Improved survival of adults with extensive burns.
Before 1988, survival of adults with burns > or = 75% total body surface area was uncommon in our burn unit. In 1988 a revised treatment plan for adult patients with burns > or = 75% was instituted. This plan included rapid disciplined eschar removal to fascia within 7 days, sequential meshed autografting with concomitant fresh allograft application, and early enteral feedings.
Fratianne
R B
RB
Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio, USA.
Brandt
C P
CP
D000328:Adult; D000368:Aged; D002056:Burns / Q000401:mortality* / Q000601:surgery / Q000628:therapy*; D003646:Debridement; D004750:Enteral Nutrition; D005260:Female; D005440:Fluid Therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning / Q000592:standards; D012189:Retrospective Studies; D016038:Skin Transplantation; D014184:Transplantation, Homologous; D014945:Wound Healing