Epidemiology of injuries, treatment (costs) and outcome in burn patients admitted to a hospital with or without dedicated burn centre (Burn-Pro): protocol for a multicentre prospective observational study (original) (raw)
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Clinical, Cosmetic and Investigational Dermatology
Background: Burn is a serious public health problem and a leading cause of disability and disfigurement. However, there was no published study from our Hospital Burn Unit that assessed the clinical profiles and the outcomes of burn patients. Objective: This study was aimed to assess the clinical profiles and the outcomes of patients admitted with burn injuries. Methods: Hospital-based retrospective cross-sectional study was conducted at the Burn Unit of JMC. Systematic random sampling was used to include the burn patients. Data were analyzed using SPSS version 25. Descriptive statistics, chi-square (χ 2), and student-t-test were performed to describe and assess the relationships between the variables. Multivariate logistic regression was performed to determine the factors affecting the length of hospital stays. Results: One hundred twenty-four burn patients (51.6% female) were included. The majority (79.84%) of the patients were in the age category of less than 29 years. Scalds (47.6%) were the most common cause of burns with three times in females. The extremities (93.5%) were the most frequently affected areas. Patients with second-degree superficial burns accounted for 61.3% of all patients. In 95.88% of the patients, the total body surface area burn (TBSA) was below 20%. Lactated ringers (69.4%) and tramadol (71.0%) were the most frequently used IV fluid for resuscitation and analgesic agent for pain, respectively. Patients who undergo any of the surgical procedures stayed in the hospital for greater than 30 days more than 4 times likely (OR = 4.8, 95% CI 2.08-11.2, P < 0.001). Conclusion: Scalds are the most common cause of burn injury, particularly in patients aged less than 14 years. Educating the community about the risk groups, household safety precautions, and early seeking medical care may reduce the incidence and morbidity of burn injuries.
Factors Affecting The Mortality At Patients With Burns: Single Centre Results
Turkish Journal of Trauma and Emergency Surgery
BACKGROUND: Burns are a primary cause of mortality along with the severe physical and psychological morbidities in patients and their families. Such kinds of injuries bring about considerable financial burdens due to the treatment processes and sequels. The present study aims to investigate the factors that affect the mortality of burns. METHODS: The archives files of the patients admitted because of burn injuries in our burn centre between September 2008 and December 2016 were examined in this study. Some of the lab values, such as age, sex, percentage of total burn surface area (TBSA), referral status, burning site, degree of burns, time of admission to hospital, aetiology of burning, blood and blood products collection, complete blood count, routine biochemistry, coagulation parameters, C-reactive protein (CRP), sedimentation rate, neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR), were examined while evaluating the patients' mortalities. RESULTS: A total of 133 patients were included in this study. The patient's age (p=0.001), the degree of burns (p<0.001), surface area of burns (p<0.001), the time of hospital admission (p<0.001), burning aetiology (p=0.006), erythrocyte suspension, fresh frozen plasma, along with the administration of albumin transfusion (p<0.001), mean platelet volume (MPV) (p=0.028), NLR (p<0.001) and PLR (p<0.030) values were found to be associated with mortality in patients with burns. CONCLUSION: In this study, age, burn grade, TBSA, hospital admission time, burn aetiology, erythrocyte, fresh frozen plasma and albumin transfusion, MPV, NLR and PLR values were found to be associated with mortality in patients with burns. With this study, it is possible to produce the treatment guidelines to reduce mortality by taking these parameters into consideration, which were determined to be associated with mortality while evaluating the patients with burns.
The Epidemiological Profile of Burn Patients in a Tertiary Care Hospital
IOSR Journals , 2019
Background: Burn is a global health problem. The epidemiology varies in different parts of the world. Burn Patients go through not only physical trauma but also psychological. Significant mortality and morbidity is seen in burn patients if proper treatment is not done on time. Knowledge about the cause of burn is important to prevent such incidences. Materials & Methods : A prospective study was conducted in the Burn Unit Department of Plastic Surgery, Christian Medical College and Hospital, Ludhiana in period between May 2012 to April 2013. A total of 103 burn patients were studied. All types of Burn patients were included from OPD and emergency department after an informed consent. All those who were not willing for participation in the study were excluded. Results & Conclusion : In this study it was noted that males and females were equally effected with mean age of 29.3 years. The most common mode of injury in our study was industrial flameburns followed by accidental . Maximum patients had 11-20% TBSA burns which included 19.4% of the patients. 37.9% of the patients were discharged after complete treatment. 59 patients were conservatively managed followed by surgery in 44 patients. 96 patients presented with fresh burns & 7 patients had old burns.
Treatment of Patients With Severe Burns—Costs and Health-Related Quality of Life Outcome
Journal of Burn Care & Research, 2013
To study the effectiveness of the treatment of patients with severe burns, the authors collected health-related quality of life (HRQoL) data with the 15D instrument, 17 to 29 months after treatment had commenced at the national burns unit. The costs of each patient's secondary care treatment were followed for a mean of 66 months. During the 1-year study period, 107 patients were treated at the burns unit, eight for scar surgery, the remainder for primary treatment of a burn injury; 19 had died or could not be located during the time of the HRQoL survey. Of the remaining 88 patients, 43 (49%; mean [SD] age 45.7 [14.8] years; 70% men) returned the questionnaire. Their mean (SD) HRQoL score (0.909[0.113]) was only slightly, and not significantly, lower than that of the age-and sex-standardized general population (0.928[0.080]). The mean (SD) secondary care cost of burn treatment of for all the 107 patients, over the 60-to 72-month observation time, was 42,838 USD (73,569 USD; range 1319-34,8741 USD). The largest portion of the total cost was because of inpatient treatment (61%) followed by operations (22%), and outpatient visits. In addition to the costs of burns treatment, the patients consumed other secondary care services to a value of nearly 12,229 USD. The HRQoL in patients treated for severe burns is good, thus the observed hightreatment costs can be considered acceptable. (J Burn Care Res 2013;34:e318-e325)
Clinical Outcome of Patients With Severe Burns Presenting to the Emergency Department
Journal of Current Surgery, 2012
Background: Burns are a leading cause of morbidity and mortality worldwide. Although a local burn covering a limited surface area can heal readily, deep or extensive burns can result in systemic damage and even death. This study evaluated the clinical characteristics of the patients presenting with severe burns and investigated the factors influencing mortality. Methods: The data for 1003 patients who presented with symptoms of severe burn to a tertiary care university hospital in Turkey between 2006 and 2007 were evaluated retrospectively. Results: The overall patient mortality was 7.7% (n = 78). The effect of male gender and age on mortality was significant. The highest mortality rate was in the group aged > 40 years. A burned area larger than 21% of the body surface conferred a high risk of mortality. A hospital stay for longer than 10 days, the presence of delirium at the time of presentation, hyperuricemia, the need for debriding, grafting, or fasciotomy, sepsis, hypovolemic shock, and a positive blood culture were significant predictors of mortality. Conclusions: Severe burns have to be treated in a burn unit or burn center. As the prevention of burns is important, it is important to identify the region-specific causes of burns and the risk factors that influence mortality.
Emergency Care for Burn Patients—A Single-Center Report
Journal of Personalized Medicine
Burns, one of the main public health problems, lead to significant mortality and morbidity. Epidemiological studies regarding burn patients in Romania are scarce. The aim of this study is to identify the burn etiology, demographics, clinical characteristics, and outcomes in patients requiring treatment in a regional burn unit. Design. We performed a retrospective observational study of 2021. Patients. All patients admitted to our six-bed intensive care unit (ICU) were included. Interventions. The following data were collected for further analysis: demographics, burn pattern (etiology, size, depth, affected body region), type of ventilation, ABSI (Abbreviated Burn Severity Index) score, comorbidities, bioumoral parameters, and hospitalization days. Results. There were 93 burned patients included in our study that were divided into two groups: alive patients’ group (63.4%) and deceased patients’ group (36.6%). The mean age was 55.80 ± 17.16 (SD). There were 65.6% male patients, and 39...
Epidemiologic evaluation of patients with major burns and recommendations for burn prevention
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2012
Burns are an important health problem in our country and in the world. In our study, we aimed to epidemiologically analyze the patients who were hospitalized in a burn unit that serves 3 million individuals in Central Anatolia. Records of 457 patients who had been hospitalized in the burn unit during the period 2008-2010 were analyzed retrospectively. Patients were assessed in terms of gender, age, burn area, burn depth, admission time to the health center, burn region, and factors causing burns. Most (44.6%) of the patients were in the 0-5 age group. Burn surface area was detected as 11.6 +/- 8.5%. Patients had reached the health center in 252.8 +/- 892.5 minutes. While 82.7% of the patients had second degree bums, 17.3% had third degree burns. Most burns were on the extremities (39.6%). The most common burn agent was scalds with hot liquids (54.1%). In our study, children in the 0-5 age group were found to be the most commonly affected group with respect to indoor burns. The basic...
Factors affecting mortality in burns: a single center study
International Surgery Journal, 2021
INTRODUCTION Burns is one of the most dreadful surgical emergency with devastating physical and financial implications. More than 2 million burn injuries occur in a year in India. It has complex consequences with increased morbidity and mortality. Mortality in the developing nations continues to be high. 1 Various factors affect the outcome in the form of mortality in burns patients. Identifying these factors will help in significantly reducing the mortality. The present study aims at identifying the various factors that influence the mortality in burns patients. METHODS The observational study aims at identifying potential factors that have an impact on mortality in burns patients. The factors studied are age, sex, etiology (accidental/suicidal), mode of injury (flames, scalds, electric, chemical), associated inhalation injury, total body surface area affected by burn (BSA), time interval between the injury and admission to hospital, duration of stay, pregnant state, complications ...
Critical Care, 2010
Introduction: Burn injury is a serious pathology, potentially leading to severe morbidity and significant mortality, but it also has a considerable health-economic impact. The aim of this study was to describe the European hospitalized population with severe burn injury, including the incidence, etiology, risk factors, mortality, and causes of death. Methods: The systematic literature search (1985 to 2009) involved PubMed, the Web of Science, and the search engine Google. The reference lists and the Science Citation Index were used for hand searching (snowballing). Only studies dealing with epidemiologic issues (for example, incidence and outcome) as their major topic, on hospitalized populations with severe burn injury (in secondary and tertiary care) in Europe were included. Language restrictions were set on English, French, and Dutch.