Journal article
Regional Burn Review: Neither Parkland nor Brooke Formulas Reach 85% Accuracy Mark for Burn Resuscitation
Journal of burn care & research, Vol.44(6), pp.1452-1459
11/02/2023
DOI: 10.1093/jbcr/irad047
PMID: 37010149
Abstract
Prolonged resuscitation can result in burn wound conversion and other complications. Our team switched from using Parkland (PF) to modified Brooke formula (BF) in January 2020. Secondary to difficult resuscitations using BF, we sought to review our data to identify factors associated with resuscitation requiring greater than predicted resuscitation with either formula, defined as 25% or more of predicted, hereafter referred to as over-resuscitation. Patients admitted to the burn unit between 1/1/2019 and 8/29/2021 for a burn injury with a percentage of total body surface area (%TBSA) ≥15% were included. Subjects <18 years, or weighing <30 kg, and those who died or had care withdrawn within 24 h of admission were excluded. Demographics, injury information, and resuscitation information were collected. Univariate and multivariate analyses were performed to identify factors associated with over-resuscitation by either formula. P < 0.05 was considered significant. Sixty-four patients were included; 27 were resuscitated using BF and 37 using PF. No significant differences were observed in demographics and burn injury between the groups. Patients required a median 3.59 mL/kg/%TBSA for BF and 3.99 mL/kg/%TBSA for PF to reach maintenance (p = 0.32). Over-resuscitation was more likely to occur when using BF compared to PF (59.3% vs. 32.4%, p = 0.043). Over-resuscitation was associated with longer time to reach maintenance (OR = 1.179 [1.042-1.333], p = 0.009) and arrival via ground transportation (OR = 10.523 [1.171-94.597], p = 0.036). Future studies are warranted to identify populations in which BF underperforms and sequelae associated with prolonged resuscitation.
Details
- Title: Subtitle
- Regional Burn Review: Neither Parkland nor Brooke Formulas Reach 85% Accuracy Mark for Burn Resuscitation
- Creators
- Rachel Dahl - Carver College of Medicine, University of Iowa, Iowa City, IA, USAColette Galet - University of IowaMichele Lilienthal - University of IowaBrooke Dwars - University of IowaLucy Wibbenmeyer - University of Iowa, Surgery
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.44(6), pp.1452-1459
- DOI
- 10.1093/jbcr/irad047
- PMID
- 37010149
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Language
- English
- Electronic publication date
- 04/03/2023
- Date published
- 11/02/2023
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984473218002771
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