The impact of patient demographics and comorbidities upon burns admitted to Tygerberg Hospital Burns Unit,Western Cape,South Africa |
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| Affiliation: | 1. Department of Surgery, Kamuzu Central Hospital, Lilongwe, Malawi;2. Department of Surgery, University of North Carolina at Chapel Hill, United States;3. Carolinas Medical Center, Charlotte, NC, United States;1. Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA;2. Department of Psychiatry, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA;3. Vanderbilt University School of Medicine, Nashville, TN 37232-0740, USA;4. Kamuzu Central Hospital, UNC Project, P-Bag 101, Lilongwe, Malawi;5. Department of Surgery, University of North Carolina, CB#7228, Chapel Hill, NC 27514-7228, USA;1. Graduate School of Public Health, San Diego State University, San Diego, CA, United States;2. Research and Education, Paraffin Safety Association of Southern Africa, Cape Town, South Africa;1. Department of Plastic & Reconstructive Surgery, Burn Center, Hangang Sacred Heart Hospital, Hallym University, 94-200, Youngdeungpo-dong, Youngdeungpo-gu, Seoul 150-719, Republic of Korea;2. Department of Surgery, Burn Center, Hangang Sacred Heart Hospital, Hallym University, 94-200, Youngdeungpo-dong, Youngdeungpo-gu, Seoul 150-719, Republic of Korea;1. Londrina State University, Hospital Universitário – Universidade Estadual de Londrina, Rua Robert Koch 60, Vila Operária, Londrina, Paraná 86038-440, Brazil;2. Department of Internal Medicine, Londrina State University, Hospital Universitário – Universidade Estadual de Londrina, Rua Robert Koch 60, Vila Operária, Londrina, Paraná 86038-440, Brazil |
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| Abstract: | In South Africa, burns are a major public health problem responsible for significant morbidity and long-term physical disability. This is, in part, due to a significant proportion of the urban population living in poorly constructed, combustible accommodation. The presence of co-morbid diseases such as diabetes and malignancy in patients with burns has been associated with a poorer outcome. The impact of other diseases such as HIV has yet to be defined.A retrospective data collection study analysed the 221 patients admitted to Tygerberg Hospital Burns Unit in 2011 and the first six months of 2013. Using hospital records, patient demographic data was collected alongside burn agent, ICU admission, complications, and patient outcome in terms of length of stay and mortality.The most common burn agent was hot liquid (45.7%). A significant proportion of patients were subject to intentional attacks (34.3%). Shack fires and flame accounted cumulatively for 85% of total inhalational burns, the highest rates of admission to ICU (85.5%), the highest rate of complications, as well as 92.3% of all total fatalities. HIV+ patients had a higher mortality (13.3% vs 5%, p = 0.22) and a higher complication rate (46.7% vs 30%, p = 0.21). There was no difference in length of stay between the HIV+ and HIV− cohort (12 days vs. 15.5 days, p = 0.916).Burns are a significant yet preventable cause of mortality and morbidity. The rising number of shack fires, responsible for extensive burns and resultant mortality is concerning and indicates urgent attention and action. HIV complicates the recovery from burn and is responsible for an increased rate of in hospital mortality. |
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| Keywords: | Burns Demographics Co-morbidities South Africa Outcome |
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