Factors affecting mortality in burn patients admitted to intensive care unit

Year 2013, Volume: 18 Issue: 2, 72 - 75, 03.07.2013

Mehmet Akin Tarim

Abstract

Abstract. The aim of this study is to describe thecharacteristics of the patients admitted to our burn unit, and identify thefactors associated with burn mortality. Between January 2000 and June 2011; Survivorgroup (980 control cases (Group 2)) werecompared to non-survivor  group (165patients (Group 1)) to determine what factors might predict a high risk ofmortality.Mortality rate was14%. Non-surviving patients were significantly older (22.26±1.63 vs. 15.83±1.56,p=0.000) and they also stayed shorter (13.30±1.16 vs. 21.32±0.57, p=0.000) in the Burn Unit. The total body surface area (TBSA) burned (52.35±1.82 vs. 20.56±0.43,p=0.000) was significantly higher in non-survivor group. Inhalation injurieswere also significantly higher in this group (15.8% vs. 0.9%, p=0.000). With regard to the cause of burn, non-survivor sufferedsignificantly more flame injuries.The patients with risk factors such as older age, increasing of burned TBSA andinhalation injury should be categorized as high risk for mortality at thetime of admission.Key words: Burn injury, mortality, and risk factors

Keywords

Burn injury, mortality, and risk factors

References

• Sanchez JL, Pereperez SB, Bastida JL, Martinez MM. Cost-utility analysis applied to the treatment of burn patients in a specialized center. Arch Surg 2007; 142: 50-57.
• De Roche R, Luscher NJ, Debrunner HU, Fischer R. Epidemiological data and costs of burn injuries in workers in Switzerland: an argument for immediate treatment in burn centers. Burns 1994; 20: 58-60.
• Ryan CM, Schoenfeld DA, Thorpe WP, et al. Objective estimates of the probability of death from burn injuries. N Engl J Med 1998; 338: 362-366.
• Kobayashi K, Ikeda H, Higuchi R, et al. Epidemiological and outcome characteristics of major burns in Tokyo. Burns 2005; 31: 3-11.
• Bang RL, Sharma PN, Gang RK, Ghoneim IE, Ebrahim MK. Burn mortality during 1982 to 1997 in Kuwait. Eur J Epidemiol 2000; 16: 731-739.
• Brusselaers N, Hoste EA, Monstrey S, et al. Outcome and changes over time in survival following severe burns from 1985 to 2004. Int Care Med 2005; 31: 1648-1653.
• Wang YU, Tang HT, Xia ZF, et al. Factors affecting survival in adult patients with massive burns. Burns 2010; 36: 57-64.
• Zarei M, Dianat S, Eslami V, et al. Factors associated with mortality in adult hospitalized burn patients in Tehran. Turkish Journal of Trauma & Emergency Surgery 2011; 17: 61-65.
• Kabalak A, Yasti A. Management of inhalation injury and respiratory complications in Burns Intensive Care Unit. Turkish Journal of Trauma & Emergency Surgery 2012; 18: 333-338.
• De-Souza DA, Marchesan WG, Greene LJ. Epidemiological data and mortality rate of patients hospitalized with burns in Brazil. Burns 1998; 24: 433-4
• Garner WL, Reiss M. Burn care in Los Angeles, California: LAC+USC experience 1994-2004. Burns 2005; 31: 32-35.
• Barret JP, Gomez P, Solano I, Gonzalez-Dorrego M, CrisolFJ. Epidemiology and mortality of adult burns in Catalonia. Burns 1999; 25: 325-329.
• Soltani K, Zand R, Mirghasemi A. Epidemiology and mortality of burns in Tehran, Iran. Burns 1998; 24: 325-3
• Groohi B, Alaghehbandan R, Lari AR. Analysis of 1089 burn patients in province of Kurdistan, Iran. Burns 2002; 28: 569-574.
• Laloë V. Epidemiology and mortality of burns in a general hospital of Eastern Sri Lanka. Burns 2002; 28: 778-781.
• Waller AE, Marshall SW, Langley JD. Adult thermal injuries in New Zealand resulting in death and hospitalization. Burns 1998; 24: 245-251.
• Germam G, Bartholdl U, Lefering R, Raff T, Hartmann B. The impact of risk factors and preexisting conditions on the mortality of burn patients and the precision of predictive admission-scoring systems. Burns 1997; 23: 195-203.
• Brusselaers N, Monstrey S, Blot S. The FLAMES score accurately predicts mortality risk in burn patients (Gomez M et al., 2008). J Trauma 2009; 67: 4
• Head JM. Inhalation injury in burns. Am J Surg 1980; 139: 508-512.
• Tredget EE, Shankowsky HA, Taerum TV, Moysa GL, Alton JD. The role of inhalation injury in burn trauma. A Canadian experience. Ann Surg 1990; 212: 720-727.
• Clark CJ, Reid WH, Gilmour WH, Campbell D. Mortality probability in victims of fire trauma: revised equation to include inhalation injury. Br Med J (Clin Res Ed) 1986; 292: 1303-1305.
• Aldemir M, Kara IH, Girgin S, Guloglu C. Factors affecting mortality and epidemiological data in patients hospitalized with burns in Diyarbakir, Turkey. S Afr J Surg 2005; 43: 159-162.
• Benito-Ruiz J, Navarro-Monzonis A, Baena-Montilla P, Mirabet-Ippolito V. An analysis of burn mortality: a report from a Spanish regional burn centre. Burns 1991; 17: 201-204.
• Kraft R, Kulp G, Herndon D, et al. Is there a difference in clinical outcomes, inflammation, and hypermetabolism between scald and flame burn? Pediatric Critical Care Medicine 2011; 12: 275-281.
• Sadeghi-Bazargani H, Mohammadi R, Svanstrom L, et al. Epidemiology of minor and moderate burns in rural Ardabil, Iran. Burns 2010; 36: 933-937.
• Arshi S, Sadeghi-Bazargani H, Mohammadi R, et al. Prevention oriented epidemiologic study of accidental burns in rural areas of Ardabil, Iran. Burns 2006; 32: 366-371.
• Brusselaers N, Juhász I, Erdei I, Monstrey S, Blot S. Evaluation of mortality following severe burns injury in Hungary: external validation of a prediction model developed on Belgian burn data. Burns 2009; 35: 1009-1014.