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Title: Clinical differences between major burns patients deemed survivable and non-survivable on admission
Epworth Authors: Wasiak, Jason
Other Authors: Mahar, Patrick
Cleland, Heather
Paul, Eldho
Loke, Shu
Fong, Hui
Kirby, Julia
Keywords: Severe Burn Injury
End of Life Decision Making
Burn Care Treatments
Issue Date: May-2015
Publisher: Elsevier
Citation: Injury. 2015 May;46(5):870-3
Abstract: Despite advances in burn care, there is still a group of patients with serious burn injury who fail to respond to therapies or for whom active treatments are unsuccessful. As the demographic and causative factors of burn related mortality may differ between treating units and countries, we aimed to investigate clinical aspects of patients that die whose injuries are considered either survivable or non-survivable on admission. A retrospective 11-year medical record review (2000–2011) of patients admitted to the Victorian Adult Burns Service (VABS), Melbourne, Australia, with a fatal burn injury was undertaken. A number of clinical differences in major burn patients can be observed at admission between patients for whom a decision is made as to whether an injury is survivable or non-survivable. These differences may influence the degree of therapeutic aggression or conservatism as determined by the treating clinical team. As a matter of maintaining standards amongst the burns community, reporting mortality data such as this may also provide a benchmark by which other burns units can assess their own data regarding end-of-life decision-making.
DOI: 10.1016/j.injury.2015.01.005
PubMed URL:
ISSN: 0020-1383
Journal Title: Injury
Type: Journal Article
Affiliated Organisations: Victorian Adult Burns Service, The Alfred Hospital, Alfred Health, Melbourne, Victoria, Australia
Department of Surgery, School of Medicine, Faculty of Health, Deakin University, Melbourne, Victoria, Australia
Department of Medicine, St Vincent's Clinical School, Faculty of Medicine, Dentistry & Health Sciences
Department of Surgery, Central and Eastern Clinical School, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Victoria, Australia
Department of Epidemiology and Preventive Medicine, The Alfred Hospital, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Victoria, Australia
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Critical Care

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