TY - JOUR
T1 - Early excision of major burns in children
T2 - Effect on morbidity and mortality
AU - Pietsch, John B.
AU - Netscher, David T.
AU - Nagaraj, Hirikati S.
AU - Groff, Diller B.
PY - 1985/1/1
Y1 - 1985/1/1
N2 - The advantage of early excision and grafting in the treatment of limited full-thickness burns has been clearly established. The goal of the present study was to evaluate the role of early burn wound excision in major pediatric burns. Of the 470 pediatric burn admissions between 1979 and 1984 that were reviewed, 53 patients met the criteria of deep second or third degree burns greater than 25% total body surface area (TBSA). Of these, 20 had burn wound excision within 7 days (Early) and 33 had delayed excision and grafting (Late). The Early group, despite having greater transfusion requirements (69.4 v 36.2 cc/kg), had shorter hospital stays (35.3 v 49.1 d, P<0.05), fewer metabolic complications (20% v 79%, P<0.001), and less burn wound contamination (55% v 90%, P<0.01) than the Late group. Mortality was lower in the Early group (0% v 12%), but this was not statistically significant. Early excision and grafting are therefore recommended in the care of major burns in children.
AB - The advantage of early excision and grafting in the treatment of limited full-thickness burns has been clearly established. The goal of the present study was to evaluate the role of early burn wound excision in major pediatric burns. Of the 470 pediatric burn admissions between 1979 and 1984 that were reviewed, 53 patients met the criteria of deep second or third degree burns greater than 25% total body surface area (TBSA). Of these, 20 had burn wound excision within 7 days (Early) and 33 had delayed excision and grafting (Late). The Early group, despite having greater transfusion requirements (69.4 v 36.2 cc/kg), had shorter hospital stays (35.3 v 49.1 d, P<0.05), fewer metabolic complications (20% v 79%, P<0.001), and less burn wound contamination (55% v 90%, P<0.01) than the Late group. Mortality was lower in the Early group (0% v 12%), but this was not statistically significant. Early excision and grafting are therefore recommended in the care of major burns in children.
KW - excision and grafting in major burns
KW - Pediatric burns
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U2 - 10.1016/S0022-3468(85)80039-7
DO - 10.1016/S0022-3468(85)80039-7
M3 - Article
C2 - 3910786
AN - SCOPUS:0022357031
SN - 0022-3468
VL - 20
SP - 754
EP - 757
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
IS - 6
ER -