Asukua M, Yu T, Yan Q, Böing E, Hahn H, Hovland S, Donelan M
Burns. Article in Press. DOI:https://doi.org/10.1016/j.burns.2021.02.014
El propósito de esta revisión sistemática de la literatura es evaluar críticamente las morbilidades del sitio donante del injerto de piel de espesor parcial (STSG). La búsqueda de artículos revisados por pares en tres bases de datos desde enero de 2009 hasta julio de 2019 identificó 4271 publicaciones en inglés que informaban resultados clínicos, complicaciones o calidad de vida del sitio donante de STSG. De estos estudios, 77 cumplieron los criterios de inclusión para el análisis.
Allograft skin (AS) transplantation has been considered to be the gold standard for replacing tissue damage, following burns. However, increasingly new biosynthetic skin substitutes are being developed as alternatives. The objective of this systematic review is to compare AS with other skin substitutes, which have been used in the treatment of burns.
Burns are a major health problem worldwide. In some countries, they are the fourth leading cause of death in trauma patients. Every year, more than 200,000 deaths occur because of diverse types of burns, and the majority of these deaths occur in low-income countries. The incidence of burn mortality depends on both patient factors (age, gender, and comorbidities) and burn factors (depth and total burn surface area (TBSA)). Mortality prediction for burn patients is important not only to determine the prognosis of individual patients but to assess the performance of the burn institute and the quality of the health care the patients receive. Many mortality or survival prediction models have been developed, modified, and validated. The abbreviated burn scoring index (ABSI) is one of the most commonly used scores for assessing patients’ mortality. It was reviewed, modified, and validated in this study.
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