Predicting the Outcome of Thermal Injury Based on the Dynamics of the Blood Sodium/Potassium Ratio

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Abstract

In order to determine the prognostic value of the dynamics of the blood sodium/potassium ratio in critical conditions during thermal trauma, the concentration of electrolytes was retrospectively studied in 107 patients with a combustological profile, 64 with a fatal outcome, 43 with a favorable outcome. It was found that an increase in the blood sodium/potassium ratio above 39 in dynamics indicates the possibility of a fatal outcome of a patient with thermal injury in the next 7–10 days.

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About the authors

A. V. Alekhnovich

A.A. Vishnevsky National Medical Research Center of High Medical Technologies; RUDN University; Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: vmnauka@mail.ru
Russian Federation, Krasnogorsk; Moscow; Moscow

A. V. Lazarev

A.A. Vishnevsky National Medical Research Center of High Medical Technologies

Email: vmnauka@mail.ru
Russian Federation, Krasnogorsk

S. L. Vedernikova

A.A. Vishnevsky National Medical Research Center of High Medical Technologies

Email: vmnauka@mail.ru
Russian Federation, Krasnogorsk

M. R. Ismagilov

A.A. Vishnevsky National Medical Research Center of High Medical Technologies

Email: vmnauka@mail.ru
Russian Federation, Krasnogorsk

P. S. Markevich

A.A. Vishnevsky National Medical Research Center of High Medical Technologies

Email: vmnauka@mail.ru
Russian Federation, Krasnogorsk

References

  1. Wiedenfeld S. Ueber der verbrennungstod. Abh ngigkeit des verbrunnungstodes von der gresse der verbrannten hautflache // Arch. Dermatol. Syphilis. 1902. V. 61. P. 33.
  2. Wiedenfeld S., Zumbusch Z. Weitere beitr ge f r pathologie und therapie schweren verbrennungen // Arch. Dermatol. Syphilis. 1905. V. 76. P. 77; 163.
  3. Matvienko A.V. Forecasting the outcome of thermal burns // Grekov’s Bulletin of Surgery. 2009. V. 168. № 6. P. 101.
  4. Natochin Yu.V., Chernyshev O.B. [Electrolyte concentration in blood serum as prognostic of severe course COVID-19] // Nephrology (Saint Petersburg). 2022. V. 26. № 1. P. 27.
  5. Overgaard-Steensen C., Ring T. Clinical review: Practical approach to hyponatraemia and hypernatraemia in critically ill patients // Crit. Care. 2013. V. 17. № 1. P. 206.
  6. Martusevich A.K., Dmitrochenkov A.V., Razumov-sky A.V. et al. The possibilities of monitoring the physico-chemical properties of biological fluids in kombustiology // Medicine. 2018. № 1. P. 149.
  7. Zavorotny O.O. [Possibilities of using the logistic regression method to predict the outcome and optimize surgical tactics in burn disease]: abstract. ... candidate of Medical Sciences: 3.1.9. Saint Petersburg, 2022. 24 p.
  8. Zinoviev E.V., Zavorotny O.O., Kostyakov D.V. et al. Trends in the development of methods for predicting the outcome of burn disease // Russ. Biomed. Res. 2022. V. 7. № 1. P. 38.
  9. Selivanov P.A. [Laboratory prognostic factors of the outcome of burn injury]: abstract. ... candidate of Medical Sciences: 03.14.10; 03.14.09. Saint Petersburg, 2022. 24 p.
  10. Selivanov P.A., Bychkova N.V., Kalinina N.M. Burn injury: immunological aspects (scientific review) // Prev. Clin. Med. 2020. № 2 (75). P. 58.

Supplementary files

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2. Fig. 1. Dynamics and individual values of electrolytes concentration and their ratio in blood plasma for the period of 20 days before the determined outcome. A - potassium; B - sodium; C - sodium/potassium ratio

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