Epidemiology and outcome analysis of 1359 intensive care burn patients: A 14-year retrospective study in a major burn center

Obed, Doha; Gruber, Lisa; Bucher, Florian; Salim, Mustafa; Bingoel, Alperen S.; Krezdorn, Nicco; Dastagir, Khaled; Vogt, Peter M.

doi:10.1016/j.burns.2022.08.022

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…Well-designed comparisons of these models are sparsely documented in the burn literature [6]. Besides, recent improvements in burn and intensive care, particularly in infection prevention, wound care, fluid management and renal replacement therapy, have aided in reducing burn-related mortality [7]. These advancements may have limited the predictive strength of earlier-introduced prognostic tools.…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Composite Mortality Prediction Scores in Intensive Care Burn Patients

Obed

Salim

Dastagir

et al. 2022

IJERPH

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Multiple outcome scoring models have been used in predicting mortality in burn patients. In this study, we compared the accuracy of five established models in predicting outcomes in burn patients admitted to the intensive care unit and assessed risk factors associated with mortality. Intensive care burn patients admitted between March 2007 and December 2020 with total body surface area (TBSA) affected ≥ 10% were analyzed. Multivariate analysis was conducted to examine variables associated with mortality. The ABSI, Ryan, BOBI, revised Baux and BUMP scores were analyzed by receiver operating characteristics. A total of 617 patients were included. Morality was 14.4%, with non-survivors being significantly older, male, and having experienced domestic burns. Multivariate analysis identified age, TBSA, full-thickness burns and renal insufficiency as independent mortality predictors. The BUMP score presented the highest mortality prognostication rate, followed by ABSI, revised Baux, BOBI and Ryan scores. BUMP, ABSI and revised Baux scores displayed AUC values exceeding 90%, indicating excellent prognostic capabilities. The BUMP score showed the highest accuracy of predicting mortality in intensive care burn patients and outperformed the most commonly used ABSI score in our cohort. The older models displayed adequate predictive performance and accuracy compared with the newest model.

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Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Composite Mortality Prediction Scores in Intensive Care Burn Patients

Obed

Salim

Dastagir

et al. 2022

IJERPH

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“…This finding is consistent with most previous studies. It is possible that middle-aged men, as the main labor force of the family, are more frequently exposed to hazardous work environments ( 16 , 17 ). Previous studies have indicated that the seasonal trend in the prevalence of burns among females was not significant ( 18 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…This is similar to previous findings in other organizations ( 19 , 22 ). Other studies have found that hand ( 23 ) and the Face/Neck/Scalp was the most common site of burns ( 16 ). Performing important functions in both work and daily life, limbs and hands are often exposed to hazardous heat sources, making them more vulnerable to injury.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and clinical characteristics of burns in adults: a 6-year retrospective study in a major burn center in Suzhou, China

Zhang,

Su,

Liu

et al. 2024

Front. Public Health

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BackgroundBurns are a prevalent form of unintentional injury and a significant public health concern in developing countries. We aimed to investigate the epidemiological and clinical characteristics of adult burn patients at a major center in Eastern China.MethodsThis 6-year retrospective study analyzed patients with varying degrees of burns between January 2017 and December 2022 at the Suzhou Burns and Trauma Center. The study extracted demographic, clinical, and epidemiological data from electronic medical records for analysis.ResultsThe study included 3,258 adult patients, of which 64.3% were male. The largest age group affected 30–59-year-old adults (63.04%). Scalds were the leading cause of burns (1,346, 41.31%), followed by flames (1,271, 39.01%). The majority of burn hospitalizations were those with moderate burns (1791, 54.97%). The morbidity rate was low at 0.68%, while mortality was strongly associated with age, etiology, and total body surface area. Patients with certain types of burns, such as explosions, hot crush injuries, and electric burns had more operations, longer lengths of hospital stay, and higher costs compared to those with scalds and flame injuries.ConclusionDifferent prevention strategies should be formulated according to different etiologies, ages, and genders.

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“…In total, 14% of adults were admitted for burns occurring in the workplace, similar to the percentage reported by Barrett, and midway between the 5.9% reported by Palacios 31 and 20.9% by Sánchez 25 . Other countries that have published statistics relating to burns in the workplace include Germany, with an incidence that ranges from 18%-33.7% 12 , 76 , Switzerland with 31% 9 , the USA with 18% 77 , China with 78% 72 , Australia with 17% 74 , 78 , and Austria with 14.9% 8 .…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Abarca,

Guilabert,

Martin

et al. 2023

Sci Rep

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Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/105 population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.

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Epidemiology and outcome analysis of 1359 intensive care burn patients: A 14-year retrospective study in a major burn center

Cited by 3 publications

References 27 publications

Comparative Analysis of Composite Mortality Prediction Scores in Intensive Care Burn Patients

Comparative Analysis of Composite Mortality Prediction Scores in Intensive Care Burn Patients

Epidemiological and clinical characteristics of burns in adults: a 6-year retrospective study in a major burn center in Suzhou, China

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

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