tailieunhanh - Báo cáo y học: "The leading causes of death after burn injury in a single pediatric burn cente"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The leading causes of death after burn injury in a single pediatric burn center. | Available online http content 13 6 R183 Open Access Research The leading causes of death after burn injury in a single pediatric burn center Felicia N Williams1 David N Herndon1 2 Hal K Hawkins1 2 Jong O Lee1 2 Robert A Cox1 2 Gabriela A Kulp1 Celeste C Finnerty1 2 David L Chinkes1 2 and Marc G Jeschke1 2 Department of Surgery University of Texas Medical Branch 301 University Boulevard Galveston Texas 77555 USA 2The Shriners Hospitals for Children 815 Market Street Galveston Texas 77550 USA Corresponding author Marc G Jeschke majeschk@ Received 18 Aug 2009 Revisions requested 21 Sep 2009 Revisions received 30 Oct 2009 Accepted 1 7 Nov 2009 Published 17 Nov 2009 Critical Care 2009 13 R183 doi cc8170 This article is online at http content 13 6 R1 83 2009 Williams et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by 20 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Severe thermal injury is characterized by profound morbidity and mortality. Advances in burn and critical care including early excision and grafting aggressive resuscitation and advances in antimicrobial therapy have made substantial contributions to decrease morbidity and mortality. Despite these advances death still occurs. Our aim was to determine the predominant causes of death in burned pediatric patients in order to develop new treatment avenues and future trajectories associated with increased survival. Methods Primary causes of death were reviewed from 144 pediatric autopsy reports. Percentages of patients that died from anoxic brain injuries sepsis or multi-organ failure were calculated by comparing to the total number of deaths. Data was stratified by time from 1989 to 1999 and 1999 to 2009 and gender. Statistical analysis was done by .