Comparison of the Lund and Browder table to computed tomography scan three-dimensional surface area measurement for a pediatric cohort

Treating burns effectively requires accurately assessing the percentage of the total body surface area (%TBSA) affected by burns. Current methods for estimating %TBSA, such as Lund and Browder (L&B) tables, rely on historic body statistics. An increasingly obese population has been blamed for increasing errors in %TBSA estimates. However, this assumption has not been experimentally validated. We hypothesized that errors in %TBSA estimates using L&B were due to differences in the physical proportions of today's children compared with children in the early 1940s when the chart was developed and that these differences would appear as body mass index (BMI)-associated systematic errors in the L&B values versus actual body surface areas.

Source: Journal of Surgical Research - October 5, 2017 Category: Surgery Authors: R. Wolfgang Rumpf, William C.L. Stewart, Stephen K. Martinez, Chandra Y. Gerrard, Natalie L. Adolphi, Rajan Thakkar, Alan Coleman, Adrian Rajab, William C. Ray, Renata Fabia Tags: Burns Source Type: research