Prospective observational study in which FXIII levels and coagulation tests and cicatrization are measured during the 30 days after the thermal trauma.
This is a prospective observational pilot study in which the levels of FXIII and coagulation, anticoagulation, fibrinolysis, endothelial tissue damage and cicatrization are at the arrival of the patient to hospital, 24 hours before the first surgical intervention, 24h After the first surgical intervention, at 7 days after the first intervention and at 30 days after the thermal trauma, in this moment the healing will also be evaluated. All burn patients who meet the proposed inclusion criteria will be included and entered into the Burn Unit of the Vall d'Hebron University Hospital from the start of the study until reaching a minimum of 20 cases or a temporary term of 2 years.
Study Type
OBSERVATIONAL
Enrollment
20
The following plasma values will be measured: prothrombin time, activated partial thromboplastin time, thrombin time, functional fibrinogen, lactate, base excess, fibrin monomers, Factor XIII, Factor XII, Factor VIII, Fact von Willebrand, Plasmin, Plasminogen, Alpha-2-antiplasmin, antithrombin, protein C, Heparan sulfate, synecan 1. Surveys on the state of healing and moisture titration will be performed using Tewamether
Factor XIII
Blood Coagulation Factor XIII levels
Time frame: 30 days
Prothrombin Time (PT)
Prothrombin Time blood levels
Time frame: 30 days
Activated Partial Thromboplastin Time (APTT)
Activated Partial Thromboplastin Time blood levels
Time frame: 30 days
Thrombin Time (TT)
Thrombin Time blood levels
Time frame: 30 days
Fibrinogen
Functional fibrinogen blood levels
Time frame: 30 days
Lactate
Lactate blood levels
Time frame: 30 days
Base Excess (BE)
Base Excess blood levels
Time frame: 30 days
Fibrin monomers
Fibrin monomers blood levels
Time frame: 30 days
Factor XII
Factor XII blood levels
Time frame: 30 days
Factor VIII
Factor VIII blood levels
Time frame: 30 days
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Factor von Willebrand
Factor von Willebrand blood levels
Time frame: 30 days
Plasmin
Plasmin blood levels
Time frame: 30 days
Plasminogen
Plasminogen blood levels
Time frame: 30 days
Alpha-2-antiplasmin
Alpha-2-antiplasmin blood levels
Time frame: 30 days
Antithrombin (AT)
Antithrombin blood levels
Time frame: 30 days
Protein C
Protein C blood levels
Time frame: 30 days
Heparan sulfate
Heparan sulfate blood levels
Time frame: 30 days
Syndecan 1
Syndecan 1 blood levels
Time frame: 30 days
Healing Vancouver test
The Vancouver survey will be conducted on the state of healing
Time frame: 30 days
Healing POSAS test
The POSAS survey will be conducted on the state of healing
Time frame: 30 days
Tewamether moisture titration
Tewamether consists of two pairs of sensors to measure the humidity and temperature gradients in two different spacings
Time frame: 30 days
Surgical bleeding survey
A surgical team survey will be performed on intraoperative bleeding (during the first debridal surgery)
Time frame: 10 days
Reintervention due to bleeding
The need of reintervention because of bleeding within the next 24 hours after the first debridal surgery will be registered
Time frame: 11 days
Surface debrided
The percentage of debrided surface and type of debridement (in the first debriding surgery)
Time frame: 10 days
Surgery Bleeding
Estimated bleeding according to the modified Gross formula (in the first debriding surgery)
Time frame: 15 days