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Procalcitonin as a Predictor of Mortality in Burn Patients with Suspected Sepsis
Journal of Korean Burn Society 2020;23(2):37-41
Published online December 1, 2020
© 2020 Journal of Korean Burn Society.

In Kim, M.D. and Dohern Kym, M.D.1

Department of Surgery, Dongtan Sacred Heart Hospital, Hallym University, Hwaseong, 1Department of Surgery, Burn Center, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea
Correspondence to: 김도헌, 서울시 영등포구 버드나루로 7길 ㉾ 07247, 한림대학교 한강성심병원 화상센터 외과학교실
Tel: 02-2639-5446, Fax: 02-2678-4386
E-mail: dohern@hallym.or.kr
Received July 9, 2020; Revised September 18, 2020; Accepted September 21, 2020.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: The purpose of this study was to investigate the usefulness of Procalcitonin (PCT) as a predictor of mortality in patients with burn sepsis, which is closely related to mortality.
Methods: A retrospective study was conducted on 912 PCT patients diagnosed with burn sepsis in patients who survived fluid resuscitation for at least 3 days, aged 18 years or older who were admitted to Burn Intensive Care Unit (BICU) of Hallym University Hangang Sacred Heart Hospital from January 2008 to December 2018.
Results: Compared with the surviving group, TBSA (31%:65%), Inhalation (59.66%:74.23%) and ABSI (8 points:12 points) were statistically significantly higher in the death group. Looking at the changes in PCT levels in each survival and death group from Week 1 to Week 4, there was a statistically significant difference in PCT levels in the survival and death groups each week (P<0.001). Although there were statistical differences between the survival and death groups in each state (P<0.001), there was no difference in PCT values for each state in both groups (P=0.090).
Conclusion: In burn patients suspected of sepsis, the use of PCT is useful for predicting survival and death. It is necessary to conduct research based on prospective study through systematization of measurement standards and data from multiple institutions to increase the utilization of PCT through research that complements the limitations.
Keywords : Burn, Procalcitonin, Sepsis


December 2020, 23 (2)
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