Acute renal dysfunction in severely burned adults

Minas T. Chrysopoiilo, Marc G. Jeschke, Peter Dzüewulski, Robert E. Barrow, David Herndon

Research output: Contribution to journalArticle

74 Scopus citations

Abstract

Background: Factors contributing to mortality in burned children with acute renal failure have been identified; however, they have not been identified in thermally injured adults. Methods: The records of 1,404 acutely burned adults admitted to the Blocker Burn Unit were reviewed. Seventy-six patients with acute renal dysfunction and burns covering more than 30% of their total body surface area with a full-thickness component greater than 10% total body surface area were identified. These patients were divided into those admitted from 1981 through 1989 (n = 35) and those admitted from 1990 to 1998 (n = 41). Results: No significant differences could be shown in the incidence of acute renal dysfunction (5.4 vs. 5.1%) or mortality (88 vs. 87%) for the two time periods, respectively. Sixty-seven percent of the survivors were younger than 40 years of age, compared with only 25% of nonsurvivors (p < 0.02); sepsis was identified in 44 and 96% of survivors and nonsurvivors, respectively (p < 0.001). Fluid resuscitation was delayed in survivors by 1.7 ± 1.0 hours compared with 4.4 ± 2.1 hours in nonsurvivors (p < 0.001). Conclusion: Early fluid resuscitation and the prevention of sepsis may reduce the incidence of acute renal dysfunction and mortality in burned adults.

Original languageEnglish (US)
Pages (from-to)141-144
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume46
Issue number1
DOIs
StatePublished - Jan 1999

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Keywords

  • Burns
  • Fluid resuscitation
  • Renal dysfunction
  • Sepsis

ASJC Scopus subject areas

  • Surgery

Cite this

Chrysopoiilo, M. T., Jeschke, M. G., Dzüewulski, P., Barrow, R. E., & Herndon, D. (1999). Acute renal dysfunction in severely burned adults. Journal of Trauma - Injury, Infection and Critical Care, 46(1), 141-144. https://doi.org/10.1097/00005373-199901000-00024