Diabetes mellitus and burns. Part II-outcomes from burn injuries and future directions.

Autor: Goutos I; Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital Bucks, UK., Nicholas RS; Royal London Hospital Whitechapel, London, UK., Pandya AA; Kings College London Medical School London, UK., Ghosh SJ; Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital Bucks, UK.
Jazyk: angličtina
Zdroj: International journal of burns and trauma [Int J Burns Trauma] 2015 Mar 20; Vol. 5 (1), pp. 13-21. Date of Electronic Publication: 2015 Mar 20 (Print Publication: 2015).
Abstrakt: Diabetes mellitus is an increasingly prevalent comorbidity in patients presenting to burn facilities. Diabetic patients tend to be older and present in a delayed manner with deeper injuries predominantly affecting the lower limb. Morbidity from burns is higher in this cohort including a longer length of hospital stay, greater need for surgical interventions and increased rate of infective complications. Nevertheless, there seems to be little effect of diabetes on associated mortality. The second part of this review article concentrates on the epidemiological profile of diabetic burn patients and the effect of the disease on morbidity and mortality. In addition, we present a review of therapeutic adjuncts, which may hold promise for the future management of this cohort of burn patients.
Databáze: MEDLINE