Abstract
Introduction: Burn is injury of flesh that represents one of the most severe forms of trauma caused by heat, electricity, chemicals, light and radiation. Most burns affect only the skin, rarely deeper tissues, such as muscles, bone and blood vessels. A severe burn represents a devastating injury affecting nearly every body organ system and leads to significant patient morbidity and mortality.
Aims and Objectives: The current study on liver enzymes serum aspartate aminotransferase, alanine transaminase , alkaline phosphatase in burn patients was under taken to access and correlate the liver enzymes to the degree of burn injury
Materials and Methods: The study involved 60 hospitalized patients with burn injury irrespective of sex and age between 20-50 years admitted at Gauhati Medical College & hospital between July 2014 to August 2015. Estimation of AST, ALT, ALKP was done in Vitros 5600 by the slide method.
Results and Observations: In the present study ,we found that the liver enzymes, AST,ALT,ALKP were significantly elevated between 5-10 days in the study group as compared with control group(<0.05). Significant variation in the rise of liver enzymes is also seen with different degrees of burn.
Discussion: There is strong association and positive correlation between liver enzymes and degree of burns. The cause of increase rise of liver enzymes AST,ALT,ALKP is due to liver cell damage. Restoration of liver function will improve morbidity and mortality of severely burned patients.
Keywords: Burn, Liver enzymes, AST,ALT,ALKP.
References
- Burns". World Health Organization. September 2016. Archived from the original on 21 July 2017. Retrieved 1 August 2017
- "Burns Fact sheet N°365". WHO. April 2014. Archived from the original on 2015-11-10. Retrieved 3 March 2016.
- Herndon D, ed. (2012). "Chapter 4: Prevention of Burn Injuries". Total burn care (4th ed.). Edinburgh: Saunders. p. 46. ISBN978-1-4377-2786-9
- Herndon DN, Tompkins RG. (2004) Support of the metabolic response to burn injury. Lancet 363: 1895-1902
- Van den Berge G, et al. (2001) Intensive insulin therapy in critically ill patients. New Engl.J Med 345: 1359-1367.
- Linares HA (1988) Autopsy findings in burned children. In: Carvajal HF, Parks DH (eds) Burns in Children: Pediatric Burn Management. Year Book Medical Pub, Chicago.
- Barret JP, Jeschke MG, Herndon DN: Fatty infiltration of the liver in severely burned pediatric patients: autopsy findings and clinical implications. J Trauma 51:736-739, 2001.
- Fischer JE, Hasselgren PO: Cytokines and glucocorticoids in the regulation of the "hepato-skeletal muscle axis" in sepsis. Am J Surg 161:266-271, 1991.
- Hiyama DT, von Allmen D, Rosenblum L, Ogle CK, Hasselgren PO, Fischer JE: Synthesis of albumin and acute-phase proteins in perfused liver after burn injury in rats. J Burn Care Rehabil 12:1-6, 1991.
- Jeschke MG, Barrow RE, Herndon DN: Extended hypermetabolic response of the liver in severely burned pediatric patients. Arch Surg 139:641-647, 2004.
- Barrow RE, Hawkins HK, Aarsland A, Cox R, Rosenblatt J, Barrow LN, Jeschke MG, Herndon DN: Identification of factors contributing to hepatomegaly in severely burned children. Shock 24:523-528, 2005
- Moshage H. (1997) Cytokines and the hepatic acute phase response. J Pathol 181: 257-266.
- Wallace, A.B. The Treatment of Burns. Lord Horder. Oxford University Press. 1941.
- Garmel, edited by S.V. Mahadevan, Gus M. (2012). An introduction to clinical emergency medicine (2nd ed.). Cambridge: Cambridge University Press. pp. 216–219. ISBN978-0-521-74776-9.
- Mittendorfer B, Jeschke MG, Wolf SE, Sidossis LS: Nutritional hepatic steatosis and mortality after burn injury in rats. Clin Nutr 17:293-299, 1998.
- Jeschke MG, Low JF, Spies M, Vita R, Hawkins HK, Herndon DN, Barrow RE: Cell proliferation, apoptosis, NF-kappaB expression, enzyme, protein, and weight changes in livers of burned rats. Am J Physiol Gastrointest Liver Physiol 280:G1314-G1320, 2001.
Corresponding Author
Dr Malavika Barman
Assistant Professor, Department of Biochemistry,
Gauhati Medical College & Hospital, Guwahati