| Burns to the elderly: a reappraisal. | |
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MedLine Citation:
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PMID: 3594057 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Admissions to the McIndoe burns unit over the period 1975 to 1984 were reviewed and 123 patients over the age of sixty-five were studied in detail. Comparison with standardised mortality curves showed no difference in survival rates, but review of individual cases suggests that regular examination of elderly patients could shorten admission times and reduce the mortality by encouraging prompt identification and treatment of medical complications. Patients with burns of greater than 5% of surface area should be resuscitated with intravenous fluids as this age group is very susceptible to hypotensive renal damage. Excision of burns on or before the fifth day resulted in longer admissions and increased the number of procedures per patient. Disagreement in the recent literature on this point suggests the need for a randomised, controlled trial of early excision in the elderly patient. |
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Authors:
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B M Herd; A N Herd; N S Tanner |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: British journal of plastic surgery Volume: 40 ISSN: 0007-1226 ISO Abbreviation: Br J Plast Surg Publication Date: 1987 May |
Date Detail:
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Created Date: 1987-08-13 Completed Date: 1987-08-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2984714R Medline TA: Br J Plast Surg Country: SCOTLAND |
Other Details:
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Languages: eng Pagination: 278-82 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Aged, 80 and over Burns / complications, epidemiology, surgery* England Female Humans Male Postoperative Complications Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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