Epidemiological and outcome characteristics of major burns in Tokyo

Kobayashi, Kojiro F.; Ikeda, Hiroto; Higuchi, Ryouhei; Nozaki, Miwako; Yamamoto, Yusuke; Urabe, Motomichi; Shimazaki, Syuji; Sugamata, A.; Aikawa, Naoki; Ninomiya, Naoki; Sakurai, Hiromu; Hamabe, Yuichi; Yahagi, Naoki; Nakazawa, Hidemi

doi:10.1016/j.burns.2004.10.007

Cited by 113 publications

(77 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most of the patients were catheterised but UTI incidence were significantly lower this may be due to early removal of catheter. Moreover in our findings, female patients were more (A, 1999) than males and predominant involvement of males is reported by other published studies (Kobayashi et al, 2005;Tarim et al, 2005). In our observation that more adults constituted the magnitude of the burn patients which is integrated in several studies (Hemeda et al, 2003;Marsh et al, 1996;OM, 2004;Taneja et al, 2004).…”

Section: Discussionsupporting

confidence: 84%

Mortality rate associated with hospital acquired infections among burn patients

et al. 2016

View full text Add to dashboard Cite

Abstract-Introduction:Hospital acquired infections (HAIs) are the major contributors of mortality associated with burn injuries. The aim of this research was to document the antecedents affiliated with major burn injuries, hospitalization and mortality in burn patients. Methods: We performed a single center prospective study of patients admitted during 3 months period (April-June 2014) in burn wards of government hospital. There were 100 patients in this investigation which were observed weekly. The inclusion criterion was based on the shifting of patients from emergency to the wards after initial treatment of more than 24 h. Variables included were age and gender of the patient, the percent total body surface area (%TBSA) burn, the cause of the burn. Results: Mean age of patients was 30.29 years. More females (55.67%) were admitted than males (44.32%). The total body surface area (%TBSA) burnt were from 15%-95% respectively moreover children were more sensitive to hospital acquired infections (HAIs) and mortality rate was 34% in children with mean age of 5 years and disability of body parts were 42% among 75% were females. Whereas the most common (HAIs) were primary bloodstream (PBS) with mean value of 30.50, wound infections (WIS) were at second prevalence with mean value of 27.50, followed by sepsis (S) and pneumonia (P) 10.33, eye infections (EIs) 4.833 and urinary tract infections (UTIs) 2.667. Factors significantly (p-value= 0.000) associated with increased duration of hospitalization caught HAIs mortality include the age and gender of the patient, the cause of burn, inhalation injury, the region affected and %TBSA burnt. Conclusion: It concluded that the mortality was very much dependent on age and gender of the patient, burn causes, affected area as well as % TBSA burnt are considerable factors in determining the relationship of HAIs and whether the patients will survive or knuckle to injuries. Better compliance techniques, stricter control over disinfection and sterilization practices and usage of broad spectrum antibiotics, and reduction of the environmental contamination are required to reduce the HAIs rates among burn patients.

show abstract

Section: Discussionsupporting

confidence: 84%

Mortality rate associated with hospital acquired infections among burn patients

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Various studies report burn-related mortality rates in burn clinics of 2.5 -35% [6][7][8][9]. Mortality rates vary depending on the study population and the characteristics of the patients [6]. In the present study, the mortality rate was 7.7%.…”

Section: Discussionmentioning

confidence: 49%

“…Advances in the treatment of burns in the last three to four decades have contributed to the decrease in mortality [5]. Various studies report burn-related mortality rates in burn clinics of 2.5 -35% [6][7][8][9]. Mortality rates vary depending on the study population and the characteristics of the patients [6].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Gokdemir

2012

J Curr Surg

View full text Add to dashboard Cite

show abstract

“…These institutes were the leaders in clinical therapy for extensively burned patients in the world in those days, and the data on mortality at that time were important information which helped other treatment centers to improve their own mortality rates. Likewise, mortality studies at burn centers or data derived from reports of multiple institutes (Muramatsu et al 1996;Kobayashi et al 2005) are also useful for comparison purposes. Although we suppose that the therapeutic levels for major burns in Japan or China are comparatively high among most countries, we did not have sufficient information regarding the therapeutic levels of different burn centers.…”

Section: Discussionmentioning

confidence: 99%

Differences in the Outcomes and Treatments of Extensively Burned Patients between a Chinese Hospital and a Japanese Hospital

Saitoh

Ben

Huan

et al. 2005

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

To know the therapeutic level at one's own institute is important and contributes to improving the treatment of patients. We compared the outcomes of extensively burned patients between a Chinese hospital and a Japanese hospital in order to identify the differences in the clinical treatment of severe burn patients. Thirty-four burn patients who were admitted to the National Defense Medical College Hospital (NDMC) in Japan and 95 burn patients who were admitted to the Changhai Hospital of the Second Military Medical University (SMMU) in China from January 1999 to December 2003 were studied. All patients were transported to the respective hospitals within 3 days after suffering burns and their total body surface area of burns was greater than 20%. Fourteen of the 34 patients (41.2%) at NDMC hospital and 1 of the 95 patients (1.1%) at SMMU hospital were injured by attempted suicide; namely, the suicide rate was significantly higher in the patients at NDMC hospital (p < 0.001). Moreover, the age (p = 0.005) and inhalation rate (p = 0.013) were significantly higher at NDMC hospital than those at SMMU hospital. Consequently, the survival rate at SMMU was higher than at NDMC in the patients with a burn surface area of greater than 80% or with a burn index of greater than 60. The excellent outcomes of the extensively burned patients at SMMU were in part due to the fact that Chinese doctors tend to perform an immediate tracheostomy and a traditional Chinese operation with alloskin, called microskin grafting or intermingled skin grafting.

show abstract

Epidemiological and outcome characteristics of major burns in Tokyo

Cited by 113 publications

References 12 publications

Mortality rate associated with hospital acquired infections among burn patients

Mortality rate associated with hospital acquired infections among burn patients

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

Differences in the Outcomes and Treatments of Extensively Burned Patients between a Chinese Hospital and a Japanese Hospital

Contact Info

Product

Resources

About