Pulmonary embolism in burned children

M. H. Desai, H. A. Linares, David Herndon

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

There are occasional reports in the literature concerning the incidence of pulmonary embolism in the postburn population, but reports of burned children are especially rare. The clinical diagnosis of pulmonary embolism is particularly difficult in these populations due to the postburn pulmonary complications of pneumonia, bronchopneumonia, respiratory distress syndrome, and changes incurred through inhalation injury. A retrospective review of all patient deaths occurring at this institution during the past 22 years was performed in order to document the incidence of pulmonary embolism in burned children. Of the 6589 patients admitted during this time, 178 patients died (2.7%) and three (1.7%) deaths were attributable to pulmonary embolism. Two other deaths (1.1%) were associated with deep vein thrombosis. The incidence of pulmonary embolism can then be calculated at 46 per 100000 admissions in this population of burned children. Burned patients always pose an increased risk for the development of pulmonary embolism. These patients are traumatized, require multiple venous and/or arterial cannulations, undergo multiple surgical procedures, are immobile for prolonged periods, prone to infectious processes and fluid and electrolyte imbalances. Despite all these risk factors, the incidence of pulmonary embolism is less than 2 per cent of all deaths in this postburn paediatric population.

Original languageEnglish (US)
Pages (from-to)376-380
Number of pages5
JournalBurns
Volume15
Issue number6
DOIs
StatePublished - 1989

Fingerprint

Pulmonary Embolism
Incidence
Population
Bronchopneumonia
Catheterization
Venous Thrombosis
Inhalation
Electrolytes
Pneumonia
Pediatrics
Lung
Wounds and Injuries

ASJC Scopus subject areas

  • Emergency Medicine
  • Surgery

Cite this

Desai, M. H., Linares, H. A., & Herndon, D. (1989). Pulmonary embolism in burned children. Burns, 15(6), 376-380. https://doi.org/10.1016/0305-4179(89)90102-2

Pulmonary embolism in burned children. / Desai, M. H.; Linares, H. A.; Herndon, David.

In: Burns, Vol. 15, No. 6, 1989, p. 376-380.

Research output: Contribution to journalArticle

Desai, MH, Linares, HA & Herndon, D 1989, 'Pulmonary embolism in burned children', Burns, vol. 15, no. 6, pp. 376-380. https://doi.org/10.1016/0305-4179(89)90102-2
Desai, M. H. ; Linares, H. A. ; Herndon, David. / Pulmonary embolism in burned children. In: Burns. 1989 ; Vol. 15, No. 6. pp. 376-380.
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