The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
The leading causes of death after burn injury in a single pediatric burn center
Open accessAbstract
Introduction: Severe thermal injury is characterized by profound morbidity and mortality. Advances in burn and critical care, including early excision and grafting, aggressive resuscitation and advances in antimicrobial therapy have made substantial contributions to decrease morbidity and mortality. Despite these advances, death still occurs. Our aim was to determine the predominant causes of death in burned pediatric patients in order to develop new treatment avenues and future trajectories associated with increased survival. Methods: Primary causes of death were reviewed from 144 pediatric autopsy reports. Percentages of patients that died from anoxic brain injuries, sepsis, or multi-organ failure were calculated by comparing to the total number of deaths. Data was stratified by time (from 1989 to 1999, and 1999 to 2009), and gender. Statistical analysis was done by chi-squared, Student's t-test and Kaplan-Meier for survival where applicable. Significance was accepted as P < 0.05. Results: Five-thousand two-hundred-sixty patients were admitted after burn injury from July 1989 to June 2009, and of those, 145 patients died after burn injury. Of these patients, 144 patients had an autopsy. The leading causes of death over 20 years were sepsis (47%), respiratory failure (29%), anoxic brain injury (16%), and shock (8%). From 1989 to 1999, sepsis accounted for 35% of deaths but increased to 54% from 1999 to 2009, with a significant increase in the proportion due to antibiotic resistant organisms (P < 0.05). Conclusions: Sepsis is the leading cause of death after burn injury. Multiple antibiotic resistant bacteria now account for the bulk of deaths due to sepsis. Further improvement in survival may require improved strategies to deal with this problem.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
(2000) · New England Journal of Medicine · doi:10.1056/nejm200005043421801 · Cited by 12,941
Bernard, G. R., Artigas, A., Brigham, K. L., Carlet, J., Falke, K., Hudson, L., Lamy, M., Legall, J. R., Morris, A., & Spragg, R. (1994) · American journal of respiratory and critical care medicine · doi:10.1164/ajrccm.149.3.7509706 · Cited by 6,746
The Value of the Autopsy in Three Medical Eras
Goldman, L., Sayson, R., Robbins, S., Cohn, L. H., Bettmann, M., & Weisberg, M. (1983) · New England Journal of Medicine · doi:10.1056/nejm198304283081704 · Cited by 809
Pathophysiologic Response to Severe Burn Injury
Jeschke, M. G., Chinkes, D. L., Finnerty, C. C., Kulp, G., Suman, O. E., Norbury, W. B., Branski, L. K., Gauglitz, G. G., Mlcak, R. P., & Herndon, D. N. (2008) · Annals of Surgery · doi:10.1097/sla.0b013e3181856241 · Cited by 695
Self-citationAmerican Burn Association Consensus Conference to Define Sepsis and Infection in Burns
Greenhalgh, D. G., Saffle, J. R., Holmes, J. H., Gamelli, R. L., Palmieri, T. L., Horton, J. W., Tompkins, R. G., Traber, D. L., Mozingo, D. W., Deitch, E. A., et al. (2007) · Journal of Burn Care & Research · doi:10.1097/bcr.0b013e3181599bc9 · Cited by 695
Self-citationReversal of Catabolism by Beta-Blockade after Severe Burns
Herndon, D. N., Hart, D. W., Wolf, S. E., Chinkes, D. L., & Wolfe, R. R. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010342 · Cited by 639
Self-citationPersistence of muscle catabolism after severe burn
Hart, D. W., Wolf, S. E., Mlcak, R., Chinkes, D. L., Ramzy, P. I., Obeng, M. K., Ferrando, A. A., Wolfe, R. R., & Herndon, D. N. (2000) · Surgery · doi:10.1067/msy.2000.108059 · Cited by 543
Self-citationSupport of the metabolic response to burn injury
Herndon, D. N., & Tompkins, R. G. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16360-5 · Cited by 532
Self-citationDeterminants of Skeletal Muscle Catabolism After Severe Burn
Hart, D. W., Wolf, S. E., Chinkes, D. L., Gore, D. C., Mlcak, R. P., Beauford, R. B., Obeng, M. K., Lal, S., Gold, W. F., Wolfe, R. R., et al. (2000) · Annals of Surgery · doi:10.1097/00000658-200010000-00001 · Cited by 339
Self-citationAntibiotic resistance—What’s dosing got to do with it?
Roberts, J. A., Kruger, P., Paterson, D. L., & Lipman, J. (2008) · Critical Care Medicine · doi:10.1097/ccm.0b013e318180fe62 · Cited by 339
Wolf, S. E., Rose, J. K., Desai, M. H., Mileski, J. P., Barrow, R. E., & Herndon, D. N. (1997) · Annals of Surgery · doi:10.1097/00000658-199705000-00012 · Cited by 336
Self-citationSuman, O. E., Spies, R. J., Celis, M. M., Mlcak, R. P., & Herndon, D. N. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.3.1168 · Cited by 208
Self-citationAbnormal insulin sensitivity persists up to three years in pediatric patients post-burn
Gauglitz, G. G., Herndon, D. N., Kulp, G. A., Meyer, W. J., & Jeschke, M. G. (2009) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-1947 · Cited by 186
Self-citationGender Differences in Pediatric Burn Patients: Does It Make a Difference?
Jeschke, M. G., Mlcak, R. P., Finnerty, C. C., Norbury, W. B., Przkora, R., Kulp, G. A., Gauglitz, G. G., Zhang, X.-J., & Herndon, D. N. (2008) · Annals of Surgery · doi:10.1097/sla.0b013e318176c4b3 · Cited by 172
Self-citationNational Burn Repository 2005: A Ten-Year Review
Miller, S. F., Bessey, P. Q., Schurr, M. J., Browning, S. M., Jeng, J. C., Caruso, D. M., Gómez, M., Latenser, B. A., Lentz, C. W., Saffle, J. R., et al. (2006) · Journal of Burn Care & Research · doi:10.1097/01.bcr.0000226260.17523.22 · Cited by 155
The relationship of pre mortem diagnoses and post mortem findings in a surgical intensive care unit
Mort, T. C., & Yeston, N. S. (1999) · Critical Care Medicine · doi:10.1097/00003246-199902000-00035 · Cited by 151
Incidence of systemic fungal infection and related mortality following severe burns
Murray, C. K., Loo, F. L., Hospenthal, D. R., Cancio, L. C., Jones, J. A., Kim, S. H., Holcomb, J. B., Wade, C. E., & Wolf, S. E. (2008) · Burns · doi:10.1016/j.burns.2008.04.007 · Cited by 149
Jeschke, M. G., Chinkes, D. L., Finnerty, C. C., Przkora, R., Pereira, C. T., & Herndon, D. N. (2007) · Critical Care Medicine · doi:10.1097/01.ccm.0000253812.09236.98 · Cited by 91
Self-citationTHE METABOLIC RESPONSE TO BURNS
Reiss, E., Pearson, E., Artz, C. P., & Balikov, B. (1956) · Journal of Clinical Investigation · doi:10.1172/jci103253 · Cited by 87
The Use of Beta-Adrenergic Blockade in Preventing Trauma-Induced Hepatomegaly
Barrow, R. E., Wolfe, R. R., Dasu, M. R. K., Barrow, L. N., & Herndon, D. N. (2005) · Annals of Surgery · doi:10.1097/01.sla.0000193834.07413.91 · Cited by 81
Self-citationAntibiotic toxicity, interactions and resistance development
Roberts, M. C. (2002) · Periodontology 2000 · doi:10.1034/j.1600-0757.2002.280112.x · Cited by 80
UPPER AIRWAY MUCUS DEPOSITION IN LUNG TISSUE OF BURN TRAUMA VICTIMS
Cox, R. A., Mlcak, R. P., Chinkes, D. L., Jacob, S., Enkhbaatar, P., Jaso, J. M., Parish, L. P., Traber, D. L., Jeschke, M. G., Herndon, D. N., et al. (2008) · Shock · doi:10.1097/shk.0b013e31814541dd · Cited by 48
Self-citation
Cited by
Burn wound healing and treatment: review and advancements
Rowan, M. P., Cancio, L. C., Elster, E. A., Burmeister, D. M., Rose, L. F., Natesan, S., Chan, R. K., Christy, R. J., & Chung, K. K. (2015) · Critical Care · doi:10.1186/s13054-015-0961-2 · Cited by 1,015
How to manage Pseudomonas aeruginosa infections
Bassetti, M., Vena, A., Croxatto, A., Righi, E., & Guery, B. (2018) · Drugs in Context · doi:10.7573/dic.212527 · Cited by 746
The Epidemiology and Pathogenesis and Treatment of Pseudomonas aeruginosa Infections: An Update
Reynolds, D., & Kollef, M. (2021) · Drugs · doi:10.1007/s40265-021-01635-6 · Cited by 721
Metadata
- Authors
- Williams, F. N., Herndon, D. N., Hawkins, H. K., Lee, J. O., Cox, R. A., Kulp, G. A., Finnerty, C. C., Chinkes, D. L., & Jeschke, M. G.
- Venue
- Critical Care
- Published
- 2009-11-17
- Volume
- 13
- Issue
- 6
- Pages
- R183-R183
- ISSN
- 1364-8535 (ISSN-L)
- OpenAlex
- W2132481695
- Cited by
- 375
- References
- 22
- FWCI
- 6.37
- Type
- journal article
- Language
- en
- Open access
- gold
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.