520 Weight-based vs. BSA-based Fluid Resuscitation Predictions in Pediatric Burn Patients

Abstract Introduction Current practice for major pediatric burns includes fluid resuscitation using formulas that estimate requirements based on weight and/or body surface area (BSA) along with percent total burn (TBSA). Adult studies have shown these can cause overload in obese patients and increase risk of complications. These findings not been validated patients. This study aims to evaluate whether a weight-based formula increases the complications children following injuries compares estimates those incorporate BSA. Methods A retrospective review was conducted 110 (≤ 18 years old) admitted an ABA-verified urban center from October 2008 May 2020. Patients had ≥15% TBSA, were resuscitated Parkland formula, fluids titrated urine output every two hours (1 ml/kg/hr if ≤ 30kg; 0.5 > 30kg). Demographics, type, TBSA collected admission. BSA-based Galveston BSA-incorporated Cincinnati predictions also calculated. Output input volumes at 8h 24h post-injury. Complications throughout hospital stay. classified into CDC-defined groups percentile ranges. Statistical analysis SPSS Statistics version 10.0. Results included 11 underweight, 60 normal weight, overweight, 21 children. Our mean age-based CDC 62.2%, 25.4%. Predicted increased as all three (p=0.033, 0.092, 0.038), however there no significant differences between overweight Total administered higher (p=0.023). However, received more than The difference given predicted across (p=0.042); however, statistically significant. There group who developed compared other groups, but Conclusions tended underpredict needs children, it overpredicted obese. Further research is needed determine value vs or incorporated terms their