Bone metabolism in pediatric burned patients: A review

Eric Schryver, Gordon L. Klein, David Herndon, Oscar Suman, Ludwik Branski, Linda Sousse

Research output: Contribution to journalArticle

Abstract

Severe burns in children can lead to growth delays, bone loss, and wasting of lean body mass and muscle with subsequent long-term effects such as osteoporosis. The following review examines 11 randomized, placebo-controlled, prospective clinical trials in pediatric burns between 1995 and 2017. These studies included approximately 250 burned children, and they were conducted to evaluate the impact of severe burn on markers of bone formation and bone metabolism. Some trials also analyzed current therapy regimens such as pamidronate and vitamin D. The clinical utility of these outlined biomarkers is uncertain with regard to acute burn care, as the current literature remains unclear. This review thus serves to address the impact of severe burn on markers of bone formation and bone metabolism in pediatric patients but will not focus on the clinical utility of the markers. The aim of this review is to summarize the findings of the trials to guide the future care of burned patients to maximize bone recovery.

Original languageEnglish (US)
JournalBurns
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • Aluminum
  • Bone metabolism
  • Bone morphogenetic protein-2
  • Burns
  • Calcium
  • Osteocalcin
  • Parathyroid hormone
  • Sclerostin
  • Type I collagen
  • Urine free cortisol
  • Vitamin D
  • Vitamin D

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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