Is palmar surface area a reliable tool to estimate burn surface areas in obese patients?

Is palmar surface area a reliable tool to estimate burn surface areas in obese patients?

Estimating TBSA burned is critical to the initial management and fluid resuscitation of patients who have sustained burn injuries. TBSA of scattered burn injuries are frequently estimated using the patient's percentage palmar surface area (%PSA), which is taught as being 1% of the TBSA. This st...

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Veröffentlicht in:Journal of burn care & research 2015-01, Vol.36 (1), p.87-91
Hauptverfasser: Butz, Daniel R, Collier, Zach, O'Connor, Annemarie, Magdziak, Megan, Gottlieb, Lawrence J
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Body Mass Index
Body Surface Area
Burns - pathology
Case-Control Studies
Female
Hand
Humans
Male
Middle Aged
Obesity - complications
Obesity - pathology
Reproducibility of Results
Young Adult
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Zusammenfassung:Estimating TBSA burned is critical to the initial management and fluid resuscitation of patients who have sustained burn injuries. TBSA of scattered burn injuries are frequently estimated using the patient's percentage palmar surface area (%PSA), which is taught as being 1% of the TBSA. This study investigates the relationship of %PSA to TBSA as the body mass index (BMI) increases. Age, sex, race, weight, height, and PSA was collected from obese and nonobese volunteers. TBSA was calculated using the Mosteller, DuBois-DuBois, Livingston and Scott, and Yu formulas. The %PSA relative to TBSA was calculated in obese and nonobese volunteers. Data from 100 subjects were collected. Fifty subjects had a BMI >30 and 50 had a BMI
ISSN:1559-047X
1559-0488
DOI:10.1097/BCR.0000000000000146