High Risk of Failed Skin Graft on Major Burn Patients with Complication of Hypernatremia

Authors

Lynda Hariani, Staff of Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital, Surabaya
Agus Santoso Budi, Staff of Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital, Surabaya
Ephora Christina Wulandari, Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Universitas Airlangga/ Dr. Soetomo General Academic Hospital, Surabaya
Bethy Suryawathy Hernowo, Anatomical Pathology Department, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia
Gilang Mauladi Rahman, Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya

ORCID ID

Agus Santoso Budi: https://orcid.org/0000-0001-7638-6374

Abstract

The rate of failed skin graft in Dr. Soetomo General Academic Hospital Surabaya was around 26% of the cases, and it became a concern because skin graft was the main procedure to close large burn wounds. Many problems might affect this event; one of them was electrolyte imbalance. Hypernatremia was found in major burn patients. This condition disrupted the wound healing process of skin graft. This cross-sectional study evaluated patients with burns admitted to the Burn Centre of Dr. Soetomo Hospital between January 2014 and December 2018. 143 subjects participated in this study. Hypernatremia was found in 16% of all subjects (23 subjects), 19% with hypernatremia (28 subjects), and the majority of it, 65% with normonatremia (92 subjects). This study found that the risk of failed skin graft was higher on hypernatremia than normonatremia subjects. This risk was higher if the skin graft procedure took more than 10%.

First Page

166

Last Page

169

DOI

10.20473/fmi.v57i2.17864

Publication Date

6-1-2021

Recommended Citation

Hariani, Lynda; Budi, Agus Santoso; Wulandari, Ephora Christina; Hernowo, Bethy Suryawathy; and Rahman, Gilang Mauladi (2021) "High Risk of Failed Skin Graft on Major Burn Patients with Complication of Hypernatremia," Folia Medica Indonesiana: Vol. 57: No. 2, Article 14.
DOI: 10.20473/fmi.v57i2.17864
Available at: https://scholarly.unair.ac.id/fk-fmi/vol57/iss2/14