Rafizadeh, Hasan

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.$f pgJs otSl,.ijlcgL-.1s gLi-l cdbto "*;luap grLc.ij.*S,ir1, o.r5Jllo.U Olr-lr".r.lj;gl '=,b u.a-a-*.;..clr5: .iL-: --;_->- i-; - J\-->:- ,->:-:i -J. .---.-., i'cirl3 t t*thar[ gr, 6,*> r5c.fljlf l .,,$,:i.rr-;.,12,.1b -rE--.>r---;---:--->-"ta5l ,-;^*i ay+ Jr 4;tL, Yf 6aall r/)*, C!*r &lPl e # ci!.r:' --- --GS.J,9*t clltL*l .=Jt )9"o;jt *.--; -:;1 ,,L; I u*#1 {-7 )* CJ-- *r! ,-s--t-t 4Jtt- r1l pl-=.;i j -i jJd:i- tf j .r_,, ;.cL r.: a.r-11 er- & a-_G-9 C.t": cSLs 65y ! ,,r- -- - *. *r cJ*, c1+1 q ;*;y-.5--c5'[-fr 5_ r;.91 o.uL;o f; "u_i d.Jlt^ a-_ :j:rr,. .:; oJ-: 6-a;?- tta" kli r-r* 6J.- ,1 .lor.: Y. ,t ,*.1 uS JL 2A b I ? * - _;\ ;S|y Jr-L jl o.r-; gErl , olr^o S\S; ( oJ-^r!.!_ **Jl+ ..Str .-=!-t tr OlrL* -'- - *,. -i,1 .-L Yf ;=.!l g )9t9;.cL;*"#1 a;UU- rr-Jol r*. rjJ; I--> *:*1 cre .-,Lrl-* ,.: ,r:.Jbrg- -;! *JlL. .u1"1 . c*t o.:y ( ABSI ) ;*;* -- - _- .,;-.-. If .:.cl* a*"iJ1 gABSI J:+4 -r:-= L.gLo rJL;1 ,s. -^;lc rlcl'.o La, -,--1 a.-=-i.; (OR ,2.32 and 0.06 , respectivelyl . .r-il o..:e: c-le -; e:-: i-, ABSI r+ c"rL* Yf , .:9re c.cl_- d,*"9"*J1 61r.0.97 t ,0.92 , 0.86 t-\L-,,- ,. c-l oca ABSI or)b ! r! ,r- - " -*--+ -.^-:?. ,: 3 -a:2.^*(-r"J5 -+L--,-,1 ,. ;*#1 er- *-.gJ o.l-r, ,,-.;i ir- -.sll.i--l .5Gil; jl e_b J.--4r 9 6; ^i9^" ptf:o r.: r,_! uafl rr1: r- j-- -\Ieasuring serunl albuntin levels at 0 and 24 hours: Does it rnisethe accuras of clinical evaluations in the prediction of burn-relatedmortaliff?Introduction: Ttr er-aluate whether measuring serurr albumin levels in clintc..a:.::s:r-..:-.ls:;Iects the accuracy of rnortality predictions in large bums and to compa:;::r .-:'..S !-runr albumin levels at hour 0(Alb0h) and hour 24(Alb21h) following thei:- r,--t t_.-\Ietc,ds: Thts prospective observational study rvas performed at an academic burn unit.P,.:.c:'.:s uho tvere aged betweerr 16 anei 65 and who presentedu,ith burns on more thanI ': , i'itheir total body surface area (0,6T8SA) were included in the study. Patients r,riths-\.re cornorbid conditions, coucomitant trauma, referred from other centres ors:trin" lrom malnutrition lvere excluded fiom the study. The n'rain r,ariables in the.iL:dr x'ere Alb0li, Alb24h and Abbreviated Burn Severity Index (ABSi) scores. 'i-heprimarr. outcome was in-lT ospital nrortality.Result: In a population of 105 patients. %TBSA, being fernale, inhalational injur1,.\ib(,th. Alb21h and ABSI score (p <0.001) and the presence of a full thickness injury (p= t-t.1-t08) u'ere associated with mortality. In the multirariable anal1,sis. ABSI scores and\lbl1h n'ere independent predictors (OR. 2.32 and 0.06. respectively). The area under..rnes (AUCs) were 0.86. 0.92,0.94 and 0.97 for,{1b0h. Alb24h, ABSI score and\lbl+h +ABSI score, respectively. There were no statisticalll, significant differencesrlr.Trtrng the AUCs. Alb0h (at 3.5 g/dl-) and Alb2,lh (at 2.4 g/dl) shou'ed 84-85% andSS-859'6 sensitivity specificity for mortality, respectively.Discussion: Measuring Serum albumin levels in clinical assessments slightly increases:he accuracy of mortality predictions; however, the hour at which the blood sampling ispertbrmed needs to be considered to avoid interpretation errors.C

بررسی ارزش تغییرات آلبومین سرم در ۲۴ ساعت اول در پیش بینی مورتالیته و تعداد روزهای بستری در بیماران دچار سوختگی شدید

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