American Burn Association Consensus Statements

Autor: David G. Greenhalgh, Nicole S. Gibran, Sigrid A Blome-Eberwein Md, Mary Beth Lawless, Richard A.F. Clark, Judith Cullinane, Katie Moran, Jill L. Sproul, Patricia Kardos, Tamara Graves, Brad Wiggins, Lior Rosenberg, Kathleen A. Hollowed, Hamed Amani, Daniel L. Traber, Palmer Q. Bessey, Linda S. Edelman, Marion H. Jordan, Howard G. Smith, Warren L. Garner, Cleon W. Goodwin, Ryan M Fey, Bernadette Nedelec, Steven T. Boyce, Jimmy Holmes, David H. Ahrenholz, Carolyn B Blayney, Phil Fidler, Jeffrey C. Schneider, Alan Young, Michael J. Mosier, Karen J Richey, Giavonni M. Lewis, Michael Peck, Linwood R. Haith, Megan Nordlund, Jeannie Leggett, John Kirby, Philip Chang, Lillian D. Traber, Kelly Keller, Shari Honari, Rachel Novakovic, Peggie Simpson, Karen J. Kowalske, Sandra Yovino, Richard J. Kagan, George C. Kramer, Jacqueline Laird, Alisa Savetamal, Walter J. Meyer, Joan M. Weber, Carly Hunt, Shelley A. Wiechman, Matthias B. Donelan, Leopoldo C. Cancio, Victor Joe, Lucy Wibbenmeyer, William L. Hickerson, James C. Jeng, Vimal K. Murray, Mary Jo Baryza, Ingrid Parry, Nicholas A. Meyer, Jennifer Carter, Steven E. Wolf, Linda Gibbons, James A. Fauerbach, Dhaval Bhavsar, Maria Serio-Melvin, Cynthia L. Reigart, Elizabeth Kirk, Gretta E. Wilkinson, Adam J. Singer, Linda Ware, Gretchen J. Carrougher, Bruce Potenza, Derek Murray, Radha K. Holavanahalli, Richard L. Gamelli, Debra A. Reilly, Sidonie Moses, Maggie L. Dylewski, Anna Rinewalt, John Schultz, John Noordenbas, Sidney F. Miller, Larry M. Jones
Rok vydání: 2013
Předmět:
Zdroj: Scopus-Elsevier
ISSN: 1559-047X
Popis: Development of metrics for burn care, including healing of skin wounds during the acute phase of treatment, is essential in an environment of decreasing resources and increasing interest in quality and accuracy of medical information. Advantages of consensus metrics include: tracking of trends in care; consistency of care; and correlation of treatment with medical outcomes. For cutaneous burn wounds, these advantages are confounded by factors that contribute to the heterogeneity of burn wounds, including but not limited to: TBSA of injury, depth of injury (partial or full thickness), cause, patient-dependent factors such as age, sex, and comorbidities, anatomic site, and time between injury and treatment. Similar factors contribute to complex injuries from trauma, depth, debridement or excision of devitalized tissue, dressing or grafting of the prepared wound bed, and assessment to determine wound closure. In the absence of confounding factors or comorbidities, wound closure is one of the key criteria for discharge from acute care whether in hospital, or ambulatory care. Not surprisingly, these metrics for wound healing have been used repeatedly in the assessment of developing therapies for wound care. In response, review by the FDA of novel therapies has led to Guidance for Industry: chronic cutaneous ulcer and burn wounds developing products for treatment. and allow for risk adjustment of individuals in the population, who otherwise may be outliers to the statistical mean of the entire population.
Databáze: OpenAIRE