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Burns in older adults

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Handbook of Burns
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Abstract

Burn injury in older adults is expected to have a greater impact on regional burn centers in the next several decades as the population in high-income countries is progressively aging. In the United States, adults aged ≥55 are projected to represent 30 % of the population by 2030 [1]. The appropriate age cut-off defining the older adult is debated, with a spectrum of age ≥45 to age ≥80 used in previous burn literature reports [2, 3]. Although this cut-off should ideally be based on biology, aging is a continuous process influenced by the individual’s health lifestyle and co-morbid conditions. In fact, the often quoted age ≥65 is primarily based on the age at which one can obtain full pension benefits, a reflection of societal constructs rather than biological truths. It is generally agreed, however, that aged patients are vulnerable to burn injury, and that injured older adults have far worse treatment outcomes compared to young adults [4].

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References

  1. www.census.gov. Accessed 01/15/2010

    Google Scholar 

  2. Pomahac B, Matros E, Semel M et al (2006) Predictors of survival and length of stay in burn patients older than 80 years of age: does age really matter? J Burn Care Res 27(3): 265–269

    PubMed  Google Scholar 

  3. Saffle JR, Larson CM, Sullivan J, Shelby J (1990) The continuing challenge of burn care in the elderly. Surgery 108(3): 534–543

    PubMed  CAS  Google Scholar 

  4. Keck M, Lumenta DB, Andel H, Kamolz LP, Frey M (2009) Burn treatment in the elderly. Burns 35(8): 1071–1079

    PubMed  CAS  Google Scholar 

  5. Miller SF, Bessey P, Lentz CW, Jeng JC, Schurr M, Browning S (2008) National burn repository 2007 report: a synopsis of the 2007 call for data. J Burn Care Res 29(6): 862–870; discussion 871

    PubMed  Google Scholar 

  6. Khadim MF, Rashid A, Fogarty B, Khan K (2009) Mortality estimates in the elderly burn patients: the Northern Ireland experience. Burns 35(1): 107–113

    PubMed  CAS  Google Scholar 

  7. Larson CM, Saffle JR, Sullivan J (1992) Lifestyle adjustments in elderly patients after burn injury. J Burn Care Rehabil 13(1): 48–52

    PubMed  CAS  Google Scholar 

  8. Manktelow A, Meyer AA, Herzog SR, Peterson HD (1989) Analysis of life expectancy and living status of elderly patients surviving a burn injury. J Trauma 29(2): 203–207

    PubMed  CAS  Google Scholar 

  9. Chipp E, Walton J, Gorman DF, Moiemen NS (2008) A 1 year study of burn injuries in a British Emergency Department. Burns 34(4): 516–520

    PubMed  Google Scholar 

  10. Macrino S, Slater H, Aballay A, Goldfarb IW, Caushaj PF (2008) A three-decade review of thermal injuries among the elderly at a regional burn centre. Burns 34(4): 509–511

    PubMed  Google Scholar 

  11. Ho WS, Ying SY, Chan HH (2001) A study of burn injuries in the elderly in a regional burn centre. Burns 27(4): 382–385

    PubMed  CAS  Google Scholar 

  12. Lumenta DB, Hautier A, Desouches C et al (2008) Mortality and morbidity among elderly people with Burns—evaluation of data on admission. Burns 34(7): 965–974

    PubMed  CAS  Google Scholar 

  13. Forjuoh SN (2006) Burns in low-and middle-income countries: a review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns 32(5): 529–537

    PubMed  CAS  Google Scholar 

  14. Pham TN, Kramer CB, Wang J et al (2009) Epidemiology and outcomes of older adults with burn injury: an analysis of the National Burn Repository. J Burn Care Res 30(1): 30–36

    PubMed  Google Scholar 

  15. Pereira CT, Barrow RE, Sterns AM et al (2006) Age-dependent differences in survival after severe burns: a unicentric review of 1,674 patients and 179 autopsies over 15 years. J Am Coll Surg 202(3): 536–548

    PubMed  Google Scholar 

  16. Lionelli GT, Pickus EJ, Beckum OK, Decoursey RL, Korentager RA (2005) A three decade analysis of factors affecting burn mortality in the elderly. Burns 31(8): 958–963

    PubMed  CAS  Google Scholar 

  17. Istre GR, McCoy MA, Osborn L, Barnard JJ, Bolton A (2001) Deaths and injuries from house fires. N Engl J Med 344(25): 1911–1916

    PubMed  CAS  Google Scholar 

  18. Warda L, Tenenbein M, Moffatt ME (1999) House fire injury prevention update. Part I. A review of risk factors for fatal and non-fatal house fire injury. Inj Prev 5(2): 145–150

    PubMed  CAS  Google Scholar 

  19. Barillo DJ, Stetz CK, Zak AL, Shirani KZ, Goodwin CW (1998) Preventable burns associated with the misuse of gasoline. Burns 24(5): 439–443

    PubMed  CAS  Google Scholar 

  20. Wibbenmeyer LA, Amelon MA, Loret de Mola RM, Lewis R, Kealey GP (2003) Trash and brush burning: an underappreciated mechanism of thermal injury in a rural community. J Burn Care Rehabil 24(2): 85–89

    PubMed  CAS  Google Scholar 

  21. Wibbenmeyer LA, Kealey GP, Young TL et al (2008) A prospective analysis of trash, brush, and grass burning behaviors. J Burn Care Res 29(3): 441–445

    PubMed  Google Scholar 

  22. Alden NE, Bessey PQ, Rabbitts A, Hyden PJ, Yurt RW (2007) Tap water scalds among seniors and the elderly: socio-economics and implications for prevention. Burns 33(5): 666–669

    PubMed  Google Scholar 

  23. Erdmann TC, Feldman KW, Rivara FP, Heimbach DM, Wall HA (1991) Tap water burn prevention: the effect of legislation. Pediatrics 88(3): 572–577

    PubMed  CAS  Google Scholar 

  24. Thomas KA, Hassanein RS, Christophersen ER (1984) Evaluation of group well-child care for improving burn prevention practices in the home. Pediatrics 74(5): 879–882

    PubMed  CAS  Google Scholar 

  25. Ehrlich AR, Bak RY, Wald-Cagan P, Greenberg DF (2008) Risk factors for fires and burns in homebound, urban elderly. J Burn Care Res 29(6): 985–987

    PubMed  Google Scholar 

  26. Leahy NE, Hyden PJ, Bessey PQ, Rabbitts A, Freudenberg N, Yurt RW (2007) The impact of a legislative intervention to reduce tap water scald burns in an urban community. J Burn Care Res 28(6): 805–810

    PubMed  Google Scholar 

  27. Greenbaum AR, Donne J, Wilson D, Dunn KW (2004) Intentional burn injury: an evidence-based, clinical and forensic review. Burns 30(7): 628–642

    PubMed  Google Scholar 

  28. Harper RD, Dickson WA (1995) Reducing the burn risk to elderly persons living in residential care. Burns 21(3): 205–208

    PubMed  CAS  Google Scholar 

  29. Thombs BD (2008) Patient and injury characteristics, mortality risk, and length of stay related to child abuse by burning: evidence from a national sample of 15,802 pediatric admissions. Ann Surg 247(3): 519–523

    PubMed  Google Scholar 

  30. Modjarrad K, McGwin G, Jr, Cross JM, Rue LW, 3rd (2007) The descriptive epidemiology of intentional burns in the United States: an analysis of the National Burn Repository. Burns 33(7): 828–832

    PubMed  Google Scholar 

  31. Aravanis SC, Adelman RD, Breckman R et al (1993) Diagnostic and treatment guidelines on elder abuse and neglect. Arch Fam Med 2(4): 371–388

    PubMed  CAS  Google Scholar 

  32. Gosain A, DiPietro LA (2004) Aging and wound healing. World J Surg 28(3): 321–326

    PubMed  Google Scholar 

  33. Demling R, Pereira, C, Herndon D (2007) Care of geriatric patients. In: Herndon DN (ed) Total burn care, 3rd edn. Saunders, pp 496–501

    Google Scholar 

  34. Goodson WH, 3rd, Hunt TK (1979) Wound healing and aging. J Invest Dermatol 73(1): 88–91

    PubMed  Google Scholar 

  35. Morita A (2007) Tobacco smoke causes premature skin aging. J Dermatol Sci 48(3): 169–175

    PubMed  CAS  Google Scholar 

  36. Chang TT, Schecter WP (2007) Injury in the elderly and end-of-life decisions. Surg Clin North Am 87(1): 229–245, viii

    PubMed  Google Scholar 

  37. Rossi A, Fantin F, Di Francesco V et al (2008) Body composition and pulmonary function in the elderly: a 7-year longitudinal study. Int J Obes (Lond) 32(9): 1423–1430

    CAS  Google Scholar 

  38. Colloca G, Santoro M, Gambassi G (2010) Age-related physiologic changes and perioperative management of elderly patients. Surg Oncol 19(3): 124–130

    PubMed  Google Scholar 

  39. Tang Y, Nyengaard JR, Pakkenberg B, Gundersen HJ (1997) Age-induced white matter changes in the human brain: a stereological investigation. Neurobiol Aging 18(6): 609–615

    PubMed  CAS  Google Scholar 

  40. Barrick TR, Charlton RA, Clark CA, Markus HS (2010) White matter structural decline in normal ageing; a prospective longitudinal study using tract based spatial statistics. Neuroimagen 51(2): 565–577

    Google Scholar 

  41. Cawthon PM, Fox KM, Gandra SR et al (2009) Do muscle mass, muscle density, strength, and physical function similarly influence risk of hospitalization in older adults? J Am Geriatr Soc 57(8): 1411–1419

    PubMed  Google Scholar 

  42. Hirsch CH, Sommers L, Olsen A, Mullen L, Winograd CH (1990) The natural history of functional morbidity in hospitalized older patients. J Am Geriatr Soc 38(12): 1296–1303

    PubMed  CAS  Google Scholar 

  43. Tinetti ME, Baker DI, King M et al (2008) Effect of dissemination of evidence in reducing injuries from falls. N Engl J Med 359(3): 252–261

    PubMed  CAS  Google Scholar 

  44. Bowser-Wallace BH, Cone JB, Caldwell FT, Jr (1985) Hypertonic lactated saline resuscitation of severely burned patients over 60 years of age. J Trauma 25(1): 22–26

    PubMed  CAS  Google Scholar 

  45. Herndon DN, Tompkins RG (2004) Support of the metabolic response to burn injury. Lancet 363(9424): 1895–1902

    PubMed  CAS  Google Scholar 

  46. Demling RH, DeSanti L (2001) The rate of restoration of body weight after burn injury, using the anabolic agent oxandrolone, is not age dependent. Burns 27(1): 46–51

    PubMed  CAS  Google Scholar 

  47. Demling RH, DeSanti L (2003) Oxandrolone induced lean mass gain during recovery from severe burns is maintained after discontinuation of the anabolic steroid. Burns 29(8): 793–797

    PubMed  Google Scholar 

  48. Herndon DN, Hart DW, Wolf SE, Chinkes DL, Wolfe RR (2001) Reversal of catabolism by beta-blockade after severe burns. N Engl J Med 345(17): 1223–1229

    PubMed  CAS  Google Scholar 

  49. Jeschke MG, Finnerty CC, Suman OE, Kulp G, Mlcak RP, Herndon DN (2007) The effect of oxandrolone on the endocrinologic, inflammatory, and hypermetabolic responses during the acute phase postburn. Ann Surg 246(3): 351–360; discussion 360-352

    PubMed  Google Scholar 

  50. Sheffield-Moore M, Paddon-Jones D, Casperson SL et al (2006) Androgen therapy induces muscle protein anabolism in older women. J Clin Endocrinol Metab 91(10): 3844–3849

    PubMed  CAS  Google Scholar 

  51. Cecins N, Geelhoed E, Jenkins SC (2008) Reduction in hospitalisation following pulmonary rehabilitation in patients with COPD. Aust Health Rev 32(3): 415–422

    PubMed  Google Scholar 

  52. Flynn KE, Pina IL, Whellan DJ et al (2009) Effects of exercise training on health status in patients with chronic heart failure: HF-ACTION randomized controlled trial. Jama 301(14): 1451–1459

    PubMed  CAS  Google Scholar 

  53. Vogler CM, Sherrington C, Ogle SJ, Lord SR (2009) Reducing risk of falling in older people discharged from hospital: a randomized controlled trial comparing seated exercises, weight-bearing exercises, and social visits. Arch Phys Med Rehabil 90(8): 1317–1324

    PubMed  Google Scholar 

  54. Agrawal A, Agrawal S, Tay J, Gupta S (2008) Biology of dendritic cells in aging. J Clin Immunol 28(1): 14–20

    PubMed  Google Scholar 

  55. Gomez CR, Nomellini V, Faunce DE, Kovacs EJ (2008) Innate immunity and aging. Exp Gerontol 43(8): 718–728

    PubMed  CAS  Google Scholar 

  56. Haynes BF, Markert ML, Sempowski GD, Patel DD, Hale LP (2000) The role of the thymus in immune reconstitution in aging, bone marrow transplantation, and HIV-1 infection. Annu Rev Immunol 18: 529–560

    PubMed  CAS  Google Scholar 

  57. Franceschi C, Bonafe M, Valensin S et al (2000) Inflammaging. An evolutionary perspective on immunosenescence. Ann N Y Acad Sci 908: 244–254

    PubMed  CAS  Google Scholar 

  58. Mosier MJ, Pham TN, Klein MB et al (2010) Early acute kidney injury predicts progressive renal dysfunction and higher mortality in severely burned adults. J Burn Care Res 31(1): 83–92

    PubMed  Google Scholar 

  59. Nomellini V, Faunce DE, Gomez CR, Kovacs EJ (2008) An age-associated increase in pulmonary inflammation after burn injury is abrogated by CXCR2 inhibition. J Leukoc Biol 83(6): 1493–1501

    PubMed  CAS  Google Scholar 

  60. Saito H, Sherwood ER, Varma TK, Evers BM (2003) Effects of aging on mortality, hypothermia, and cytokine induction in mice with endotoxemia or sepsis. Mech Ageing Dev 124(10–12): 1047–1058

    PubMed  CAS  Google Scholar 

  61. Turnbull IR, Wlzorek JJ, Osborne D, Hotchkiss RS, Coopersmith CM, Buchman TG (2003) Effects of age on mortality and antibiotic efficacy in cecal ligation and puncture. Shock 19(4): 310–313

    PubMed  Google Scholar 

  62. Fitzwater J, Purdue GF, Hunt JL, O’Keefe GE (2003) The risk factors and time course of sepsis and organ dysfunction after burn trauma. J Trauma 54(5): 959–966

    PubMed  Google Scholar 

  63. Saffle JR, Sullivan JJ, Tuohig GM, Larson CM (1993) Multiple organ failure in patients with thermal injury. Crit Care Med 21(11): 1673–1683

    PubMed  CAS  Google Scholar 

  64. Ansari Z, Brown K, Carson N (2008) Association of epilepsy and burns — a case control study. Aust Fam Physician 37(7): 584–589

    PubMed  Google Scholar 

  65. Lewandowski R, Pegg S, Fortier K, Skimmings A (1993) Burn injuries in the elderly. Burns 19(6): 513–515

    PubMed  CAS  Google Scholar 

  66. Pham TN, Kramer CB, Klein MB (2010) Risk factors for he development of pneumonia in older adults with burn injury. J Burn Care Res 31(1): 105–110

    PubMed  Google Scholar 

  67. Scott EC, Ho HC, Yu M, Chapital AD, Koss W, Takanishi DM, Jr (2008) Pre-existing cardiac disease, troponin I elevation and mortality in patients with severe sepsis and septic shock. Anaesth Intensive Care 36(1): 51–59

    PubMed  CAS  Google Scholar 

  68. Arbabi S, Ahrns KS, Wahl WL et al (2004) Beta-blocker use is associated with improved outcomes in adult burn patients. J Trauma 56(2): 265–269; discussion 269–271

    PubMed  CAS  Google Scholar 

  69. Edelman DA, Maleyko-Jacobs S, White MT, Lucas CE, Ledgerwood AM (2008) Smoking and home oxygen therapy-a preventable public health hazard. J Burn Care Res 29(1): 119–122

    PubMed  Google Scholar 

  70. Demling RH (2005) The incidence and impact of preexisting protein energy malnutrition on outcome in the elderly burn patient population. J Burn Care Rehabil 26(1): 94–100

    PubMed  Google Scholar 

  71. Barret JP, Gomez P, Solano I, Gonzalez-Dorrego M, Crisol FJ (1999) Epidemiology and mortality of adult burns in Catalonia. Burns 25(4): 325–329

    PubMed  CAS  Google Scholar 

  72. Thombs BD, Singh VA, Halonen J, Diallo A, Milner SM (2007) The effects of preexisting medical comorbidities on mortality and length of hospital stay in acute burn injury: evidence from a national sample of 31,338 adult patients. Ann Surg 245(4): 629–634

    PubMed  Google Scholar 

  73. Fallon WF, Jr., Rader E, Zyzanski S et al (2006) Geriatric outcomes are improved by a geriatric trauma consultation service. J Trauma 61(5): 1040–1046

    PubMed  Google Scholar 

  74. Marcantonio ER, Flacker JM, Wright RJ, Resnick NM (2001) Reducing delirium after hip fracture: a randomized trial. J Am Geriatr Soc 49(5): 516–522

    PubMed  CAS  Google Scholar 

  75. Chung KK, Wolf SE, Cancio LC et al (2009) Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma 67(2): 231–237; discussion 237

    PubMed  Google Scholar 

  76. Klein MB, Hayden D, Elson C et al (2007) The association between fluid administration and outcome following major burn: a multicenter study. Ann Surg 245(4): 622–628

    PubMed  Google Scholar 

  77. Pham TN, Cancio LC, Gibran NS (2008) American Burn Association practice guidelines burn shock resuscitation. J Burn Care Res 29(1): 257–266

    PubMed  Google Scholar 

  78. Steinvall I, Bak Z, Sjoberg F (2008) Acute kidney injury is common, parallels organ dysfunction or failure, and carries appreciable mortality in patients with major burns: a prospective exploratory cohort study. Crit Care 12(5): R124

    PubMed  CAS  Google Scholar 

  79. Slater H, Gaisford JC (1981) Burns in older patients. J Am Geriatr Soc 29(2): 74–76

    PubMed  CAS  Google Scholar 

  80. Holm C, Tegeler J, Mayr M, Pfeiffer U, Henckel von Donnersmarck G, Muhlbauer W (2002) Effect of crystalloid resuscitation and inhalation injury on extravascular lung water: clinical implications. Chest 121(6): 1956–1962

    PubMed  Google Scholar 

  81. Tranbaugh RF, Lewis FR, Christensen JM, Elings VB (1980) Lung water changes after thermal injury. The effects of crystalloid resuscitation and sepsis. Ann Surg 192(4): 479–490

    PubMed  CAS  Google Scholar 

  82. Holm C, Mayr M, Tegeler J et al (2004) A clinical randomized study on the effects of invasive monitoring on burn shock resuscitation. Burns 30(8): 798–807

    PubMed  CAS  Google Scholar 

  83. Tranbaugh RF, Elings VB, Christensen JM, Lewis FR (1983) Effect of inhalation injury on lung water accumulation. J Trauma 23(7): 597–604

    PubMed  CAS  Google Scholar 

  84. Engrav LH, Heimbach DM, Reus JL, Harnar TJ, Marvin JA (1983) Early excision and grafting vs. nonoperative treatment of burns of indeterminant depth: a randomized prospective study. J Trauma 23(11): 1001–1004

    PubMed  CAS  Google Scholar 

  85. Herndon DN, Barrow RE, Rutan RL, Rutan TC, Desai MH, Abston S (1989) A comparison of conservative versus early excision. Therapies in severely burned patients. Ann Surg 209(5): 547–552; discussion 552-543

    PubMed  CAS  Google Scholar 

  86. Housinger T, Saffle J, Ward S, Warden G (1984) Conservative approach to the elderly patient with burns. Am J Surg 148(6): 817–820

    PubMed  CAS  Google Scholar 

  87. Kirn DS, Luce EA (1998) Early excision and grafting versus conservative management of burns in the elderly. Plast Reconstr Surg 102(4): 1013–1017

    PubMed  CAS  Google Scholar 

  88. Herd BM, Herd AN, Tanner NS (1987) Burns to the elderly: a reappraisal. Br J Plast Surg 40(3): 278–282

    PubMed  CAS  Google Scholar 

  89. Cutillas M, Sesay M, Perro G, Bourdarias B, Castede JC, Sanchez R (1998) Epidemiology of elderly patients’ burns in the South West of France. Burns 24(2): 134–138

    PubMed  CAS  Google Scholar 

  90. Burdge JJ, Katz B, Edwards R, Ruberg R (1988) Surgical treatment of burns in elderly patients. J Trauma 28(2): 214–217

    PubMed  CAS  Google Scholar 

  91. Deitch EA (1985) A policy of early excision and grafting in elderly burn patients shortens the hospital stay and improves survival. Burns Incl Therm Inj 12(2): 109–114

    PubMed  CAS  Google Scholar 

  92. Anous MM, Heimbach DM (1986) Causes of death and predictors in burned patients more than 60 years of age. J Trauma 26(2): 135–139

    PubMed  CAS  Google Scholar 

  93. Mehta RH, Rathore SS, Radford MJ, Wang Y, Wang Y, Krumholz HM (2001) Acute myocardial infarction in the elderly: differences by age. J Am Coll Cardiol 38(3): 736–741

    PubMed  CAS  Google Scholar 

  94. Schmader KE (2002) Epidemiology and impact on quality of life of postherpetic neuralgia and painful diabetic neuropathy. Clin J Pain 18(6): 350–354

    PubMed  Google Scholar 

  95. Edwards RR (2006) Age differences in the correlates of physical functioning in patients with chronic pain. J Aging Health 18(1): 56–69

    PubMed  Google Scholar 

  96. Cook AJ, Brawer PA, Vowles KE (2006) The fear-avoidance model of chronic pain: validation and age analysis using structural equation modeling. Pain 121(3): 195–206

    PubMed  Google Scholar 

  97. Gagliese L (2009) Pain and aging: the emergence of a new subfield of pain research. J Pain 10(4): 343–353

    PubMed  Google Scholar 

  98. Herr KA, Mobily PR (1993) Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 6(1): 39–46

    PubMed  CAS  Google Scholar 

  99. Jensen MP, Karoly P, Braver S (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain 27(1): 117–126

    PubMed  CAS  Google Scholar 

  100. Zwakhalen SM, Hamers JP, Abu-Saad HH, Berger MP (2006) Pain in elderly people with severe dementia: a systematic review of behavioural pain assessment tools. BMC Geriatr 6: 3

    PubMed  Google Scholar 

  101. Honari S, Patterson DR, Gibbons J et al (1997) Comparison of pain control medication in three age groups of elderly patients. J Burn Care Rehabil 18(6): 500–504

    PubMed  CAS  Google Scholar 

  102. Pasero C, Manworren RC, McCaffery M (2007) PAIN Control: IV opioid range orders for acute pain management. Am J Nurs 107(2): 52–59; quiz 59-60

    PubMed  Google Scholar 

  103. Lynch EP, Lazor MA, Gellis JE, Orav J, Goldman L, Marcantonio ER (1998) The impact of postoperative pain on the development of postoperative delirium. Anesth Analg 86(4): 781–785

    PubMed  CAS  Google Scholar 

  104. Pun BT, Ely EW (2007) The importance of diagnosing and managing ICU delirium. Chest 132(2): 624–636

    PubMed  Google Scholar 

  105. Lat I, McMillian W, Taylor S et al (2009) The impact of delirium on clinical outcomes in mechanically ventilated surgical and trauma patients. Crit Care Med 37(6): 1898–1905

    PubMed  Google Scholar 

  106. Pisani MA, Kong SY, Kasl SV, Murphy TE, Araujo KL, Van Ness PH (2009) Days of delirium are associated with 1-year mortality in an older intensive care unit population. Am J Respir Crit Care Med 180(11): 1092–1097

    PubMed  Google Scholar 

  107. Riker RR, Fraser GL (2009) Altering intensive care sedation paradigms to improve patient outcomes. Crit Care Clin 25(3): 527–538, viii-ix

    PubMed  Google Scholar 

  108. Wibbenmeyer LA, Amelon MJ, Morgan LJ et al (2001) Predicting survival in an elderly burn patient population. Burns 27(6): 583–590

    PubMed  CAS  Google Scholar 

  109. Slater AL, Fassnacht-Hanrahan K, Slater H, Goldfarb IW (1991) From hopeful to hopeless... when do we write “do not resuscitate”? Focus Crit Care 18(6): 476–479

    PubMed  CAS  Google Scholar 

  110. Luce JM (2010) End-of-life decision-making in the intensive care unit. Am J Respir Crit Care Med 182(1): 6–11

    PubMed  Google Scholar 

  111. Lundgren RS, Kramer CB, Rivara FP et al (2009) Influence of comorbidities and age on outcome following burn injury in older adults. J Burn Care Res 30(2): 307–314

    PubMed  Google Scholar 

  112. Thompson BT, Cox PN, Antonelli M et al (2004) Challenges in end-of-life care in the ICU: statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003: executive summary. Crit Care Med 32(8): 1781–1784

    PubMed  Google Scholar 

  113. White DB, Braddock CH, 3rd, Bereknyei S, Curtis JR (2007) Toward shared decision making at the end of life in intensive care units: opportunities for improvement. Arch Intern Med 167(5): 461–467

    PubMed  Google Scholar 

  114. Danis M, Patrick DL, Southerland LI, Green ML (1988) Patients’ and families’ preferences for medical intensive care. Jama 260(6): 797–802

    PubMed  CAS  Google Scholar 

  115. Lloyd CB, Nietert PJ, Silvestri GA (2004) Intensive care decision making in the seriously ill and elderly. Crit Care Med 32(3): 649–654

    PubMed  Google Scholar 

  116. Malloy TR, Wigton RS, Meeske J, Tape TG (1992) The influence of treatment descriptions on advance medical directive decisions. J Am Geriatr Soc 40(12): 1255–1260

    PubMed  CAS  Google Scholar 

  117. Teno J, Lynn J, Wenger N et al (1997) Advance directives for seriously ill hospitalized patients: effectiveness with the patient self-determination act and the SUPPORT intervention. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment. J Am Geriatr Soc 45(4): 500–507

    PubMed  CAS  Google Scholar 

  118. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUPPORT Principal Investigators. Jama 1995;274(20): 1591–1598

    Google Scholar 

  119. Teno JM, Fisher E, Hamel MB et al (2000) Decisionmaking and outcomes of prolonged ICU stays in seriously ill patients. J Am Geriatr Soc 48[5 Suppl]: S70–74

    Google Scholar 

  120. Baux S (1961) Contribution a l’etude du traitement local des brulures thermigues etendues. Paris, France

    Google Scholar 

  121. Stern M, Waisbren BA (1979) Comparison of methods of predicting burn mortality. Scand J Plast Reconstr Surg 13(1): 201–204

    PubMed  CAS  Google Scholar 

  122. Zawacki BE, Azen SP, Imbus SH, Chang YT (1979) Multifactorial probit analysis of mortality in burned patients. Ann Surg 189(1): 1–5

    PubMed  CAS  Google Scholar 

  123. Tobiasen J, Hiebert JM, Edlich RF (1982) The abbreviated burn severity index. Ann Emerg Med 11(5): 260–262

    PubMed  CAS  Google Scholar 

  124. Ryan CM, Schoenfeld DA, Thorpe WP, Sheridan RL, Cassem EH, Tompkins RG (1998) Objective estimates of the probability of death from burn injuries. N Engl J Med 338(6): 362–366

    PubMed  CAS  Google Scholar 

  125. O’Keefe GE, Hunt JL, Purdue GF (2001) An evaluation of risk factors for mortality after burn trauma and the identification of gender-dependent differences in outcomes. J Am Coll Surg 192(2): 153–160

    PubMed  Google Scholar 

  126. McGwin G, Jr., George RL, Cross JM, Rue LW (2008) Improving the ability to predict mortality among burn patients. Burns 34(3): 320–327

    PubMed  Google Scholar 

  127. Osler T, Glance L, Hosmer DW (2010) Simplified estimates of the probability of death after burn injuries: Extending and updating the Baux Score. J Trauma 68(3): 690–697

    PubMed  Google Scholar 

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Correspondence to Tam N. Pham M.D. .

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Pham, T.N. (2012). Burns in older adults. In: Jeschke, M.G., Kamolz, LP., Sjöberg, F., Wolf, S.E. (eds) Handbook of Burns. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0348-7_18

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  • DOI: https://doi.org/10.1007/978-3-7091-0348-7_18

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0347-0

  • Online ISBN: 978-3-7091-0348-7

  • eBook Packages: MedicineMedicine (R0)

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