TY - JOUR
T1 - Inhalation injury in children
T2 - A 10 year experience at shriners hospitals for children
AU - Palmieri, Tina L.
AU - Warner, Petra
AU - Mlcak, Ronald P.
AU - Sheridan, Robert
AU - Kagan, Richard J.
AU - Herndon, David N.
AU - Tompkins, Ronald
AU - Greenhalgh, David G.
N1 - Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2009
Y1 - 2009
N2 - Inhalation injury remains a significant source of morbidity and mortality in children with burn injury. The purpose of this study is to analyze the incidence, demographic characteristics, and outcomes for children who have sustained burn injury at one of four regional pediatric burn centers. A retrospective review of children aged 0 to 18 years admitted to one of four pediatric burn centers from 1997 to 2007 with a diagnosis of inhalation injury was performed. Factors analyzed included demographics, injury severity, treatment duration, and outcomes. A total of 850 patients with a mean age of 7.9 ± 0.2 years and a mean total body surface area burn of 48.6 ± 0.9% were admitted with a diagnosis of inhalation injury. Mean interval between injury and hospital admission was 4.2 ± 0.3 days. Inhalation injury was diagnosed by bronchoscopy in 71%, via elevated carboxyhemoglobin in 4%, and by clinical signs/history alone in 25%. Hospital length of stay averaged 44.8 ±1.7 days, and patients required mechanical ventilation for a mean of 15.2 ± 0.8 days. Mortality was 16.4%. Inhalation injury in children is associated with significant morbidity and mortality, and diagnosis of inhalation injury does not follow consistent guidelines. Further studies are required to standardize diagnostic criteria for inhalation injury and to optimize the treatment of children with inhalation injury.
AB - Inhalation injury remains a significant source of morbidity and mortality in children with burn injury. The purpose of this study is to analyze the incidence, demographic characteristics, and outcomes for children who have sustained burn injury at one of four regional pediatric burn centers. A retrospective review of children aged 0 to 18 years admitted to one of four pediatric burn centers from 1997 to 2007 with a diagnosis of inhalation injury was performed. Factors analyzed included demographics, injury severity, treatment duration, and outcomes. A total of 850 patients with a mean age of 7.9 ± 0.2 years and a mean total body surface area burn of 48.6 ± 0.9% were admitted with a diagnosis of inhalation injury. Mean interval between injury and hospital admission was 4.2 ± 0.3 days. Inhalation injury was diagnosed by bronchoscopy in 71%, via elevated carboxyhemoglobin in 4%, and by clinical signs/history alone in 25%. Hospital length of stay averaged 44.8 ±1.7 days, and patients required mechanical ventilation for a mean of 15.2 ± 0.8 days. Mortality was 16.4%. Inhalation injury in children is associated with significant morbidity and mortality, and diagnosis of inhalation injury does not follow consistent guidelines. Further studies are required to standardize diagnostic criteria for inhalation injury and to optimize the treatment of children with inhalation injury.
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U2 - 10.1097/BCR.0b013e3181923ea4
DO - 10.1097/BCR.0b013e3181923ea4
M3 - Article
C2 - 19060756
AN - SCOPUS:59449107287
SN - 1559-047X
VL - 30
SP - 206
EP - 208
JO - Journal of Burn Care and Research
JF - Journal of Burn Care and Research
IS - 1
ER -