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

DC FieldValueLanguage
dc.contributor.author박유석-
dc.contributor.author이혜선-
dc.date.accessioned2014-12-18T08:43:24Z-
dc.date.available2014-12-18T08:43:24Z-
dc.date.issued2013-
dc.identifier.issn0305-4179-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86833-
dc.description.abstractOBJECTIVE: 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.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfBurns-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleThe impact of laser Doppler imaging on the early decision-making process for surgical intervention in adults with indeterminate burns-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학)-
dc.contributor.googleauthorYoo Seok Park-
dc.contributor.googleauthorYoung Hwan Choi-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorDuk Ju Moon-
dc.contributor.googleauthorSeon Gyu Kim-
dc.contributor.googleauthorJong Ho Lee-
dc.contributor.googleauthorJin Kyung Cho-
dc.contributor.googleauthorCheon Jae Yoon-
dc.identifier.doi10.1016/j.burns.2012.09.004-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01592-
dc.contributor.localIdA03312-
dc.relation.journalcodeJ00424-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0305417912002938-
dc.contributor.alternativeNamePark, Yoo Seok-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.affiliatedAuthorPark, Yoo Seok-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.rights.accessRightsnot free-
dc.citation.volume39-
dc.citation.number4-
dc.citation.startPage655-
dc.citation.endPage661-
dc.identifier.bibliographicCitationBurns, Vol.39(4) : 655-661, 2013-
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

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