatric Thermal Injury
Accuracy of Prehospital Care Providers in Determining Total Body Surface Area Burned in Severe Pediatric Thermal Injury
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DOI：
10.1093/jbcr/irx004
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发表时间：
2018-07-01
影响因子：
1.4
通讯作者：
Thakkar, Rajan K.
中科院分区：
文献类型：
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作者：
McCulloh, Christopher;Nordin, Andrew;Thakkar, Rajan K.
准确测量烧伤总体表面积（TBSA）是小儿烧伤尤其是大面积烧伤患者护理的关键因素。关于院前、非烧伤中心和急诊科（艾德）提供者的这些测量的准确性的数据很少，这可能对患者管理和结局产生重大影响。我们试图确定这些估计的准确性为大面积小儿烧伤。对2007年至2015年在美国烧伤协会（阿坝）认证的儿科烧伤中心住院的TBSA ≥ 10%的患者进行了回顾性病历审查。最终TBSA由小儿烧伤外科医生确定，并与院前急救医疗服务提供者、转院患者的院外医生和烧伤中心艾德医生进行比较。使用配对t检验确定统计学显著性，P < 0.05。共139名患者
Accurate measurement of total body surface area (TBSA) burned is a key factor in the care of pediatric patients with burn, especially those with large thermal injuries. There is a paucity of data on the accuracy of these measurements by prehospital, nonburn center, and emergency department (ED) providers, which can have drastic implications for patient management and outcomes. We sought to determine the accuracy of these estimates for large pediatric burns. A retrospective chart review was conducted of patients with TBSA >= 10% admitted to an American Burn Association (ABA)-verified pediatric burn center from 2007 to 2015. Final TBSA was determined by pediatric burn surgeons and compared with prehospital emergency medical service providers, outside hospital physicians for transferred patients, and burn center ED physicians. Statistical significance was determined using a paired t-test with P < 0.05. A total of 139 patients