Burns treatment and management has evolved since the 90s, particularly for massive burns (≥ 50% of total body surface area (TBSA)). This study aims at analyzing the impact of the management changes on the length of intensive care unit (ICU) stay, the take of skin grafts and the mortality.
Review of all massively burned patients treated at Lausanne University Hospital burn intensive care unit (ca. 40-60 patients). Analysis of changes in length of intensive care unit stay (LICU), skin graft take rate or mortality between 2000 and 2018. Hypothesis : the optimization of resuscitation procedures and of nutrition therapy combined with the use of novel surgical techniques has brought a significant improvement in outcomes. Association between outcomes and year of admission will be assessed through correlation analysis and logistic regression analysis. Potential cofounders will be assessed through stepwise linear regression analysis
Study Type
OBSERVATIONAL
Enrollment
40
Adult ICU and Burn ICU, Lausanne University Hospital
Lausanne, Canton of Vaud, Switzerland
LICU/Percent TBSA
Ratio between the length of stay in the ICU and the total body surface area burned
Time frame: 18 years
Percent TBSA grafted/ Percent TBSA deep burns
Ratio between the TBSA grafted and the deep burns TBSA
Time frame: 18 years
Daily nutritional intakes
Daily energy, proteins, lipids and carbohydrates intakes per kilogram of body weight
Time frame: 18 years
Mortality
Percentage of patients who received maximal care and died nonetheless
Time frame: 18 years
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