Volume 16 , Issue 1 , July 2026
Ari Mahmoud 1 ; Ari Zangana 1
1 Department of Clinical Sciences, College of Medicine, University of Sulaimani, Sulaimani 46002, Iraq; Clinical Affiliation: Sulaimani Hospital for Burn, Reconstructive, and Plastic Surgery / Emergency, Sulaimani General Health Directorate, Sulaimani 46002, Iraq.
Abstract
Background: Sharp surgical debridement is important for burn injuries but it causes blood loss and hemoglobin decline. The patient might require blood transfusion.
Methods: This prospective cohort study with 41 burn patients was on hemoglobin changes after debridement in a single hospital. The independent variables were debridement percentage, total body surface area, blood transfusion, age and gender.
Results: Median hemoglobin change was −1.60 g/dl (IQR −2.05 to −1.15) and blood transfusion occurred in 19.5% of procedures. Multiple linear regression analysis identified the percentage of debridement as the only independent predictor of hemoglobin change. Total Body Surface Area and age were not statistically significant predictors. Greater debridement was associated with greater hemoglobin decline.
Conclusion: Hemoglobin change depends on the amount of debridement.