Functional exercise capacity in children with Electrical burns

Guillermo Foncerrada, Karel D. Capek, Paul Wurzer, David N. Herndon, Ronald P. Mlcak, Craig Porter, Oscar E. Suman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Electrical burns are a severe form of thermal injury extending deep into tissue. Here, we investigated the effect of electrical burns on metabolic rate, body composition, and aerobic capacity. We prospectively studied a cohort of 24 severely burned children. Twelve patients had a combination of electrical and flame burns and 12 matched controls had only flame burns. Endpoints were cardiopulmonary fitness (maximal oxygen consumption [VO2]), muscle strength (peak torque per body weight), body mass index, lean body mass index, and days of myoglobinemia (≥500 mg/dl). Demographics of both the groups were comparable. The electrical burn group had more days of myoglobinemia during acute hospitalization than the flame burn group (3.6 ± 1.8 days vs 0.3 ± 0.5 days, P <.0001). Maximal VO2was significantly lower in the electrical burn group than in the flame burn group at intensive care unit discharge (27 ± 6 ml/kg/min vs 34 ± 5 ml/kg/min, P <.0014). Electrical burns are associated with myoglobinemia and decreased cardiopulmonary fitness.

Original languageEnglish (US)
Pages (from-to)e647-e652
JournalJournal of Burn Care and Research
Volume38
Issue number3
DOIs
StatePublished - 2017

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

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