Analgesic use in contemporary burn practice: Applications to burn mass casualty incident planning

Background: Determining the amount of analgesics required will help burn centers improve their ability to plan for a burn mass casualty incident (BMCI). We sought to quantify the amount of analgesics needed in an inpatient burn population. We hoped that assessing the analgesic use in daily burn care practice will potentially help estimate opioid needs in a burn mass casualty incident (BMCI). Methods: We included patients with burns covering equal to or less than 30% total body surface area (TBSA), admitted from spring 2013 to spring 2015. Patient records were reviewed for analgesics and adjuncts, pain scores, age and TBSA. The doses of the different opioids administered were converted into morphine equivalent doses (MED). Results: We enrolled 141 acute burn survivors with a mean TBSA of 8.2 ± 0.6%. The lowest daily average MED per person was 24.6 ± 2.0 mg MED, recorded on the day of injury. The daily average MED per person increased until it peaked at 52.5 ± 5.6 mg MED at day 8 post-burn. Then, it declined to 24.6 ± 3.4 mg MED by day 14. Bivariate regression analysis of average MED by TBSA showed a significant positive correlation (p < 0.001). The analysis of average MED by age showed a significant negative correlation (p < 0001). Conclusion: Our study quantified opioid requirements in an inpatient burn population and identified TBSA (positively) and age (negatively) as significant predictors.

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Work Title Analgesic use in contemporary burn practice: Applications to burn mass casualty incident planning
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Open Access
Creators
  1. Sahar T. Leazer
  2. Jennifer E. Nyland
  3. Sandra M. Escolas
  4. James K. Aden
  5. Catherine A. Rauschendorfer
  6. Leopoldo C. Cancio
  7. Kevin K. Chung
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
Publisher
  1. Elsevier BV
Publication Date February 2020
Publisher Identifier (DOI)
  1. 10.1016/j.burns.2019.02.018
Source
  1. Burns
Deposited September 09, 2021

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Version 1
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  • Created
  • Added Analgesic needs in burns_current clinical practice and BMCI_3rd revision-1.docx
  • Added Creator Sahar T. Leazer
  • Added Creator Jennifer E. Nyland
  • Added Creator Sandra M. Escolas
  • Added Creator James K. Aden
  • Added Creator Catherine A. Rauschendorfer
  • Added Creator Leopoldo C. Cancio
  • Added Creator Kevin K. Chung
  • Published
  • Updated
  • Updated