Estimating the usage of allograft in the treatment of major burns

C. W.M. Horner, J. Atkins, L. Simpson, B. Philp, O. Shelley, Peter Dziewulski

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Aim: To assess the amount of allograft used in the past treatment of major burns and calculate a figure to guide estimation of the quantity of allograft required to treat future patients and aid resource planning. Methods: A retrospective observational study. Records of 143 patients treated with major burns at a regional centre, from January 2004 to November 2008 were accessed with biometric data and quantity of allograft used being recorded. This data was used to calculate an allograft index (cm2 allograft used/burn surface area (cm2)) (AI) for each patient. Results: 112 of the 143 patients had complete sets of data, of the 112, 89 patients survived the initial stay in hospital. For all data average AI = 1.077 ± 0.090. AI varied according to burn % area with burns <40% requiring 0.490 cm2 allo/cm2 burn, increasing in a logarithmic fashion (R2 = 0.995) for burn areas >40%. Conclusions: The ability to estimate deceased donor skin requirements based on % body surface area affected is important in the care planning for patients with major burns. Our findings of 0.5 cm 2 allograft/cm2 burn for injuries less than 40% TBSA, increasing to 1.82 cm2 allograft/cm2 burn for injuries up to 80% TBSA can be used for planning purposes for individual services and for burn disaster planning.

Original languageEnglish (US)
Pages (from-to)590-593
Number of pages4
JournalBurns
Volume37
Issue number4
DOIs
StatePublished - Jun 1 2011
Externally publishedYes

Keywords

  • Allograft
  • Allograft index
  • Burn disaster
  • Burns
  • Deceased donor skin
  • Emergency preparedness
  • Resource planning

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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  • Cite this

    Horner, C. W. M., Atkins, J., Simpson, L., Philp, B., Shelley, O., & Dziewulski, P. (2011). Estimating the usage of allograft in the treatment of major burns. Burns, 37(4), 590-593. https://doi.org/10.1016/j.burns.2010.12.006