Wound closure and outcome in extensively burned patients treated with cultured autologous keratinocytes

Loring W. Rue, William G. Cioffi, William F. McManus, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

136 Scopus citations

Abstract

Cultured autologous keratinocytes (CAK) have been heralded as a means to achieve more rapid closure of massive burn wounds. Despite the claimed benefits of this technology, we have failed to identify its positive impact on wound closure in extensively burned patients. Sixteen patients with a mean age of 29.7 years (range, 10-56 years) and a mean total body surface area burn of 68.2% (range, 42%-85%) underwent 22 applications of CAK supplied by a private laboratory. The keratinocyte grafts were applied to a mean of 15.9% of the body surface area (range, 4%-59%) at an average cost per patient of $43,705 (range, $9,800 to $161,000). The mean body surface area of definitive wound coverage by these grafts was 4.7% (range, 0%- 18.6%). The mean length of hospitalization was 132 days (range, 50-275 days). The observed mortality was 12.5% (two patients). Our experience with this wound care approach has been assessed with respect to the extent of burn, the level of wound excision, and the site of CAK application.

Original languageEnglish (US)
Pages (from-to)662-668
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume34
Issue number5
DOIs
StatePublished - May 1993

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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