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ISSN 2448-8909 (Print)

1999, Number 2

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Med Crit 1999; 13 (2)

Dyslipidemia in severe burns

Carrillo ER, Neil NM

Language: Spanish
References: 28
Page: 68-75
PDF size: 118.92 Kb.


ABSTRACT

Objective. To evaluate the lipids changes in patients with severe burns and their impact on morbidity and mortality.
Design. A case series report.
Setting. An ICU of a tertiary care hospital of Mexico City.
Patients. Eight previously healthy patients (mean age 43.2 ± 15.4 years, range 18-60) with severe burns associated to acute respiratory failure and shock.
Interventions. Endotracheal intubation, mechanical ventilation support, sedation, fluids and parenteral nutrition (emultions of lipids and propofol were avoided).
Measurements and main results. Serum determinations of cholesterol, triglycerides and high density lipoproteins were measured. APACHE II Score was 29.6 ± 7.6 points in all patients and five patients died (APACHE II Score, 33 ± 4.5 points). The average serum levels of cholesterol and lipoproteins were 14.2 and 150 mg/dL, respectively in the nonsurvivors in comparison with the survivors (20.7 and 150 mg/dL).
Conclusion. Low values of cholesterol and lipoproteins in burn patients is associated with high morbidity and mortality.


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