Original U.S. Army Institute of Surgical Research Burn Center Retrospective Review of 70 patients
J Salinas et al, 2011
35% additional time in target UO range
24 hour fluids given reduced from 6.5 to 4.2 mL/kg/TBSA (Total Body Surface Area burned)
2.5 fewer ventilator days
Mortality decreased from 44% to 29% between groups
U.S. Army burn center Retrospective Review of 207 patients
, J Salinas et al, 2012
24 hour fluids given were 3.5 mL/kg/TBSA
Mean urine output for initial 24 hours was 55 mL/hr
University of Texas Medical Branch Retrospective Review of 53 patients
, G Kramer et al, 2015 (poster presentation)
Mean 24 hour fluids given reduced from 4.1 to 3.0 mL/kg/TBSA
Acceptance of recommendations was 89%
Unadjusted mortality 33% in before group, 17% in after group
University of Texas Medical Branch Retrospective Review of 154 patients
, J Sheaffer et al, 2017 (oral presentation)
Acute Kidney Injury incidence reduced from 15% to 6% in first five days (p=.089)
35 Years of Burn Resuscitation
J Salinas et al
Review of Patients Resuscitated Using a Computerized Decision Support System in A Burn Intensive Care Unit.
Crit Care Med 2012
225: Poster: Abstract only
Kramer GC et al
Computerized Decision Support for Burn Resuscitation.
J Burn Care and Research 2015
Meta-Regression graph adapted from Kramer poster² with permission.
J Salinas et al, Computerized decision support system improves fluid resuscitation following severe burns: An original study. Crit Care Med 2011 39(9):2031-8.
J Salinas et al, Review of Patients Resuscitated Using a Computerized Decision Support System in A Burn Intensive Care Unit. Crit Care Med 2012, 225: Abstract only.
Kramer GC et al, Computerized Decision Support for Burn Resuscitation. J Burn Care and Research 2015, 36(3): S214
Sheaffer J et al, Incidence of Acute Kidney Injury in Computerized Decision Support System Guided Fluid Resuscitations, American Burn Association Oral Presentation, 24 March 2017.