Impact of reduced resuscitation fluid on outcomes of children with 10–20% body surface area scalds

Tim J Walker, D Urriza Rodriguez, Karen Coy, Linda Hollen, Rosemary Greenwood, Amber Young

Research output: Contribution to journalArticle (Academic Journal)peer-review

14 Citations (Scopus)
347 Downloads (Pure)


‘Permissive hypovolaemia’ fluid regimes in adult burn care are suggested to improve outcomes. Effects in paediatric burn care are less well understood. In a retrospective audit, outcomes of children from the South West Children's Burn Centre (SWCBC) less than 16 years of age with scalds of 10–20% burn surface area (BSA) managed with a reduced volume fluid resuscitation regime (post-2007) were compared to (a) an historical local protocol (pre-2007) and (b) current regimes in burn services across England and Wales (E&W). Outcomes included length of stay per percent burn surface area (LOS/%BSA), skin graft requirement and re-admission rates. 92 SWCBC patients and 475 patients treated in 15 other E&W burn services were included. Median LOS/%BSA for patients managed with the reduced fluid regime was 0.27 days: significantly less than pre-2007 and other E&W burn services (0.54 days, 0.50 days, p < 0.001). Skin grafting to achieve healing reduced post-2007 compared to pre-2007 and remains comparable with other E&W services. Re-admission rates were comparable between all groups. A reduced fluid regime has significantly shortened LOS/%BSA without compromising burn depth as measured by skin grafting to achieve healing. A prospective trial comparing permissive hypovolaemia to current regimes for moderate paediatric scald injuries would help clarify.
Original languageEnglish
Pages (from-to)1581-1586
Number of pages6
Issue number8
Early online date30 Apr 2014
Publication statusPublished - Dec 2014


  • Permissive hypovolaemia
  • Paediatrics
  • Scalds
  • Burn care
  • Fluid resuscitation


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