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January 6, 2012

Severe Burns Can Cause Kidney Injury and Kidney Failure

Here is an informative article for anyone who suffers injuries from severe burns--not just soldiers who are burned in combat:

Many American soldiers who suffer burns during combat develop acute kidney injury--an abrupt or rapid decline in kidney function that is potentially deadly. That's the finding of a study that looked at acute kidney injury among 692 U.S. military casualties who were evacuated from Iraq and Afghanistan to burn units.

Using two different classification systems, the researchers found that rates of acute kidney injury were 24 percent and 30 percent among the casualties. What's more, those with acute kidney injury were much more likely to die than those without it. Death rates among patients with moderate forms of kidney problems were 21 to 33 percent, while severe forms of the condition were made the death rate a whopping 63 to 65 percent. In comparison, the death rate for patients who did not have acute kidney injury was 0.2 percent.

Among those with kidney injury, 58 percent were diagnosed when they were admitted to hospital, which suggests their injury was caused by combat-related factors. But here is a key statistic: Complications from hospitalization were the likely cause of acute kidney injury among the 18 percent of patients who developed the condition after the first week in the burn unit.

"Our research shows that if a wounded warrior develops kidney damage, he or she is at an increased risk of dying," Captain Ian Stewart, U.S. Air Force physician at the San Antonio Military Medical Center, Fort Sam Houston, said in a news release. "By preventing or modifying kidney injury, we may be able to improve survival in personnel with burns and/or other traumatic injury," he added.

The full study appeared online as of December 8 in the Clinical Journal of the American Society of Nephrology. For more information about the effect of burn injuries on the kidneys, visit the web site for the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.

If you or someone you know does suffer any type of injury due to severe burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a solid legal case.

September 27, 2010

The Effect of Burns on the Kidneys

One of the life threatening complications of severe burns is acute renal (kidney) failure (ARF). ARF is a sudden loss of the kidney's ability to excrete waste, concentrate urine and conserve electrolytes.

According to a study done in Helsinki burn Center between 1988 and 2001, the mortality of ICU patients with ARF was 44.1% where as patients without ARF was only 6.9%. It is shown that the severity of the burn, the presence of smoke inhalational injury and the age of the patient are among the factors that play a role in the incidence of ARF. According to Holm and colleagues (Acute Renal Failure in Severely Burned Patients), if ARF occurs within the first 5 days after the burn injury it's early ARF, decrease blood pressure due to inadequate fluid replacement and the presence of myoglobin (muscle protein) in urine due to the destruction of muscle tissue as a result of burn, are common causes. If ARF occurs after 5 days of injury, it is late ARF; sepsis (severe infection spreading through the blood stream) is the most common cause.

ARF is treated with dialysis. As burns associated with ARF will worsen the prognosis, early preventive measures taken to reduce this complication include proper fluid replacement, infection prevention, early wound debridement, and excision of dead tissue.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.