Management of burns in the elderly

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Abu-Sittah, Ghassan S.
Chahine, Fadl M.
Janom, Hamed H.

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Mediterranean Club for Burns and Fire Disasters

Abstract

Burns are one of the most devastating forms of trauma worldwide. While geriatric burns are uncommon in the developing world - accounting for less than 5% of burns in South Asian and Middle Eastern countries - they account for almost 20% of burns in economically developed countries such as the USA. The elderly population in general is at higher risk for burn injury, moreover mortality rate, as well as severity of complications, is more pronounced in this group of patients. A review of the literature was conducted to evaluate risk factors as well as pathophysiological and immunological conditions that affect response to burn injury in the elderly population. Surgical and medical interventions used for the management of geriatric burns remain a field of controversy and ongoing debate. Improvement of burn management with reduction in mortality in this age group warrants addressing survivors’ quality of life, with a special focus on rehabilitation and support. © 2016, Mediterranean Club for Burns and Fire Disasters. All rights reserved.

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Burn, Elderly, Intensive care, Nutrition, Physiology, Resuscitation

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