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Página 1 a partir de 266 resultados
Differences in resuscitation in morbidly obese burn patients may contribute to high mortality.
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The rising number of obese patients poses new challenges for burn care. These may include adjustments in calculations of burn size, resuscitation, ventilator wean, nutritional goals as well as challenges in mobilization. The authors have focused this observational study on resuscitation in the obese
Overweight and obesity: overrepresentation in the pediatric reconstructive burn population.
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Pediatric burn patients are predisposed to excessive weight gain in the reconstructive period, but the cause is unclear. An overweight (OW) or obese (OB) condition is associated with numerous health risks, decreased physical function, and increased morbidity. The purpose of this study was to compare
Systematic review and meta-analysis of complications and outcomes of obese patients with burns.
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Obesity has been described as a factor that contributes to poorer outcomes and more severe complications in burned patients. We thus aimed to meta-analyse the literature present regarding the extent to which obesity contributes to the prevalence of various complications in burns. We searched
Nutritional care of the obese adult burn patient: a U.K. Survey and literature review.
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Obesity is an emerging healthcare problem and affects an increasing number of burn patients worldwide. An email survey questionnaire was constructed and distributed among the 16 U.K. burn services providing adult inpatient facilities to investigate nutritional practices in obese thermally injured
University of Hawai'i John A. Burns School of Medicine Medical Students' Attitudes Towards Obese Patients.
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Studies have shown that healthcare professionals often demonstrate obesity biases, which in turn reduce the quality of care obese patients receive. The purpose of the current study was to describe third and fourth year University of Hawai'i, John A. Burns School of Medicine medical students'
Body Mass Index (BMI) and mortality in patients with severe burns: is there a "tilt point" at which obesity influences outcome?
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BACKGROUND
Obesity is a serious health hazard. Despite advances in burn care severely obese patients with large burns have higher mortality compared with normal-weight patients. The Body Mass Index is the universal measure to define and classify obesity. This study aims to evaluate the effect of
How long a shadow does epidemic obesity cast in the burn unit? A dietitian's analysis of the strengths and weaknesses of the available data in the National Burn Repository.
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To demonstrate the research potential of the National Burn Repository, we examined outcomes affecting the obese burn population, specifically length of stay and mortality. This retrospective analysis evaluates burn patients from the repository coded as "obese." We queried admissions from burn units
Comparison of the metabolic response to burn injury in obese and nonobese patients.
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Burned patients who are obese encounter many obstacles to recovery associated with their excess weight. Weight is used as a factor in most equations designed to estimate energy expenditure, whereas measurement of energy expenditure provides an objective assessment of energy expenditure. In this
The results of a national survey regarding nutritional care of obese burn patients.
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Little is known about the nutritional needs of obese burn patients. Given the impact of obesity on the morbidity and mortality of these patients, a uniform understanding of perceptions and practices is needed. To elucidate current practices of clinicians working with the obese burn population, the
How accurate are resting energy expenditure prediction equations in obese trauma and burn patients?
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BACKGROUND
While the prevalence of obesity continues to increase in our society, outdated resting energy expenditure (REE) prediction equations may overpredict energy requirements in obese patients. Accurate feeding is essential since overfeeding has been demonstrated to adversely affect
Obesity and burns.
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The population of overweight patients presenting to burn facilities is expected to increase significantly over the next decades due to the global epidemic of obesity. Excess adiposity mediates alterations to key physiological responses and poses challenges to the optimal management of burns. The
Assessment of burn size in obese adults; a literature review.
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OBJECTIVE
Obesity causes changes in the total body surface area as well as the distribution of skin surfaces. In burn management, three methods are commonly used to determine the surface area burned: the patient's palm, the rule of nines, and the Lund-Browder chart. These methods rely on the
Mild obesity is protective after severe burn injury.
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OBJECTIVE
To assess the impact of obesity on morbidity and mortality in severely burned patients.
BACKGROUND
Despite the increasing number of people with obesity, little is known about the impact of obesity on postburn outcomes.
METHODS
A total of 405 patients were prospectively enrolled as part of
Effects of obesity on burn resuscitation.
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The effects of obesity on resuscitation after severe burn are not well understood. Formulas to calculate 24-h resuscitation volumes incorporate body weight, which in obese patients often leads to excessive fluid administration and potential complications such as pulmonary edema, extremity or
Burns in morbidly obese patients.
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It has been estimated that 26% of Americans are obese. A very small subset of this group can be categorized as morbidly obese, fulfilling the criteria of being 100 pounds, or 100%, over ideal body weight. The clinical records of seven morbidly obese burn patients treated over a 20-year period are
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