Inhalation injury in children

A 10 year experience at shriners hospitals for children

Tina L Palmieri, Petra Warner, Ronald P. Mlcak, Robert Sheridan, Richard J. Kagan, David N. Herndon, Ronald Tompkins, David G Greenhalgh

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Inhalation injury remains a significant source of morbidity and mortality in children with burn injury. The purpose of this study is to analyze the incidence, demographic characteristics, and outcomes for children who have sustained burn injury at one of four regional pediatric burn centers. A retrospective review of children aged 0 to 18 years admitted to one of four pediatric burn centers from 1997 to 2007 with a diagnosis of inhalation injury was performed. Factors analyzed included demographics, injury severity, treatment duration, and outcomes. A total of 850 patients with a mean age of 7.9 ± 0.2 years and a mean total body surface area burn of 48.6 ± 0.9% were admitted with a diagnosis of inhalation injury. Mean interval between injury and hospital admission was 4.2 ± 0.3 days. Inhalation injury was diagnosed by bronchoscopy in 71%, via elevated carboxyhemoglobin in 4%, and by clinical signs/history alone in 25%. Hospital length of stay averaged 44.8 ±1.7 days, and patients required mechanical ventilation for a mean of 15.2 ± 0.8 days. Mortality was 16.4%. Inhalation injury in children is associated with significant morbidity and mortality, and diagnosis of inhalation injury does not follow consistent guidelines. Further studies are required to standardize diagnostic criteria for inhalation injury and to optimize the treatment of children with inhalation injury.

Original languageEnglish (US)
Pages (from-to)206-208
Number of pages3
JournalJournal of Burn Care and Research
Volume30
Issue number1
DOIs
StatePublished - Jan 2009

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antineoplaston A10
Inhalation
Wounds and Injuries
Burn Units
Length of Stay
Demography
Pediatrics
Carboxyhemoglobin
Morbidity
Child Mortality
Mortality
Body Surface Area
Bronchoscopy
Artificial Respiration
History
Guidelines

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery

Cite this

Inhalation injury in children : A 10 year experience at shriners hospitals for children. / Palmieri, Tina L; Warner, Petra; Mlcak, Ronald P.; Sheridan, Robert; Kagan, Richard J.; Herndon, David N.; Tompkins, Ronald; Greenhalgh, David G.

In: Journal of Burn Care and Research, Vol. 30, No. 1, 01.2009, p. 206-208.

Research output: Contribution to journalArticle

Palmieri, Tina L ; Warner, Petra ; Mlcak, Ronald P. ; Sheridan, Robert ; Kagan, Richard J. ; Herndon, David N. ; Tompkins, Ronald ; Greenhalgh, David G. / Inhalation injury in children : A 10 year experience at shriners hospitals for children. In: Journal of Burn Care and Research. 2009 ; Vol. 30, No. 1. pp. 206-208.
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