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Assessment of the impact of oxandrolone on outcomes in burn injured patients

•Temporal data mathematically links clinical predictors to outcomes in burn care.•These formulas can objectively compare outcomes across patients and burn units.•Oxandrolone improved prealbumin levels; it may limit catabolism in burn patients.•Using and tracking nutrition in patient care may improve...

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Bibliographic Details
Published in:Burns 2019-06, Vol.45 (4), p.841-848
Main Authors: Dobbe, Logan, Clapp, Cody, Larumbe-Zabala, Eneko, Griswold, John
Format: Article
Language:English
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Summary:•Temporal data mathematically links clinical predictors to outcomes in burn care.•These formulas can objectively compare outcomes across patients and burn units.•Oxandrolone improved prealbumin levels; it may limit catabolism in burn patients.•Using and tracking nutrition in patient care may improve outcomes.•The limits of a retrospective regression analysis necessitate further research. The purpose of this study is to use a retrospective cohort of burn patients to evaluate the contribution of oxandrolone on burn care outcomes. Longitudinal clinical data is used to analyze outcomes from a new perspective. Our random-effects longitudinal regression analysis model used temporal clinical data to evaluate oxandrolone’s impact on outcomes (oxandrolone/non-oxandrolone n=50/11, median length of stay [LOS]=42.2/39.3, mean weight (kg)=192.2/207.6, mean initial prealbumin (mg/dL) 10.1/7.5). The resultant predictive models (p
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2018.11.001