TY - JOUR PY - 2013// TI - The determination of total burn surface area: How much difference? JO - Burns: journal of the International Society for Burn Injuries A1 - Giretzlehner, M. A1 - Dirnberger, J. A1 - Owen, R. A1 - Haller, H. L. A1 - Lumenta, D. B. A1 - Kamolz, L-p SP - 1107 EP - 1113 VL - 39 IS - 6 N2 - Burn depth and burn size are crucial determinants for assessing patients suffering from burns [1]. Therefore, a correct evaluation of these factors is optimal for adapting the appropriate treatment in modern burn care. Burn surface assessment is subject to considerable differences among clinicians [2]. This work investigated the accuracy among experts based on conventional surface estimation methods (e.g. "Rule of Palm", "Rule of Nines" or "Lund-Browder Chart"). The estimation results were compared to a computer-based evaluation method. Survey data was collected during one national and one international burn conference. The poll confirmed deviations of burn depth/size estimates of up to 62% in relation to the mean value of all participants. In comparison to the computer-based method, overestimation of up to 161% was found. We suggest introducing improved methods for burn depth/size assessment in clinical routine in order to efficiently allocate and distribute the available resources for practicing burn care.
Language: en
LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2013.01.021 ID - ref1 ER -