دورية أكاديمية
أعرض في EDS

Comparison of non-burn-specific systemic inflammatory response syndrome criteria and burn-specific American Burn Association systemic inflammatory response syndrome criteria in paediatric burned patients.

التفاصيل البيبلوغرافية
العنوان: Comparison of non-burn-specific systemic inflammatory response syndrome criteria and burn-specific American Burn Association systemic inflammatory response syndrome criteria in paediatric burned patients.
المؤلفون: Dalgic N; Sisli Etfal Training and Research Hospital, Division of Pediatric Infectious Diseases, University of Health Sciences, Istanbul, Turkey., Sahin A; Sisli Etfal Training and Research Hospital, Division of Pediatric Infectious Diseases, University of Health Sciences, Istanbul, Turkey., Karadag CA; Sisli Etfal Training and Research Hospital, Division of Pediatric Surgery, University of Health Sciences, Istanbul, Turkey., Sancar M; Faculty of Pharmacy, Department of Clinical Pharmacy, Marmara University, Istanbul, Turkey.
المصدر: Journal of paediatrics and child health [J Paediatr Child Health] 2020 Oct; Vol. 56 (10), pp. 1623-1628. Date of Electronic Publication: 2020 Aug 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: Australia NLM ID: 9005421 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1440-1754 (Electronic) Linking ISSN: 10344810 NLM ISO Abbreviation: J Paediatr Child Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Melbourne ; Boston : Blackwell Scientific Publications, c1990-
مواضيع طبية MeSH: Burns*/complications , Sepsis*/diagnosis, Child ; Hospitalization ; Humans ; Predictive Value of Tests ; Systemic Inflammatory Response Syndrome/diagnosis ; United States
مستخلص: Aim: We aim to investigate the diagnostic value of newly defined criteria for the systemic inflammatory response syndrome (SIRS) for paediatric burn patients by the American Burn Association (ABA) by comparing the non-burn-specific SIRS criteria for children.
Methods: A total of 147 paediatric burn patients were included in this study. Patients diagnosed with sepsis were included in the sepsis group. Clinical parameters were obtained from the electronic medical records at the time of preliminary sepsis diagnosis. Both the non-burn-specific SIRS criteria and the burn-specific ABA SIRS criteria were applied to both the sepsis group and the non-sepsis group.
Results: Of 147 patients, 50 had sepsis according to the non-burn-specific sepsis criteria. When the 50-patient sepsis group was compared to the 97-patient non-sepsis group, the sepsis group had a significantly higher duration of hospitalisation, burn percentage, burn state and abbreviated burn scoring index (ABSI) (P < 0.05). The specificity of the two scales was 29.9% for the non-burn-specific SIRS and 74.2% for the burn-specific ABA SIRS. The sensitivity for the burn-specific ABA SIRS was calculated as 58%, the sensitivity for the non-burn-specific SIRS was 100%. While positive predictive value was calculated as 42.4% for the non-burn-specific SIRS, this value was found as 53.7% for the burn-specific ABA SIRS criteria. The correlation coefficient between the non-burn-specific SIRS and the burn-specific ABA SIRS was 0.378 (P < 0.001).
Conclusions: Our study underlines the need for widespread use of more specific and sensitive burn-specific clinical criteria to early diagnosis of infection in burn patients to prevent unnecessary antibiotic usage.
(© 2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).)
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فهرسة مساهمة: Keywords: burn; consensus; diagnosis; paediatric; sepsis
تواريخ الأحداث: Date Created: 20200826 Date Completed: 20210514 Latest Revision: 20210514
رمز التحديث: 20240628
DOI: 10.1111/jpc.15060
PMID: 32841443
قاعدة البيانات: MEDLINE
الوصف
تدمد:1440-1754
DOI:10.1111/jpc.15060