MORTALITY IN THE BURNS SURVIVOR – FURTHER FOLLOW UP AND INTERVENTION IS REQUIRED Jennifer Paratz Becky Leung, Kellie Stockton, Michael Muller, Jonny Younger Burns, Trauma & Critical Care Research Centre, University of Qld, Griffith University, Royal Brisbane & Women’s Hospital
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MORTALITY IN THE
BURNS SURVIVOR –
FURTHER FOLLOW UP
AND INTERVENTION IS
REQUIRED
Jennifer Paratz Becky Leung, Kellie Stockton, Michael Muller, Jonny Younger
Burns, Trauma & Critical Care Research Centre, University of Qld, Griffith
University, Royal Brisbane & Women’s Hospital
Metabolic
Ongoing ↑cortisol, catecholamines, total cholesterol
↓testosterone,
Fatty liver, insulin resistance,
↑ work of heart, tachycardia
Function
Catabolism, weakness, contractures
Decreased fitness
Decreased ADLs, poor return to work
QoL
Depression, anxiety, PTSD
Increased survival in acute stage
BUT…
CARDIOVASCULAR RISK?
QUESTIONS
Is there a higher incidence of cardiovascular disease?