| Abstract: | Objective To analyze the clinical characteristics of 498 adult patients with particularly severe burns. Methods We made a retrospective analysis of the medical records of the second affiliated hospital of Kunming medical university in January 2016 December 2020 498 cases with inclusion criteria, the gender, age, occupation, burn cause, burn area, burn depth, depth of hospital treatment, emergency treatment, compound injury, complications, surgical treatment, treatment, hospital time, hospital costs, medical payment. The data were performed χ2 test, Mann-Whitney U test, Kruskal-Wallis H test, Fisher exact probability method analysis, and Binary Logistic regression analys is）. Results A total of 6, 023 hospitalized burn patients were admitted during the past five years, of which 498 patients （8.27%） were adults with particularly severe burns who met the inclusion criteria. （1） injuries were mainly caused by 462 （92.77%）, with the most in 367; significantly more men than women （χ2 = 155.189, P < 0.001）; concentrated in youth group, 289（58.03%）, more in rural areas than cities （χ2 = 33.936, P < 0.001）; occupation mainly farmers （251 cases, 50.40%） and workers （121, 24.30%）. （2） After injury, 62 patients （12.45%） and 436 patients （87.55%） were not washed with cold water. The cure rate of patients with cold water washing was higher than that of unwashed patients, and the mortality rate was lower than that of unwashed patients. （3） With 340 complications, the top five were inhalation injury （56.18%）, hypovolemic shock （26.47%）, hypoproteinemia（18.24%）, pulmonary infection （17.35%）, and sepsis （12.06%）. The main causes of death were mostly inhalation injury and sepsis and multiple organ failure. （4） treated 320 （64.26%）, 178 （35.74%）; 348 （69.88%）, 49 （9.84%）, 101 （20.28%）, and different treatment methods （Ζ = ?8.310, P < 0.001）. （5） The overall average of hospital stay was 36 （15, 62） d. The total hospitalization cost per capita is: 140, 740.2250 yuan.The highest payment method was in 335 cases （67.27%）. （6） In age, sex, total burn area, III burn area, presence of complications, and length of hospitalization affected the outcome of patients with severe burns, which were significant （P < 0.05）. Conclusions The patients with severe burns were more male than female, and heavy manual workers accounted for the main part. According to the epidemiological characteristics of this area, the effective popularization and education of relevant burn emergency knowledge can create favorable conditions for subsequent treatment. Following the development of medicine, using new technologies to effectively treat complications related to particularly severe burns, it is recommended to use multidisciplinary treatment as the leading collaborative treatment to improve the overall treatment level. Strengthen the publicity of medical insurance policies, advocate the active participation of all people in the insurance, reduce the proportion of self-funded patients, and reduce the burden on their families. |
