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Published on: February 23, 2024
Cardiovascular risk profile in burn survivors
Becky Leung1, John F Younger2, Kellie Stockton3
1Gold Coast University Hospital, Southport, Gold Coast, Australia; Burns, Trauma and Critical Care Research Centre, School of Medicine, University of Queensland, Brisbane, Herston 4029, Australia.
Adult burn survivors show altered lipid profiles, with higher triglycerides and lower HDL, influenced by burn severity. However, overall cardiovascular disease risk remains low, and exercise may improve lipid levels.
Area of Science:
- Cardiology
- Metabolic Medicine
- Burn Injury Research
Background:
- Burn injuries cause long-term metabolic and cardiovascular system derangements.
- Limited research exists on cardiovascular disease (CVD) risk in burn survivors.
- Understanding lipid profiles is crucial for assessing long-term health post-burn.
Purpose of the Study:
- To assess lipid profiles in adult burn survivors.
- To evaluate the cardiovascular disease (CVD) risk in this population.
- To identify factors associated with altered lipid values after burn injury.
Main Methods:
- Cross-sectional study of adult burn survivors (18-80% TBSA).
- Lipid measurements (total cholesterol, LDL, HDL, triglycerides) and Framingham General Cardiovascular Risk Score (FGCRS) calculation.
- Multivariate regression analysis to correlate lipids with age, years post-burn, and TBSA.
Main Results:
- Patients exhibited low HDL and high triglycerides compared to optimal values.
- Increased TBSA correlated with higher triglycerides and total cholesterol/HDL ratio.
- The majority (82%) of patients had a low 10-year CVD risk (median FGCRS 3.9%).
- Physical activity was associated with optimal lipid values, irrespective of TBSA.
Conclusions:
- Burn survivors display lipid profile changes proportional to TBSA.
- Exercise may positively influence lipid profiles in burn survivors.
- This study found no increased overall CVD risk in adult burn survivors, suggesting a need for further longitudinal research.
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