Pregled bibliografske jedinice broj: 1276177
Changes in total body surface area and the distribution of skin surfaces in relation to body mass index
Changes in total body surface area and the distribution of skin surfaces in relation to body mass index // Burns, 46 (2019), 4; 868-875 doi:10.1016/j.burns.2019.10.015 (međunarodna recenzija, članak, znanstveni)
CROSBI ID: 1276177 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Changes in total body surface area and the
distribution of skin surfaces in relation to body
mass index
Autori
Mance, Marko ; Prutki, Maja ; Dujmovic, Anto ; Milosevic, Milan ; Vrbanovic-Mijatovic, Vilena ; MIjatovic, Davor
Izvornik
Burns (0305-4179) 46
(2019), 4;
868-875
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
Body mass index ; Obesity ; Total body surface area ; Total burn surface area percentage ; Wallace rule of nines.
Sažetak
Background: A correct estimation of total burn surface area is important since it is used for determining fluid resuscitation volumes, nutritional estimates and hospital admission criteria. Wallace's rule of nines is the most commonly used methods for this purpose. However, fat distribution is non-uniform and the total body surface area changes with obesity. The aim of this study was to determine if the rule of nines applies to all body mass index groups. Methods: A total of 217 individuals were included in the study. The patients were divided into 4 groups according to their BMI (18.5-25kg/m2 (60 persons)), 25-29.9kg/m2 (61 individuals)), 30- 34.9kg/m2 (55 persons)), >35kg/m2 (41 persons)). Each patient underwent a complete duel-energy X- ray absorptiometry body scan to determine the surface area (cm2) of the various regions of the body. Results: We found no statistically significant variations between the Wallace body percentage distributions and our results in the men for all BMI ranges (head p=0.331, arms p=0.861, legs p=0.282, trunk p=0.696). In contrast, among women we found a statistically significant change in body surface area percentage distribution between the BMI groups and specific body regions (head p=0.000, legs p=0.000 and trunk p=0.001). Conclusion: The Wallace rule of nines is a quick and acceptable method for estimating the total burn surface area percentage in men of all BMI ranges. However, for women, a more accurate method of burn area estimation is required as proposed by our BMI adjusted charts.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita
POVEZANOST RADA
Profili:
Anto Dujmović
(autor)
Marko Mance
(autor)
Milan Milošević
(autor)
Maja Prutki
(autor)
Vilena Vrbanović Mijatović
(autor)
Davor Mijatović
(autor)