Clinical Outcome of Patients With Severe Burns Presenting to the Emergency Department

Mehmet Tahir Gokdemir, Mustafa Aldemir, Ozgur Sogut, Cahfer Guloglu, Mustafa Burak Sayhan, Murat Orak, Mehmet Ustundag

Abstract


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.




doi:10.4021/jcs19e


Keywords


Severe burn; Outcome; Clinical characteristics; Risk factors; Mortality

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