• Sherif S Emara, Ahmed M Aboulwafa, Awad A Alzaylai, and Mohamed M Farag.
• Al-Hada Military Hospital, Taif, Saudi Arabia. sherifshbl@yahoo.com
• Burns. 2013 Jun 1;39(4):723-8.

PurposeTo evaluate the effectiveness of microalbuminuria monitoring in the management of patients with severe burns.MethodsConsecutive patients admitted to the burn unit with total body surface area burn between 20% and 50% were examined for microalbuminuria during the hospitalisation. The findings were correlated to different clinical variables usually encountered in this patient category.ResultsMicroalbuminuria was found in patients with inhalation injuries (100%), systemic inflammatory response syndrome (SIRS, 88.4%), burn sepsis (95.1%) and postoperatively (94.9%).ConclusionMicroalbuminuria is the only simple, non-invasive, bedside, immediate and cost-effective test to indicate for occurrence of SIRS, if the other variables were stabilised. It can be measured with every urine void or more often when a urinary catheter is inserted. This will affect our management of patients with severe burns.Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.

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