Effect of early excision on patients with major thermal injury

Paul Thompson, David N. Herndon, Sally Abston, Thomas Rutan

Research output: Contribution to journalArticle

79 Scopus citations

Abstract

A randomized study was carried out to determine the effect on mortality of early massive excision of large burns. Fifty consecutive adult patients admitted to our hospital burn unit between December 1983 and January 1986 with 2° and 3° burns totaling at least 30% total body surface area (TBSA) were randomized on admission to one of two groups. The patients received either conservative therapy or early massive excision of all full-thickness burns. The two groups were similar in average size of burn but differed in their average age. In the patients with burns greater than 50% TBSA and no inhalation injury, mortality was decreased with early excision, which can be explained entirely by age differences alone. There was not a significant difference in length of stay, blood requirements, or in mortality in other groups of patients.

Original languageEnglish (US)
Pages (from-to)205-207
Number of pages3
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume27
Issue number2
DOIs
StatePublished - Feb 1987

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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