Evidence map›Paper›PMID 23511841›Full record

Trial reportAnnals of surgery2014

Occurrence of multiorgan dysfunction in pediatric burn patients: incidence and clinical outcome.

Robert Kraft, David N Herndon, Celeste C Finnerty, Shahriar Shahrokhi, Marc G Jeschke

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 64 citations in OpenAlex.

  1. Effects of different duration exercise programs in children with severe burns.Burns : journal of the International Society for Burn Injuries · 2017
    Trial
  2. Trial
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  4. A Characterization of Pediatric Burn Injury Patients Presenting to a Zonal Referral Hospital in Northern Tanzania.Journal of burn care & research : official publication of the American Burn Association · 2026
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Robert Kraft*Shriners Hospitals for Children †Department of Surgery, University of Texas Medical Branch, Galveston, TX ‡Department of Surgery, Division of Plastic Surgery and Immunology, University of Toronto, Ontario, Canada §Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; and ¶Sunnybrook Research Institute, Toronto, Canada.
David N Herndon
Celeste C Finnerty
Shahriar Shahrokhi
Marc G Jeschke
The University of Texas Medical Branch at Galveston · USUniversity of Toronto · CAShriners Hospitals for Children · US

Funding

Project 9: The role of androgen/corticosteroid in fat, muscle and glucose metabolism of burn victimsP50GM060338 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI FINNERTY, CELESTE CAMPBELL · 2000 to 2017
$24.2M
UTMB CLINICAL AND TRANSLATIONAL SCIENCE AWARD: NASA BED REST STUDIESUL1RR029876 · NCRR · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2009 to 2011
$17.7M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
MODULATION OF THE POSTBURN HYPERMETABOLIC RESPONSER01GM056687 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI HERNDON, DAVID N. · 1998 to 2017
$9.0M
POSTDOCTORAL TRAINING IN TRAUMA &BURNST32GM008256 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI Celeste Campbell Finnerty, Oscar E. Suman-Vejas · 1990 to 2026
$4.0M
Hepatic ER stress contributes to morbidity and mortality after burn injury.R01GM087285 · NIGMS · SUNNYBROOK & WOMEN'S COLL HLTH SCIS CTR · PI BOEHNING, DARREN F, JESCHKE, MARC GERHARD · 2010 to 2018
$1.9M
UTMB Clinical and Translational Science AwardKL2RR029875 · NCRR · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2009 to 2011
$609k
UTMB Clinical and Translational Science AwardKL2TR000072 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$422k
CGH CDC HHS GH087285-01CIHR 123336NCATS NIH HHS KL2 TR000072NCATS NIH HHS UL1 TR000071NCRR NIH HHS KL2 RR029875NCRR NIH HHS UL1 RR029876NIGMS NIH HHS P50 GM060338NIGMS NIH HHS P50 GM60338NIGMS NIH HHS R01 GM056687NIGMS NIH HHS R01 GM087285NIGMS NIH HHS R01-GM56687NIGMS NIH HHS T32 GM008256PHS HHS H133A020102
6 · The paper itself

Abstract

objectiveTo examine the incidence of single or multiple organ failure postburn and its resultant clinical outcomes during acute hospitalization.

backgroundPatient outcomes are inherently dependent on intact organ function; however, burn injury affects the structure and function of almost every organ, but especially lung, liver, kidney, and heart. Therefore, single-organ failure and/or multiorgan failure (MOF) are thought to contribute significantly to postburn morbidity and mortality, but to date no large trial examining the effects of MOF on postburn outcomes exists.

methodsIncidence of MOF was monitored in 821 pediatric burn patients during acute hospitalization. Patients were divided into groups on the basis of the incidence of single-organ-specific failure, MOF, and non-MOF. The DENVER2 score was used to assess organ-specific scores for lung, liver, kidney, and heart. The patient's demographics, injury characteristics, and outcome parameters were recorded.

resultsRespiratory failure has the highest incidence in the early phase of postburn injury and decreases starting 5 days postburn. Cardiac failure was noted to have the highest incidence throughout hospital stay. Incidence of hepatic failure increases with the hospital length of stay and is associated with a high mortality during the late phase of the acute hospital stay. Renal failure has an unexpectedly low incidence but is associated with a high mortality during the first 3 weeks postburn injury. Three or more organ failure is associated with very high mortality.

conclusionsThis is the first large study in burn patients to determine the incidence of organ-specific failure and outcome. The results of this study confirmed the expected chronologic incidence of organ-specific failure and yield the long-term mortality from liver and renal failure.

Indexed as

Critical CareHospitalizationAdolescentBurnsChildChild, PreschoolCombined Modality TherapyEnteral NutritionFemaleFluid TherapyHealth Status IndicatorsHumansIncidenceKaplan-Meier EstimateLogistic ModelsMale

Identifiers

PMID23511841
PMCPMC3731402
OpenAlexW1963515499

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.