Document Detail


A report of 115 consecutive autopsies in burned children: 1966-80.
MedLine Citation:
PMID:  7066724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The overall mortality rate at the Shriners Burns Institute, Galveston Unit, decreased from 14 per cent in 1966, to 2.8 per cent in 1980. In all, 74.8 per cent of the deaths were associated with sepsis, and pulmonary lesions were the most frequent fatal complications (75.6 per cent). The burn wound was the major source of sepsis (62.7 per cent). Pseudomonas, E. coli, Klebsiella, Candida spp. and Staphylococcus aureus were the most common cultured bacteria. After a new standard fluid resuscitation programme, tangential excision and surgical management of the burn wound sepsis were adopted, the fatalities decreased from an average annual mortality rate of 11.5 per cent in the years 1966-75, to an average annual mortality rate of 2.8 per cent in the period 1976-80. After the routine antacid and milk diet were adopted (1970), the percentage of stomach and duodenal ulcers found at autopsy decreased from 2.0 per cent to 0.8 per cent, and from 3.5 per cent to 0.5 per cent respectively. The morphological alterations in the lymphoid tissue, reflecting a defect in T-cell function and stimulation of B-cell function, were present up to 114 days post burn.
Authors:
H A Linares
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Burns, including thermal injury     Volume:  8     ISSN:  -     ISO Abbreviation:  Burns Incl Therm Inj     Publication Date:  1982 Mar 
Date Detail:
Created Date:  1982-06-24     Completed Date:  1982-06-24     Revised Date:  2014-07-22    
Medline Journal Info:
Nlm Unique ID:  7512054     Medline TA:  Burns Incl Therm Inj     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  263-70     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Bacterial Infections / etiology,  mortality
Burns / complications,  mortality*,  therapy
Cardiomyopathies / etiology
Child
Child, Preschool
Female
Fluid Therapy
Humans
Infant
Lung Diseases / etiology,  mortality
Male
Peptic Ulcer / etiology
Time Factors

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


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