Measurement of Red Cell Distribution Width/Albumin Ratio as a Predictive Tool for 30-day Mortality of Patients With Burn Injuries
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- mortality in burn patients
研究概览
简要总结
The aim of this study is to evaluate the prognostic utility of the red cell distribution width/albumin ratio (RAR), measured within 24 hours of hospital admission, in predicting 30-day mortality among patients with burn injuries.
详细描述
The aim of this study is to evaluate the prognostic utility of the red cell distribution width/albumin ratio (RAR), measured within 24 hours of hospital admission, in predicting 30-day mortality among patients with burn injuries.
Patients presenting with acute thermal injuries will be screened based on inclusion/exclusion criteria.
After consent, patients' characteristics (age, sex, weight), clinical parameters (total burn surface area, Abbreviated Burn Severity Index), and comorbidities will be recorded.
- Emergency Department (ED) management (Arrival and Initial Stabilization)
• Primary survey (ATLS principles): Immediate stabilization of Airway, Breathing, Circulation, Disability, Exposure (ABCDE).
- Urinary catheter insertion to monitor urine output for proper resuscitation.
- TBSA will be estimated using the Rule of Nines
- All patients will be treated during the first 24 hours after burn injury guided by the Parkland Formula.
- In-Hospital Resuscitation (0-72 h)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18 years.
- •Both sexes.
- •Patients with burn injuries (%TBSA >20%).
- •Availability of complete laboratory data (RDW, albumin) on admission.
- •Admission to ICU within 24 hours of burn injury.
排除标准
- •Age <18 years.
- •Patients with chronic hematologic disease.
- •Pre-existing liver disease.
- •Nephrotic syndrome.
- •patients on chemotherapy.
- •Patients with incomplete or missing lab records.
- •Pregnant females.
- •Patient or guardian refusal.
研究组 & 干预措施
• Patients with burn injuries (%TBSA >20%)
each patient will be followed for 30 days for mortality prediction
结局指标
主要结局
mortality in burn patients
时间窗: 30 days
To determine the correlation between Red Cell Distribution Width/Albumin on admission and 30 days hospital mortality in burn patients.
次要结局
- ICU length of stay(30 days)
- Requirements of inotropes or vasopressors(30 days)
- Duration of mechanical ventilation(30 days)
- To compare RDW/albumin ratio with Revised Baux score as a predictor of mortality in burn patient.(30 days)