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Growth delay in postburn pediatric patients.

R L Rutan¹, D N Herndon

¹Shriners Burns Institute, Galveston, TX 77550.

Archives of Surgery (Chicago, Ill. : 1960)

|March 1, 1990

Summary

Severe burns in children significantly slow growth, impacting height and weight velocity. This growth delay, observed in the first year post-burn, gradually improves over three years despite nutritional support.

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Area of Science:

Pediatric medicine
Burn surgery
Endocrinology

Background:

Postburn pediatric populations exhibit reduced height and weight velocities.
Severe thermal injury may impact long-term growth in children.

Purpose of the Study:

To validate the phenomenon of dampened growth velocities in pediatric burn survivors.
To assess growth patterns in children following severe burn injuries.

Main Methods:

Retrospective review of 80 pediatric patients with >40% total body surface area burns.
Analysis of yearly growth velocities up to 3 years post-burn in patients treated with early excision and standard support.

Main Results:

Admission height and weight were within normal parameters.
A significant growth arrest was observed in postburn year 1.
Growth velocities approached normal distribution by postburn year 3.

Conclusions:

Severe thermal injury is associated with a distinct growth delay in pediatric patients.
The precise mechanisms underlying this postburn growth phenomenon require further investigation.

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