WikiJournal of Medicine/Comparison between the Lund-Browder chart and the BurnCase 3D® for consistency in estimating total body surface area burned/XML

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    <full_title>WikiJournal of Medicine/Comparison between the Lund-Browder chart and the BurnCase 3D® for consistency in estimating total body surface area burned</full_title>
    <abbrev_title>Wiki.J.Med.</abbrev_title>
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     <doi>10.15347/WJM</doi>
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    <publication_date media_type='online'>     
     <year>2020</year>  
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    <titles>     
     <title>Comparison between the Lund-Browder chart and the BurnCase 3D® for consistency in estimating total body surface area burned</title>
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    <person_name sequence='first' contributor_role='author'>
     <surname></surname>
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    <publication_date media_type='online'>     
     <year>2020</year>
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     <resource>https://en.wikiversity.org/wiki/WikiJournal_of_Medicine/Comparison_between_the_Lund-Browder_chart_and_the_BurnCase_3D%C2%AE_for_consistency_in_estimating_total_body_surface_area_burned/XML</resource>
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This is an open access article distributed under the&nbsp;[https://creativecommons.org/licenses/by/4.0/ Creative Commons Attribution License], which permits unrestricted use, distribution, and reproduction, provided the original author and source are credited.</license-p>
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Objective:  Measure time required to determine total body surface area (TBSA) burned (%TBSA) using the Lund-Browder chart and BurnCase 3D<sup>®</sup>, and calculate discrepancy between the two methods' %TBSA estimates.  Methods: We asked 3 burn experts with 7 to 9 years of experience to participate in our experiment by estimating TBSA burned (%TBSA) for 26 subjects with a total of 262 photos, based on the Lund-Browder chart and the BurnCase 3D.  We also measured time required for each estimation.   Results: Estimations via the Lund-Browder chart and the BurnCase 3D showed statistically significant differences for Observers 1 and 2 (p < 0.05), but not for Observer 3 (p = 0.11). Inter-observer variability was insignificant among the observers (p = 0.31).   When using the BurnCase 3D, burn estimation was consistent across the 3 participants (p = 0.31), yet the time spent for each method was significantly different (p < 0.05) from using the Lund-Browder chart and the time spent for estimation did not statistically vary (p = 0.20). Time spent on burn estimation varied when using either the Lund-Browder chart or  the BurnCase 3D for all participants (p < 0.05).   Conclusion: Using the BurnCase 3D over the Lund-Browder chart produced slightly different estimations for TBSA burned but estimation results stayed stable across inspectors. Due to the small sample size however, further investigation is necessary.
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