Year: 2025 | Month: July | Volume: 12 | Issue: 7 | Pages: 197-205
DOI: https://doi.org/10.52403/ijrr.20250721
Correlation between Preoperative Nutritional Prognostic Index and Split-Thickness Skin Graft Take in Severe Burn Patients
Bertha Kawilarang1, I Gusti Putu Hendra Sanjaya1, Gede Wara Samsarga1, Agus Roy Rusly Hariantana Hamid1, Ponti Somaya Parami2, Agustinus I Wayan Harimawan3
1Plastic Reconstructive Aesthetic Surgery and Burn Unit, IGNG Prof Ngoerah Hospital, Udayana University, Denpasar, Bali, Indonesia
2Department of Anesthesiology, Pain Management and Intensive Care, IGNG Prof Ngoerah Hospital, Udayana University, Denpasar, Bali, Indonesia
3Department of Clinical Nutrition, IGNG Prof Ngoerah Hospital, Udayana University, Denpasar, Bali, Indonesia
Corresponding Author: Bertha Kawilarang
ABSTRACT
Background: Morbidity and mortality due to severe burns remain high. Severe burns require split-thickness skin grafts (STSG), and research on the factors influencing take of STSG success is always developing. The relationship between the preoperative Prognostic Nutritional Index (PNI) and take of STSG success, as measured by graft take percentage, has not been studied in Indonesia, despite PNI being an easily accessible and cost-effective tool.
Methods: This case-control study involved 60 patients with severe burns at Burn Unit in I.G.N.G. Prof. Ngoerah General Hospital, Bali, Indonesia, from 2018 to 2024. Cases were patients with STSG take below 85%, and controls were patients with STSG take above 85%. Preoperative PNI and 14-day STSG-take rates were analyzed and correlated.
Results: Statistical analysis revealed a significant correlation between preoperative PNI and STSG take in severe burn patients, with a correlation coefficient of 0.628 (p<0.01). The optimal PNI cutoff value was 23.5058. Preoperative PNI was significantly associated with the STSG take success (OR = 3.696; p < 0.001).
Conclusion: Preoperative PNI predicts STSG take success in severe burn patients at Burn Unit in I.G.N.G. Prof. Ngoerah General Hospital.
Keywords: Burn injury, skin graft, prognosis
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