Determinants of mortality in pediatric patients with greater than 70% full-thickness total body surface area thermal injury treated by early total excision and grafting

David Herndon, Dennis Gore, M. Cole, M. H. Desai, H. Linares, S. Abston, T. Rutan, T. Van Osten, R. E. Barrow

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

Recent advancements in burn care have improved the survival rates of victims with severe burn injuries. The total mortality rate in a series of 1,057 pediatric patients admitted to Shriners Burns Institute Galveston Unit between 1982 and 1986 was 2.7%. The burn size resulting in a 50% death rate was 95% of the total body surface area (TBSA). In this study 19 survivors and 13 nonsurvivors with greater than 70% full-thickness TBSA burn injuries were compared. All survivors were adequately resuscitated upon arrival 11% sustained an inhalation injury. Forty-six per cent of the nonsurvivors sustained an inhalation injury; 31% were not initially adequately resuscitated. The presence of preadmission shock and inhalation injury were early determinants of mortality with secondary renal, pulmonary, or cardiovascular collapse being the later predictors of mortality in these massively burned pediatric patients.

Original languageEnglish (US)
Pages (from-to)208-212
Number of pages5
JournalJournal of Trauma
Volume27
Issue number2
StatePublished - 1987

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Body Surface Area
Hot Temperature
Pediatrics
Mortality
Inhalation
Wounds and Injuries
Survivors
Burns
Shock
Survival Rate
Kidney
Lung

ASJC Scopus subject areas

  • Surgery

Cite this

Determinants of mortality in pediatric patients with greater than 70% full-thickness total body surface area thermal injury treated by early total excision and grafting. / Herndon, David; Gore, Dennis; Cole, M.; Desai, M. H.; Linares, H.; Abston, S.; Rutan, T.; Van Osten, T.; Barrow, R. E.

In: Journal of Trauma, Vol. 27, No. 2, 1987, p. 208-212.

Research output: Contribution to journalArticle

Herndon, D, Gore, D, Cole, M, Desai, MH, Linares, H, Abston, S, Rutan, T, Van Osten, T & Barrow, RE 1987, 'Determinants of mortality in pediatric patients with greater than 70% full-thickness total body surface area thermal injury treated by early total excision and grafting', Journal of Trauma, vol. 27, no. 2, pp. 208-212.
Herndon, David ; Gore, Dennis ; Cole, M. ; Desai, M. H. ; Linares, H. ; Abston, S. ; Rutan, T. ; Van Osten, T. ; Barrow, R. E. / Determinants of mortality in pediatric patients with greater than 70% full-thickness total body surface area thermal injury treated by early total excision and grafting. In: Journal of Trauma. 1987 ; Vol. 27, No. 2. pp. 208-212.
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