Criteria of Legrand et al for a Severe Burn

Description

The criteria for severe burn have changed as prognosis has improved. Legrand listed criteria for severe burns in adults and children. The authors are from multiple burn centers in France.

Patient selection: burn

Age Group	Percent TBSA	Other
adult	> 20%
	> 5% deep
	NA	smoke inhalation
	NA	deep burns of face, hands, feet, perineum (areas with functional sequelae)
	NA	high voltage electricity
	< 20%	age > 75 years
	< 20%	severe comorbidities
	< 20%	smoke inhalation suspected
	< 20%	deep circular burns
	< 20%	superficial burns in face, hands, feet, perineum, skin folds (function sensitive areas)
	11-20%	3-5% deep
	11-20%	low-voltage electricity
	11-20%	chemical burns
pediatric	> 10%
	> 5% deep
	NA	< 1 year of age
	NA	severe comorbidities
	NA	smoke inhalation
	NA	face, hands, feet, perineum, skin fold (function sensitive areas)
	NA	circular burns
	NA	electrical burn
	NA	chemical burn

where:

• Some of these criteria need clarification. A tiny burn in a person > 75 years would be rated severe based on the criteria.

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Criteria of Legrand et al for a Severe Burn

Description

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