Document Detail


Lower extremity burns and Unna paste: can we decrease health care costs without compromising patient care?
MedLine Citation:
PMID:  7497369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare an alternative treatment for lower extremity burns with the standard in-hospital treatment, in an attempt to shorten hospital stay. DESIGN: A case-control series. SETTING: A university-affiliated hospital. PATIENTS: All patients with a burn isolated to a lower extremity were treated over an 8-month period with split-thickness skin grafting (STSG), Unna paste dressing, immediate mobilization and early discharge. This group was compared with matched controls from the preceding 8 years treated with STSG, occlusive burn gauze dressing, bed rest and hospitalization. MAIN OUTCOME MEASURES: Duration of hospital stay and graft viability. RESULTS: Thirteen patients with an average wound size of 131 cm2 were treated with Unna paste and had a graft viability of greater than 95% and a burn-scar rating equivalent to that of patients treated with the earlier regimen. The duration of hospital stay decreased from a mean of 12.9 days to 1.4 days, with no complications. This translated into a saving of $10,350 per patient. CONCLUSIONS: This alternative treatment is safe, inexpensive and effective and is recommended as the treatment of choice for uncomplicated, noncircumferential lower extremity burns.
Authors:
N J Wells; J C Boyle; C F Snelling; N J Carr; D J Courtemanche
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  38     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-01-17     Completed Date:  1996-01-17     Revised Date:  2007-08-16    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  533-6     Citation Subset:  IM    
Affiliation:
Division of Plastic Surgery, University of British Columbia, Vancouver General Hospital. BC.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Burns / therapy*
Case-Control Studies
Child
Cost Control
Drug Combinations
Early Ambulation
Gelatin / therapeutic use*
Glycerol / therapeutic use*
Humans
Leg Injuries / therapy*
Length of Stay
Middle Aged
Occlusive Dressings
Skin Transplantation
Tissue Survival
Zinc Compounds / therapeutic use*
Chemical
Reg. No./Substance:
0/Drug Combinations; 0/Unna's paste; 0/Zinc Compounds; 56-81-5/Glycerol; 9000-70-8/Gelatin

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


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