原创力文档a novel means to classify response to resuscitation in the severely burned derivation of the kmac value：一种新的手段，在严重烧伤的衍生价值kmac响应复苏分类.pdfVIP
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a novel means to classify response to resuscitation in the severely burned derivation of the kmac value：一种新的手段，在严重烧伤的衍生价值kmac响应复苏分类
b u r n s 3 9 ( 2 0 1 3 ) 10 6 0 – 10 6 6
Available online at
journal homepage: /locate/burns
A novel means to classify response to resuscitation
in the severely burned: Derivation of the KMAC
value§,§§
Joseph F. Kelly a, Daniel F. McLaughlin a, Jacob H. Oppenheimer a,
a a b
John W. Simmons II , Leopoldo C. Cancio , Charles E. Wade ,
Steven E. Wolf c,*
a United States Army Institute of Surgical Research, United States
b Department of Surgery, University of Texas Health Science Center – Houston, United States
c Division of Burn, Trauma, and Critical Care, Department of Surgery, University of Texas – Southwestern Medical
Center, United States
a r t i c l e i n f o a b s t r a c t
Article history: Background: Resuscitation fluid rates following burn are currently guided by a weight and
Accepted 21 May 2013 burn size formulae, then titrated to urine output. Traditionally, 24 h resuscitation is reported
as volume of resuscitation received without direct consideration for the physiologic re-
Keywords: sponse. We propose an input-to-output ratio to describe the course of burn resuscitation and
Burn resuscitation predict eventual outcomes.
KMAC Methods: We reviewed admissions to a burn center from January 2003 through August 2006.
Burn mortality Inclusion criteria were 20%TBSA, admission 8 h after burn, and survived 24 h. Demo-
graphics, input volume
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