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Quemaduras en niños: tratamientos estándar y nuevos
Marc G Jeschke1, David N Herndon2
1Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Canada; Department of Surgery, Division of Plastic Surgery, Department of Immunology, University of Toronto, Toronto, Canada; Sunnybrook Research Institute, Toronto, Canada.
Lancet (London, England)
|September 17, 2013
Resumen
Los resultados de los pacientes con quemaduras graves han mejorado significativamente. Sin embargo, las quemaduras que superan el 60% de la superficie corporal total siguen siendo un riesgo crítico, lo que requiere avances en el cuidado pediátrico de quemaduras.
Área de la Ciencia:
- La investigación médica es la investigación médica.
- La medicina pediátrica es la medicina de los niños.
- Gestión de la gestión de quemaduras.
Sus antecedentes:
- Los resultados de los pacientes con lesiones por quemaduras han visto mejoras sustanciales en los últimos 20 años.
- Un estudio de 2012 indicó que el tamaño de las quemaduras por encima del 60% de la superficie corporal total (TBSA) está relacionado con un aumento de la mortalidad.
- Esta tendencia de aumento de la TBSA asociada con la mortalidad se ha observado tanto en las poblaciones adultas como en las de ancianos.
Objetivo del estudio:
- Para revisar los avances recientes en el cuidado de quemaduras.
- Explorar futuros desarrollos en el tratamiento de quemaduras.
- Para abordar específicamente la mejora de los resultados para pacientes pediátricos con quemaduras.
Principales métodos:
- Revisión de la literatura de estudios recientes en el cuidado de quemaduras.
- Análisis de las tendencias en el tamaño de las quemaduras y la mortalidad asociada.
- Discusión de estrategias terapéuticas emergentes y futuras.
Principales resultados:
- El cuidado de quemaduras ha avanzado, lo que lleva a mejores resultados para los pacientes.
- Un aumento significativo en el porcentaje de la superficie corporal total quemada se asocia con un mayor riesgo de mortalidad.
- Los datos de adultos y pacientes ancianos corroboran los riesgos asociados con quemaduras graves.
Conclusiones:
- Si bien el cuidado general de las quemaduras ha mejorado, las grandes quemaduras por TBSA continúan representando riesgos significativos.
- La innovación continua en la gestión de quemaduras es crucial.
- Centrarse en los avances en el cuidado pediátrico de quemaduras es esencial para mejorar los resultados en los niños.
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