Inhalation Injury is Associated with Endotheliopathy and Abnormal Fibrinolytic Phenotypes in Burn Patients: A Cohort Study. | Inhalation Injury Is Associated With Endotheliopathy and Abnormal Fibrinolytic Phenotypes in Burn Patients: A Cohort Study. (Record no. 6621)

MARC details
000 -LEADER
fixed length control field 04068nam a22005777a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210719s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1559-047X
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1093/jbcr/irab102 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 6293955 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34089618
245 ## - TITLE STATEMENT
Title Inhalation Injury is Associated with Endotheliopathy and Abnormal Fibrinolytic Phenotypes in Burn Patients: A Cohort Study.
245 ## - TITLE STATEMENT
Title Inhalation Injury Is Associated With Endotheliopathy and Abnormal Fibrinolytic Phenotypes in Burn Patients: A Cohort Study.
251 ## - Source
Source Journal of Burn Care & Research. 43(2):432-439, 2022 03 23.
252 ## - Abbreviated Source
Abbreviated source J Burn Care Res. 43(2):432-439, 2022 03 23.
252 ## - Abbreviated Source
Former abbreviated source J Burn Care Res. 2021 Jun 05
253 ## - Journal Name
Journal name Journal of burn care & research : official publication of the American Burn Association
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2021 Jun 05
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-07-19
268 ## - Previous citation
-- Journal of Burn Care & Research. 2021 Jun 05
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2006 - present, Available in print through MWHC library: 2006 - present
520 ## - SUMMARY, ETC.
Abstract Burn injury is associated with endothelial dysfunction and coagulopathy and concomitant inhalation injury increases morbidity and mortality. The aim of this work is to identify associations between inhalation injury (IHI), coagulation homeostasis, vascular endothelium, and clinical outcomes in burn patients. One-hundred and twelve patients presenting to a regional burn center were included in this retrospective cohort study. Whole blood was collected at set intervals from admission through 24 hours and underwent viscoelastic assay with rapid TEG (rTEG). Syndecan-1 (SDC-1) on admission was quantified by ELISA. Patients were grouped by the presence (n=28) or absence (n=84) of concomitant IHI and rTEG parameters, fibrinolytic phenotypes, SDC-1, and clinical outcomes were compared. Of the 112 thermally injured patients, 28 (25%) had IHI. Most patients were male (68.8%) with a median age of 40 (IQR, 29-57) years. Patients with IHI had higher overall mortality (42.68% vs. 8.3%; p<0.0001). rTEG LY30 was lower in patients with IHI at hours 4 and 12 (p<0.05). There was a pattern of increased abnormal fibrinolytic phenotypes among IHI patients. There was a greater proportion of IHI patients with endotheliopathy (SDC-1 > 34 ng/mL) (64.7% vs. 26.4%; p=0.008). There was a pattern of increased mortality among patients with inhalation injury and endotheliopathy (0% vs. 72.7%; p=0.004). Significant differences between patients with and without IHI were found in measures assessing fibrinolytic potential and endotheliopathy. Mortality was associated with abnormal fibrinolysis, endotheliopathy, and inhalation injury. However, the extent to which IHI associated dysfunction is independent of TBSA burn size remains to be elucidated. Copyright (c) The Author(s) 2021. Published by Oxford University Press on behalf of the American Burn Association.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Burns
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Burns/co [Complications]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cohort Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Male
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Phenotype
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Thrombelastography
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Burn Research Fellowship
656 ## - INDEX TERM--OCCUPATION
Department Firefighters' Burn and Surgical Research Laboratory
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Burn Services
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Brummel-Ziedins, Kathleen E
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Johnson, Laura
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Keyloun, John
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mclawhorn, Melissa M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Moffatt, Lauren T
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shupp, Jeffrey W
790 ## - Authors
All authors Bravo MC, Brummel-Ziedins KE, Johnson LS, Keyloun JW, Le TD, Mclawhorn MM, Moffatt LT, Orfeo T, Pusateri AE, Shupp JW, SYSCOT Study Group
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1093/jbcr/irab102">https://dx.doi.org/10.1093/jbcr/irab102</a>
Public note https://dx.doi.org/10.1093/jbcr/irab102
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/19/2021   34089618 34089618 07/19/2021 07/19/2021 Journal Article

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