Plasma Free Hemoglobin as A Diagnostic Tool for Assessment of Burn Depth | ||
| The Egyptian Journal of Surgery | ||
| Article 13, Volume 44, Issue 3, July 2025, Pages 903-907 PDF (336.68 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.344792.1316 | ||
| Authors | ||
| Laila Ahmed Aboul Nasr; Fafette Balbaa* ; Hatem Helmy; Hamed Kadry; Yasmine Darwish | ||
| Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt. | ||
| Abstract | ||
| Background: A special interest has been drawn lately trying to fill some gaps in understanding the pathophysiology and the most suitable multidisciplinary modalities for burn care and management. Objective: To detect correlation between plasma free hemoglobin (PFHb) levels and depth of burn to act as a prognostic indicator for burn treatment. Patients and Methods: This observational study was conducted on 54 patients, presenting to Kasr EL Eini Cairo University Hospital seeking treatment for burn injuries, in the period between July 2018 and 2020. Results: All patients showed moderate hemolysis and none showed severe hemolysis. There was statistically significant difference between deep and superficial burns as regard PFHb on admission, at 6 and 12h, and no statistically significant difference as regards PFHb at 48h. The correlation between total body surface area percentage and levels of PFHb on admission, at 6, at 12, and 48h of admission is a moderately positive correlation. Conclusion: PFHb has the potential to be a useful diagnostic tool. This is the first laboratory test to show a link between depth of burn and total body surface area. It is suggested that the level of PFHb after burn injury is related to the depth and size of burn. So it is a valuable diagnostic tool in burn assessment. | ||
| Keywords | ||
| Burn Depth; Intravascular hemolysis; Plasma Free Haemoglobin | ||
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