https://www.selleckchem.com/products/wm-1119.html Nucleated red blood cells have been studied in critically ill and injured patients as a predictor of increased in-hospital mortality and poor clinical outcomes. While prior studies have demonstrated the prognostic power of nucleated red blood cells in the critical patient, there has been a paucity of literature available describing their value as a prognostic indicator in the severely burned patient.In this retrospective observational study conducted from 2012 to 2017. Inclusion criteria for the purpose of this study included all burn patients with total body surface area > 10% that were age ≥ 15 years. Demographic and clinical data collected from the electronic medical record. Data analysis consisted of descriptive and comparative analysis using SPSS.Two hundred and nineteen patients (17.5%) met inclusion criteria with 51 (23.3%) patients positive for nucleated red blood cells. The presence of nucleated red blood cells had an increased mortality rate with an odds ratio of 6.0 (p = 0.001; 2.5, 14.5), were more likely to appear in older patients (p less then 0.001), and were associated with increased hospital length of stay (p less then 0.001), injury severity scores (p less then 0.001), and complications.The presence of NRBCs even at the low concentrations reported in our study showed a 6-fold increase in the rate of mortality. With the current improvements in burn care leading to higher survival rates, the need to improve upon the numerous models that have been developed to predict mortality in severe burn patients is clear given the significantly increased risk of death the presence of NRBCs portend. Horizontal Gene Transfer (HGT) is an important evolutionary mechanism because it transfers genetic material that may code for traits or functions, between species or genomes. It is frequent in mitochondrial and nuclear genomes but has not been demonstrated between plastid genomes of different green land plant species.