Plasma Lactate and Base Deficit: Early Predictors of Morbidity in Burn Patients.
- Author:
Chul Min HA
1
;
Hyo Yong AHN
;
In Soo CHO
;
Young Min JUNG
;
Soo Yerl CHOI
;
Chang Hae PYO
Author Information
1. Department of Emergency Medicine, KEPCO Medical Center, Seoul, Korea. oceanpyo@naver.com
- Publication Type:Original Article
- Keywords:
Burn;
Plasma lactate;
Base deficit;
SIRS
- MeSH:
Burns*;
Humans;
Lactic Acid*;
Perfusion;
Plasma*;
Retrospective Studies
- From:Journal of Korean Burn Society
2014;17(1):20-24
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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 patients outcome. METHODS: A retrospective review was performed on 102 patients from January 2012 to December 2013 who were admitted as severe burn patients to our burn care unit. Plasma lactate 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, hospital day, burn surface area and ABSI score showed statistical 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 statistical 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.
