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Presidential Address

COL Basil A. Pruitt, Jr, MC

Arch Surg. 1986;121(1):13-22.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The advances in general medical management and surgical care that have been made over the past half century have decreased morbidity in a broad range of surgical patients and have favorably influenced mortality, often in terms of length of survival rather than ultimate salvage. This specific, at times limited, medical progress may only be evident when at-risk groups are appropriately stratified, eg, the increased overall survival of patients with burns of 60% or less of the total body surface as contrasted with the prolongation of hospital stay but unchanged mortality of patients with larger burns¹ (Table 1), and the increased immediate survival of patients with mechanical trauma overall as contrasted with the persistent late mortality of severely injured patients after resuscitation.² The same partial success of initial surgical treatment coupled with intractable late mortality in critically injured and seriously ill patients is evident in transplant recipients and patients . . . [Full Text PDF of this Article]

Author Affiliations
USA

From the US Army Institute of Surgical Research, Fort Sam Houston, Tex.

Footnotes
Accepted for publication July 25, 1985.

Presented as the presidential address at the Fifth Annual Meeting of the Surgical Infection Society, New Orleans, April 30, 1985.

The opinions or assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to US Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6200 (Dr Pruitt).

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