Rizal D. Aportadera formula versus Parkland formula in the fluid resuscitation of patients with burn injuries: Cohort study
- Author:
Rozalyn D Reyes-Mauro
1
;
Benedict Edward Valdez
1
;
Rizal D Aportadera
1
;
Faith Joan Mesa-Gaerlan
1
;
Alvin S Concha
2
Author Information
- Publication Type:Journal Article
- From: Southern Philippines Medical Center Journal of Health Care Services 2021;7(2):1-
- CountryPhilippines
- Language:English
-
Abstract:
Background:Fluid management is crucial during the first 24 hours after a burn injury due to different systemic responses of the body
Objective:To compare the outcomes of patients with partial- or full-thickness burns initially managed using the Parkland (PRK) formula with those initially managed using the Rizal D. Aportadera (RDA) formula, a fluid resuscitation formula with added sodium bicarbonate.
Design:Cohort study.
Participants:181 male and female patients, aged 7 months to 78 years, with partial- or full-thickness burns.
Setting:RDA Burn Unit of Southern Philippines Medical Center, Davao City, from January 2008 to December 2018.
Main outcome measures:Proportions of patients with prolonged hospital stay, sepsis, and death; odds ratio of having the outcomes for selected factors.
Main results:Of the 126 males and 55 females, with overall mean age 25.70 ± 20.92 years, included in this study, 175 (96.69%) had partial-thickness burns and 6 (3.31%) had full-thickness burns. Among the patients, 108/181; 59.67% were managed with the PRK formula, while 73/181 (40.33%) were managed with the RDA formula during fluid resuscitation. Compared to the PRK group, the RDA group had significantly lower mean length of hospital stay (11.67 ± 9.69 days vs 17.22 ± 20.45 days; p=0.0317) and lower proportion of patients with prolonged hospital stay (2/73, 2.74% vs 13/108, 12.04%; p=0.0287). Full-thickness burns had independent association with prolonged hospital stay, while major burns had independent association with death.
Conclusion:Compared to patients in the PRK group, those in the RDA group had significantly shorter hospital stay. Full-thickness burns and major burns were independently associated with prolonged hospital stay and death, respectively.
