Changes in total body surface area and the distribution of skin surfaces in relation to body mass index |
| |
| Affiliation: | 1. University Hospital Rebro, Department of Plastic, Reconstructive and Aesthetic Surgery, Kispaticeva 12, 10000 Zagreb, Croatia;2. Clinical Hospital Centre Zagreb, School of Medicine, University of Zagreb, Department of Radiology, Kispaticeva 12, Zagreb, Croatia;3. Andrija Stampar School of Public Health, University of Zagreb, School of Medicine, Mirogojska cesta 16, 10000 Zagreb, Croatia;4. University Hospital Rebro, Department of Anesthesiology and Intensive Care Medicine, Kispaticeva 12, Zagreb, Croatia;1. Laboratory of Experimental Intensive Care and Anesthesiology (L·E·I·C·A), Amsterdam Universitair Medische Centra, Amsterdam, The Netherlands;2. Department of Anesthesiology, Amsterdam Universitair Medische Centra, Amsterdam, The Netherlands;3. Department of Intensive Care, Amsterdam Universitair Medische Centra, Amsterdam, The Netherlands;4. Department of Intensive Care, Maasstad Hospital, Rotterdam, The Netherlands;5. Department of Intensive Care, Ghent University Hospital, Ghent, Belgium;6. Department of Intensive Care, Red Cross Hospital, Beverwijk, The Netherlands;7. Department of Intensive Care, Martini Hospital, Groningen, The Netherlands;8. Department of Intensive Care, University Hospital Brussels, Jette, Belgium;9. Department of Intensive Care, University Hospital Gasthuisberg, Leuven, Belgium;1. Resuscitation Research Laboratory, Dept. of Anesthesiology, University of Texas Medical Branch, Galveston, TX, United States;2. Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, G4 0SF, UK;1. Intensive Care Unit, Hospital Universitario Rio Hortega, C/Dulzaina 2, 47012 Valladolid, Spain;2. Critical Care Burn Unit, Hospital Universitario Rio Hortega, C/Dulzaina 2, 47012 Valladolid, Spain;3. Plastic Surgery Department, Hospital Universitario Rio Hortega, C/Dulzaina 2, 47012 Valladolid, Spain |
| |
| Abstract: | BackgroundA 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.MethodsA total of 217 individuals were included in the study. The patients were divided into 4 groups according to their BMI (18.5–25 kg/m2 (60 persons)), 25–29.9 kg/m2 (61 individuals)), 30–34.9 kg/m2 (55 persons)), >35 kg/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.ResultsWe 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).ConclusionThe 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. |
| |
| Keywords: | Body mass index Obesity Total body surface area Total burn surface area percentage Wallace rule of nines |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
