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The Relevance of Baxter-Parkland Formula in More Than 8 Hours Delayed Burn Fluid Resuscitation
Abstrak (Bhs. Indonesia)
Background: Burn injury is a trauma with a high morbidity and mortality, especially in a developing country. One of the causes is delayed in the first aid and fluid resuscitation, particularly in this Covid-19 pandemic. Baxter-Parkland formula is the most often applied fluid resuscitation in burn injury. This fluid resuscitation is best given in the first 8 hours. Therefore, it is important to understand the relevance of Baxter-Parkland formula application in more than 8 hours delayed burn fluid resuscitation. Method: This is a systematic review and meta-analysis study with 20 literatures that met the inclusion criteria and tested using the Newcastle Ottawa Scale. The result was analysed by random-effect meta-analysis or fixed-effect meta-analysis to test the hypothesis. Result: The application of the Baxter-Parkland Formula in delayed burn injury can increase the mean of urine output about of 2.97 ml/kg/hour, the mean arterial pressure by an estimate of 100 mmHg, and the survival rate up to 79%. Conclusion: The Baxter-Parkland Formula is relevant for more than 8 hours delayed burn fluid resuscitation.
Abtrak (Bhs. Inggris)
Background: Burn injury is a trauma with a high morbidity and mortality, especially in a developing country. One of the causes is delayed in the first aid and fluid resuscitation, particularly in this Covid-19 pandemic. Baxter-Parkland formula is the most often applied fluid resuscitation in burn injury. This fluid resuscitation is best given in the first 8 hours. Therefore, it is important to understand the relevance of Baxter-Parkland formula application in more than 8 hours delayed burn fluid resuscitation. Method: This is a systematic review and meta-analysis study with 20 literatures that met the inclusion criteria and tested using the Newcastle Ottawa Scale. The result was analysed by random-effect meta-analysis or fixed-effect meta-analysis to test the hypothesis. Result: The application of the Baxter-Parkland Formula in delayed burn injury can increase the mean of urine output about of 2.97 ml/kg/hour, the mean arterial pressure by an estimate of 100 mmHg, and the survival rate up to 79%. Conclusion: The Baxter-Parkland Formula is relevant for more than 8 hours delayed burn fluid resuscitation.
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