Document Detail


Evaluation of erythropoietin levels in the anemia of thermal injury.
MedLine Citation:
PMID:  1752878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thermal injury is associated with an anemia of multifactorial etiology. Erythropoietin is a hormone that increases red blood cell production in response to tissue hypoxia and is now being produced in a recombinant form for treatment of some anemias. How erythropoietin levels change in response to thermal injury has not been adequately investigated to date. We studied 27 patients with burns of 10% to 85% total body surface area by serially measuring hemoglobin, hematocrit, reticulocyte count, and erythropoietin levels. Erythropoietin levels were determined by radioimmunoassay. Measurements were taken at admission, before surgery, and after surgery, or at least weekly for a period of up to 4 weeks. Twenty-five of the patients had a reticulocytopenic anemia by the end of the first postburn week. Twenty-three patients remained anemic throughout the study period. Erythropoietin levels increased appropriately as the patients became anemic. Erythropoietin levels related to hemoglobin in a logarithmic fashion with a correlation of -0.869. No differences were found on the basis of burn size or age. This study indicates that the anemia of thermal injury is associated with reticulocytopenia and an elevation of endogenous erythropoietin.
Authors:
S D Vasko; J J Burdge; R L Ruberg; A S Verghese
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of burn care & rehabilitation     Volume:  12     ISSN:  0273-8481     ISO Abbreviation:  J Burn Care Rehabil     Publication Date:    1991 Sep-Oct
Date Detail:
Created Date:  1992-01-30     Completed Date:  1992-01-30     Revised Date:  2006-08-15    
Medline Journal Info:
Nlm Unique ID:  8110188     Medline TA:  J Burn Care Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  437-41     Citation Subset:  IM    
Affiliation:
Ohio State University Hospitals, Columbus 43210.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anemia / blood*
Body Surface Area
Burns / blood*
Erythropoietin / blood*
Hemoglobins / analysis
Humans
Middle Aged
Radioimmunoassay
Chemical
Reg. No./Substance:
0/Hemoglobins; 11096-26-7/Erythropoietin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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