Impact of diagnostic bronchoscopy in burned adults with suspected inhalation injury

Burns : Journal of the International Society for Burn Injuries
Benjamin ZieglerChristoph Hirche

Abstract

Inhalation injury is a common complication of thermal trauma. Fiberoptic bronchoscopy (FOB) is regarded as current standard practice in diagnosing and grading inhalation injury. Nonetheless, its predictive value in terms of therapeutic decision-making and clinical outcome is controversial. Adult burn patients with inhalation injury (InI) were selected from the National Burn Repository of the American Burn Association. Subjects were propensity score pair-matched based on injury severity and grouped based on whether or not FOB had been performed (FOB, CTR, respectively). Mortality, incidence of pneumonia, length of hospitalization, length of ICU stay and dependency on mechanical ventilation were compared between the two groups. 3014 patients were matched in two groups with a mean TBSA of 22.4%. There was no significant difference in carboxyhemoglobin fraction at admission. Patients, who underwent FOB on admission had a significantly increased incidence of pneumonia (p < 0.001), mortality (p < 0.05), length of hospitalization (p = 0.002), ICU stay (p < 0.001) and duration of mechanical ventilation (p = 0.006). In a subgroup analysis of patients with TBSA of at least 20%, incidence of pneumonia was significantly higher in the FOB g...Continue Reading

Citations

Jun 7, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Minesh ChotaliaTomasz Torlinski
Jul 8, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Yangping WangWei Qian
Oct 17, 2020·Current Opinion in Anaesthesiology·Rolf Kristian GigengackStephan Alexander Loer
Feb 10, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Cordelie E WittSaman Arbabi

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