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The impact of laser Doppler imaging on the early decision-making process for surgical intervention in adults with indeterminate burns

Authors
 Yoo Seok Park  ;  Young Hwan Choi  ;  Hye Sun Lee  ;  Duk Ju Moon  ;  Seon Gyu Kim  ;  Jong Ho Lee  ;  Jin Kyung Cho  ;  Cheon Jae Yoon 
Citation
 BURNS, Vol.39(4) : 655-661, 2013 
Journal Title
 BURNS 
ISSN
 0305-4179 
Issue Date
2013
MeSH
Adult ; Burns/diagnosis* ; Burns/surgery ; Decision Making ; Decision Support Techniques ; Female ; Humans ; Laser-Doppler Flowmetry/methods* ; Logistic Models ; Male ; Middle Aged ; Retrospective Studies ; Sensitivity and Specificity ; Skin/blood supply* ; Skin Transplantation
Keywords
Laser Doppler imaging ; Indeterminate burn ; Decision-making ; Surgical intervention ; Adult
Abstract
OBJECTIVE: We aimed to analyze whether laser Doppler imaging (LDI) can lead to earlier decision-making regarding the need for surgery in adults with indeterminate burns. METHODS: In a retrospective cohort study, we developed a prediction model for surgery in adults with indeterminate burns. Patient data (n=101) from January 2007 to December 2009 were used for model development, and those (n=40) from January 2010 to October 2010 for external validation. RESULTS: Between non-surgical and surgical groups, there were significant differences for mean age (p=0.009), % total body surface area burn (p=0.016), site of burn wound (p=0.033), and mean perfusion units (PU) (p<0.001). Multiple logistic regression showed that only the mean PU differed significantly between the groups. The area under the curve (AUC) of the equation derived from multiple logistic regression was 0.938, which did not differ from that of the mean PU alone (0.931; p=0.453). Using a cut-off point of 154.7PU, the sensitivity of LDI was 78.3% and the specificity was 92.7%. This cut-off point also yielded a sensitivity of 77.8% and specificity of 95.5% in the external validation dataset. CONCLUSION: LDI can help make a decision for surgery in the early stages of care for adults with indeterminate burns.
Full Text
http://www.sciencedirect.com/science/article/pii/S0305417912002938
DOI
10.1016/j.burns.2012.09.004
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Lee, Hye Sun(이혜선) ORCID logo https://orcid.org/0000-0001-6328-6948
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86833
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