Epidemiology and Outcome of Patients With Burns Treated With Cerium Nitrate Silversulfadiazine.

Autor: Scholten-Jaegers SM; From the *Burn Centre, Martini Hospital, Groningen, The Netherlands; †Association of Dutch Burn Centres, Burn Centre, Martini Hospital, Groningen, The Netherlands; and ‡Association of Dutch Burn Centres, Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands., Nieuwenhuis MK, van Baar ME, Niemeijer AS, Hiddingh J, Beerthuizen GI
Jazyk: angličtina
Zdroj: Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2017 Jan/Feb; Vol. 38 (1), pp. e432-e442.
DOI: 10.1097/BCR.0000000000000448
Abstrakt: In this study, the outcome of treatment with Flammacerium in burn patients is studied. The retrospective study involved patients with acute burns admitted to the Burn Centre of Martini Hospital, Groningen, The Netherlands, between 2009 and 2014. The outcome parameters were mortality, complications (noninfectious and infectious), need of surgery, and length of stay. The group of patients consisted of 853 patients, of which 554 were male (64.9%). There were 23 patients with a total burn size of 40% TBSA or more (2.7%). In total, 13 of the 853 patients (1.5%) died, and none of them were children (<16 years). The overall mortality in the group of patient with burns >40% TBSA was 30.4%. In the elderly group (>70 years), the mortality rate was 6.3%. Treatment with Flammacerium is applicable in all thermal burn patients. Especially children, elderly patients, and patients with severe burns can benefit from a more conservative treatment with Flammacerium whereby the first operation can be postponed until the patient is stabilized and in which the wounds can be covered directly with skin transplants.
Databáze: MEDLINE