Effects of Delayed Wound Excision and Grafting in Severely Burned Children

摘要: Hypothesis Advances in burn treatment including early excision of the wound have increased survival patients treated at specialized centers. We hypothesized that with delayed and grafting would experience deleterious outcomes. Methods From 1995 to 1999, 157 children acute burns covering 40% or more total body surface area having than 10% full-thickness were admitted our institution within 2 weeks injury. Among them, 86, 42, 29 underwent first operation on days 0 2, 3 6, 7 14 after burn, respectively. Outcomes observed mortality, number operative procedures, length hospitalization, blood transfused, incidence bacterial fungal contamination, invasive infection, sepsis. Results Demographic data for groups showed no differences sex burned. Mortality procedures transfusions not different between groups. Hospitalizations longer groups, which was associated a higher significant contamination ( P = .008). Invasive infection also significantly delay .04). Conclusions Delays hospitalization closure, as well rates Our indicate 48 hours is optimal pediatric massive burns.