Epidemiology and outcome analysis of 1359 intensive care burn patients: A 14-year retrospective study in a major burn center |
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| Affiliation: | 1. Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany;2. Department of Human Genetics, Hannover Medical School, Hannover, Germany;1. Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany;2. Department of Human Genetics, Hannover Medical School, Hannover, Germany;1. School of Clinical Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Pietermaritzburg, South Africa;2. Pietermaritzburg Burn Service, Pietermaritzburg Metropolitan Department of Surgery, South Africa, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Pietermaritzburg, South Africa;3. Developing Research, Innovation, Localization and Leadership (DRILL), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa;4. Centre for Teaching & Research in Disaster Medicine and Traumatology (KMC), Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden;5. The Aga Khan University, Pakistan;6. School of Medicine, University of Sāo Paulo, Sāo Paulo, Brazil;7. Department of Surgery, Oregon Health and Science University, United States;8. Department of Surgery, Faculty of Health Sciences, University of Nairobi, Kenya;9. Department of Hand Surgery, Plastic Surgery and Burns in Linköping University, Sweden;10. Department of Biomedical and Clinical Sciences Linköping University, Linköping, Sweden;1. Hormozgan University of Medical Sciences, Bandar Abbas, Iran;2. Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran;3. Immunology and Allergy Department, Mofid Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Islamic Azad University, Urmia, Iran;2. Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran;3. Department of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran;4. Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;1. Department of Traumatology and Critical Care Medicine, National Defense Medical College, Saitama, Japan;2. Department of Emergency and Acute Medicine, Saitama Medical University International Medical Center, Saitama, Japan;3. Division of Traumatology, Research Institute, National Defense Medical college, Saitama, Japan;4. Department of Psychiatry, National Defense Medical College, Saitama, Japan;5. Department of Mathematics, National Defense Medical College, Saitama, Japan;1. Department of Physical Medicine & Rehabilitation, Spaulding Rehabilitation Hospital, 300 1st Avenue, Charlestown, MA 02129, USA;2. Department of Health Law, Policy, and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA;3. Department of Surgery, The University of Washington, 1959 NE Pacific St, Seattle, WA 98195, USA;4. Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA;5. Rehabilitation Outcomes Center at Spaulding, Spaulding Rehabilitation, 300 1st Avenue, Charlestown, MA, 02129, USA;6. Department of Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA;7. Department of Surgery, Shriners Children’s, 51 Blossom Street, Boston, MA 02114, USA;8. Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA;9. Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA;1. Anaesthesia and Critical Care Department, Tours University Hospital, Tours, France;2. Maxillofacial and Plastic Surgery Department, Tours University Hospital, Tours, France;3. Hepatogastroenterology Department, Tours University Hospital, Tours, France;4. N2C, Inserm, UMR1069, Université de Tours, Tours, France;5. Therapeutiques Anti-infectieuses, Université de Nantes, CHU Nantes, EA3826, France;6. Anaesthesia and Critical Care Department, Nantes University Hospital, Nantes, France;7. UMR 1253, iBrain, Université de Tours, Inserm, Tours, France |
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| Abstract: | AimsGlobally, burn-related morbidity and mortality still remain high. In order to identify regional high-risk populations and to suggest appropriate prevention measure allocation, we aimed at analyzing epidemiological characteristics, etiology and outcomes of our 14-year experience with an intensive care unit (ICU) burn patient population.MethodsA retrospective observational study was conducted including patients treated between March 2007 and December 2020 in our intensive care burn unit. Demographic, clinical and epidemiological data were collected and analyzed.ResultsA total of 1359 patients were included. 68% of the subjects were males and the largest age group affected entailed 45–64-year-old adults (34%). Regarding etiology, flame and contact burns were the most common in all age groups. Mean affected total body surface area (TBSA) was 13 ± 14.5% in all subjects. Most of the burns occurred domestically or during recreational activities. Mean hospital stay was 17.77 ± 19.7 days. The average mortality was 7.7%. The mortality rate showed an overall decreasing trend whilst burn severity remained consistent from 2007 to 2020.ConclusionsDespite consistent burn severity presentations of annual ICU admissions, burn injury mortality showed a decreasing trend, which was in part attributed to substantial progress in burn care and treatment and improved burn prevention awareness. Statistically significant age and gender differences could be detected with regard to burn etiology and seasonality, as well as outcomes, which highlight the importance of individualized primary prevention programs. |
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| Keywords: | Burns Burn injury Intensive care Epidemiology Burn mortality |
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