Evaluation of the Effectiveness of the Burn Navigator in Improving Resuscitation Outcomes
Abstract
People that suffer a severe burn injury often require intravenous fluid replacement for stabilization. Fluid loss begins immediately following a burn injury and can continue for up to 3 days, but the first 24-48 hours following a burn injury are a critical period for fluid replacement. However, complications can arise from administering an insufficient or excessive amount of fluid. Therefore, determining the appropriate rate of fluid replacement is critical and complex. Fluid rate calculations can be assisted by the Burn Navigator, a tablet-sized device that uses advanced algorithms to analyze multiple streams of data and determine the recommended fluid administration rate. Initial testing of predecessors to the Burn Navigator showed that patient outcomes were improved by the use of decision support tools for fluid rate calculation. Notably, computer-assisted fluid replacement resulted in a reduction in the number of days spent in the intensive care unit and a decrease in patient mortality. However, initial studies were conducted at one center on a small number of patients, and further testing is needed to confirm initial findings. The overall hypothesis for this proposal is that, in a multicenter study, the use of the Burn Navigator will result in lower fluid replacement volumes, higher frequency of achieving target urine output, and lower morbidity or mortality compared to manual fluid replacement approaches.
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Jan 31, 2017
- Source ID
- W81XWH1620055
Entities
People
- Matthew Rowan
Organizations
- United States Army
- United States Army Institute of Surgical Research