title: Diabetes mellitus and burns. Part II-outcomes from burn injuries and future directions.
abstract: Diabetes mellitus is an increasingly prevalent comorbidity in patients presenting to burn facilities. Diabetic patients tend to be older and present in a delayed manner with deeper injuries predominantly affecting the lower limb. Morbidity from burns is higher in this cohort including a longer length of hospital stay, greater need for surgical interventions and increased rate of infective complications. Nevertheless, there seems to be little effect of diabetes on associated mortality. The second part of this review article concentrates on the epidemiological profile of diabetic burn patients and the effect of the disease on morbidity and mortality. In addition, we present a review of therapeutic adjuncts, which may hold promise for the future management of this cohort of burn patients.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital Bucks, UK.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Goutos
authors.affiliation: Royal London Hospital Whitechapel, London, UK.
authors.forename: Rebecca Spenser
authors.initials: RS
authors.lastname: Nicholas
authors.affiliation: Kings College London Medical School London, UK.
authors.forename: Atisha A
authors.initials: AA
authors.lastname: Pandya
authors.affiliation: Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital Bucks, UK.
authors.forename: Sudip J
authors.initials: SJ
authors.lastname: Ghosh
keywords: Diabetes; burn; morbidity; mortality; outcomes