Document Detail


An early surgical approach to burns in the elderly.
MedLine Citation:
PMID:  2325174     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study evaluates our experience with an early surgical approach in 52 consecutive patients over the age of 65 years. Eighteen patients were taken to the operating room for early excision (less than 7 days postburn) and 34 patients were excised after 7 days (late excision). The early and late excision groups were matched for age, sex, and size of burn. In survivors, the early excision group had a 32% reduction in mean hospital stay (p less than 0.05). In addition, early surgical excision resulted in fewer episodes of sepsis and pneumonia (p less than 0.05). However, there was no significant improvement in age- and burn size-specific survival in the early excision group (p greater than 0.05). We conclude that elderly patients represent a high-risk population, and that early surgical excision results in fewer episodes of infection and a reduction in hospital stay but does not significantly improve survival.
Authors:
M Kara; W J Peters; L G Douglas; S F Morris
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  30     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1990 Apr 
Date Detail:
Created Date:  1990-05-15     Completed Date:  1990-05-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  430-2     Citation Subset:  AIM; IM    
Affiliation:
Ross Tilley Burn Centre, Wellesley Hospital, Department of Surgery, Faculty of Medicine, University of Toronto, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Aged
Burns / complications,  mortality,  surgery*
Burns, Inhalation / complications
Female
Humans
Length of Stay
Male
Skin Transplantation*
Time Factors
Transplantation, Autologous

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


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