Burns, Thermal Burn, Thermal Injury
Conditions
Keywords
Matrix Metalloproteinases
Brief summary
The objective of this study is to determine whether our chemical assay can be used to reliably predict graft take or failure in patients undergoing autologous skin grafting for treatment of acute burn injury.
Detailed description
This is an observational pilot study of patients treated at UF Health Shands Burn Center adult service. This is a study to determine the predictive value of quantifying concentrations of specific MMPs. Coupling this with a specialized collection sample collection system and a calibrated fluorimetry allows for the rapid assessment of MMP concentrations. This assay has been validated as a predictor of failed wound healing in a published clinical study involving chronic open wounds.
Interventions
Autogenous skin grafting is the only definitive treatment for the full thickness burn injuries, and thus represents the centerpiece of modern burn care.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age or older * Admitted with acute burns injuries (flame, contact or scald) requiring at least one surgical excision and grafting operation will be considered for inclusion * Burn injury less than one week old
Exclusion criteria
* Electrical, chemical or cold-induced burn injury * Total body surface area burn \>50 % * Pre injury diagnosis of chronic renal insufficiency, liver failure, refusal to accept blood transfusion or withdrawal of care within three days of admission will also be
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictability of graft take | 2 years | Determine whether chemical assay can be used to reliably predict graft take or failure in patients undergoing autologous skin grafting for treatment of acute burn injury. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wound healing | 2 years | Assess the predictive value of serial MMP assays in identifying wounds transitioning from likely-to-fail to likely-to-succeed |
Countries
United States