Document Detail


Patients undergoing reconstructive surgery versus unburned children as "controls" in studies of pediatric patients with burns.
MedLine Citation:
PMID:  8582921     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A valid control group is an essential part of any patient study. We asked whether burned children returning for reconstructive surgery could be used as "controls" in a study of seven proteolytic elements in the circulation. Functional levels of elastase, plasminogen, prekallikrein, antithrombin, alpha 2-antiplasmin, alpha 2-macroglobulin, and total proteolytic activity in 30 healthy unburned children were compared with levels in 29 patients admitted for reconstructive surgery an average of 7.9 years after burn. The two groups were not statistically different in distributions of sex and race but differed in mean age. Levels of six of the seven parameters were equal in the two groups. However, even when correction for the age difference was done between the groups, alpha 2-macroglobulin in the patients undergoing reconstructive surgery still was significantly less (p < 0.021) than in the unburned group. Therefore caution may be needed when readily available patients undergoing reconstructive surgery are used as "controls" in studies of patients with acute burns.
Authors:
A N Neely; M T Rieman; G D Warden
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of burn care & rehabilitation     Volume:  16     ISSN:  0273-8481     ISO Abbreviation:  J Burn Care Rehabil     Publication Date:    1995 Jul-Aug
Date Detail:
Created Date:  1996-03-20     Completed Date:  1996-03-20     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8110188     Medline TA:  J Burn Care Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  418-21     Citation Subset:  IM    
Affiliation:
Shriners Burns Institute, Cincinnati, OH 45229, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Analysis of Variance
Antithrombin III / analysis
Burns / enzymology,  metabolism*
Child
Child, Preschool
Controlled Clinical Trials as Topic
Female
Humans
Male
Pancreatic Elastase / analysis
Peptide Hydrolases / analysis*
Plasminogen / analysis
Prekallikrein / analysis
Reference Values
Research Design
Sensitivity and Specificity
Surgery, Plastic
alpha-2-Antiplasmin / analysis
alpha-Macroglobulins / analysis
Chemical
Reg. No./Substance:
0/alpha-2-Antiplasmin; 0/alpha-Macroglobulins; 9000-94-6/Antithrombin III; 9001-91-6/Plasminogen; 9055-02-1/Prekallikrein; EC 3.4.-/Peptide Hydrolases; EC 3.4.21.36/Pancreatic Elastase

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


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