American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

V39N8: Burns and Wound Healing

Holmes JH 4th, Carter JE, Neff LP, et al. The effectiveness of regionalized burn care: an analysis of 6,873 burn admissions in North Carolina from 2000 to 2007. J Am Coll Surg. 2011;212(4):487-493, 493 e481-486; discussion 493-485.

This report analyzes experience from burn care units in a single state. The findings disclose important avenues for performance improvement.

Jeschke MG, Finnerty CC, Herndon DN, et al. Severe injury is associated with insulin resistance, endoplasmic reticulum stress response, and unfolded protein response. Ann Surg. 2012;255(2):370-378. Free full-text

This research report documents the contribution of the endoplasmic reticulum stress response to the insulin resistance that is common in patients with severe burn injury.

Jeschke MG, Gauglitz GG, Kulp GA, et al. Long-term persistence of the pathophysiologic response to severe burn injury. PLoS One. 2011;6(7):e21245. Free full-text

This long-term follow-up study documents the persistence of the hypercatabolic burn injury response two years postburn in pediatric patients who sustain severe burn injury.

Oster C, Willebrand M, Ekselius L. Health-related quality of life 2 years to 7 years after burn injury. J Trauma. 2011;71(5):1435-1441.

This study documents the significant degree of recovery in surviving burn patients followed long term. Unfortunately, health-related quality of life as compared with unburned, age-matched controls remains below that of control patients.

Patel BM, Paratz JD, Mallet A, et al. Characteristics of bloodstream infections in burn patients: an 11-year retrospective study. Burns. 2012;38(5):685-690.

This retrospective review of outcomes data documents the importance and lethality of multidrug resistant P. aeruginosa infections in critically ill patients.

Pham TN, Otto A, Young SR, et al. Early withdrawal of life support in severe burn injury. J Burn Care Res. 2012;33(1):130-135.

This report describes a protocol for end-of-life care for patients with unsurvivable burn injury.

Salinas J, Chung KK, Mann EA, et al. Computerized decision support system improves fluid resuscitation following severe burns: an original study. Crit Care Med. 2011;39(9):2031-2038.

Salinas and coauthors describe a computer-support resuscitation protocol for burn patients that improved outcomes.

Wolf SE, Sterling JP, Hunt JL, et al. The year in burns 2010. Burns. 2011;37(8):1275-1287.