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Critical care polyneuropathy in burn injuries: An integrative review


McKittrick, A and Kornhaber, R and Harats, M and Cleary, M and Visentin, DC and Haik, J, Critical care polyneuropathy in burn injuries: An integrative review, Burns, 43 pp. 1613-1623. ISSN 0305-4179 (2017) [Refereed Article]

Copyright Statement

2017 Elsevier Ltd and ISBI. All rights reserved.

DOI: doi:10.1016/j.burns.2017.07.015


Polyneuropathy is a debilitating condition which may be associated with large burns. The aim of this integrative review is to identify factors that contribute to the development of critical care polyneuropathy in patients admitted to an intensive care unit with a severe burn injury. PubMed, Scopus, CINHAL and EMBASE were searched up until July 2016. Studies/case reports focusing oncritical care polyneuropathy for burn injured patients were included.The ten studies, included a total of 2755 burns subjects and identified 128 critical care polyneuropathy patients with an incidence of 4.4%. Three case reports identified prolonged ventilation and development of critical care neuropathy. Overall, factors identified as contributing to the development of critical care polyneuropathy in burn injured patients included prolonged ventilation (>7 days), large and deep total body surface area burns (mean TBSA 40%), and sepsis. Critical care polyneuropathy in burn patients remains challenging to diagnose and treat. To date, there is a lack of long term studies describing the impact of critical care polyneuropathy on functional performance or participation in activities of daily living inthe burnspopulationandthis is consistent withthe general literature addressing the lack of follow up assessments and long term consequences of persistent muscle weakness.

Item Details

Item Type:Refereed Article
Keywords:Critical care Polyneuropathy, Neuropathy, Distal myopathies, Burns, Review
Research Division:Health Sciences
Research Group:Allied health and rehabilitation science
Research Field:Rehabilitation
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Disability and functional capacity
UTAS Author:Kornhaber, R (Dr Rachel Kornhaber)
UTAS Author:Cleary, M (Professor Michelle Cleary)
UTAS Author:Visentin, DC (Dr Denis Visentin)
ID Code:120535
Year Published:2017
Web of Science® Times Cited:1
Deposited By:Health Sciences
Deposited On:2017-08-28
Last Modified:2018-09-13

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