• M Vehmeyer-Heeman, C Van Holder, F Nieman, E Van den Kerckhove, and W Boeckx.
• Department of Plastic and Reconstructive Surgery, Hand Surgery, University Hospital Maastricht, Postbus 5800, 6202 AZ Maastricht, The Netherlands. info@vehmeijer.nl
• Burns. 2007 Mar 1;33(2):167-72.

AbstractRetrospective review of outcomes and experiences of a single burn centre between two time periods during which a new wound care technique was employed after the first period. The time period was divided into two: 1977-1984 and 1984-1990. Due to the use of cerium nitrate-silver sulphadiazine, the introduction of serial excision and grafting became possible in the second time period. Multivariate risk-analysis was done by logistic regression analysis. The mortality rate decreased from 13.7% (1997-1983) to 4.7% (1984-1990). Results of multiple logistic regression analysis indicate that the change in periods was advantageous for patients with >50% TBSA, within the age group, 0 to 30 years. Obviously, the care which a patient receives has improved significantly. Many developments occurred simultaneously and it appears impossible to conclude that only the use of cerium nitrate-silver sulphadiazine was the reason for improved survival. Nevertheless, the use of cerium nitrate-silver sulphadiazine enables sequential excision and grafting and in consequence allows for many of these developments to occur.

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