Mortality rate and prognostic indices in 2615 burned patients

Barisoni, D.; Peci, S.; Governa, Maurizio; Sanna, A.; Furlan, S

doi:10.1016/0305-4179(90)90011-k

Cited by 20 publications

(5 citation statements)

References 18 publications

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“…Seven studies report a higher female mortality [17,28,31,32,36,42,53], but in seven other studies, no significant difference was found or even an increased male mortality [22,30,38,44,50,54,57]. In the elderly population, a significantly higher male mortality has been described [44,82].…”

Section: Resultsmentioning

confidence: 99%

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

et al. 2010

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IntroductionBurn injury is a serious pathology, potentially leading to severe morbidity and significant mortality, but it also has a considerable health-economic impact. The aim of this study was to describe the European hospitalized population with severe burn injury, including the incidence, etiology, risk factors, mortality, and causes of death.MethodsThe systematic literature search (1985 to 2009) involved PubMed, the Web of Science, and the search engine Google. The reference lists and the Science Citation Index were used for hand searching (snowballing). Only studies dealing with epidemiologic issues (for example, incidence and outcome) as their major topic, on hospitalized populations with severe burn injury (in secondary and tertiary care) in Europe were included. Language restrictions were set on English, French, and Dutch.ResultsThe search led to 76 eligible studies, including more than 186,500 patients in total. The annual incidence of severe burns was 0.2 to 2.9/10,000 inhabitants with a decreasing trend in time. Almost 50% of patients were younger than 16 years, and ~60% were male patients. Flames, scalds, and contact burns were the most prevalent causes in the total population, but in children, scalds clearly dominated. Mortality was usually between 1.4% and 18% and is decreasing in time. Major risk factors for death were older age and a higher total percentage of burned surface area, as well as chronic diseases. (Multi) organ failure and sepsis were the most frequently reported causes of death. The main causes of early death (<48 hours) were burn shock and inhalation injury.ConclusionsDespite the lack of a large-scale European registration of burn injury, more epidemiologic information is available about the hospitalized population with severe burn injury than is generally presumed. National and international registration systems nevertheless remain necessary to allow better targeting of prevention campaigns and further improvement of cost-effectiveness in total burn care.

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Section: Resultsmentioning

confidence: 99%

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

et al. 2010

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“…Irrespective of the type of reconstructive surgery chosen, control of infection is a crucial point in the management of patients with third‐degree burns. Not only does sepsis remain the predominant cause of death from extensive burns (1), but also the local infection impairs wound healing both by directly damaging the tissues through the activity of various toxins and proteases and, mostly, by promoting a prolonged inflammatory response (2). Excision of burn eschars, which decreases the release of toxic substances and eliminates a rich substrate that supports the outgrowth of micro‐organisms, is the first step in infection control.…”

Section: Introductionmentioning

confidence: 99%

Successful management of deep facial burns in a patient with extensive third‐degree burns: the role of a nanocrystalline silver dressing in facilitating resurfacing

Marazzi

Angelis

Ravizza

et al. 2007

International Wound Journal

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Full-thickness burns of the face are notoriously difficult to repair and their management poses a series of problems to the surgeon. We present the case of a 49-year-old man (only survivor of a catastrophic airport accident) with third-degree flame burns to >80% of total body surface area and extensive face damage who achieved a fully satisfactory outcome after a treatment plan based on gradual escharectomy followed by application of artificial dermis and, later, grafting with sheets of cultured keratinocytes. Re-epithelialisation was already visible at day 16 after admission and all facial wounds were closed by day 56, the treatment continuing on the scalp. Within 6 months of the accident, the patient had recovered functional and cosmetic features (including re-growth of skin appendages) that were beyond expectations. The use of nanocrystalline silver-coated dressings during the escharectomy and resurfacing phases was important, as part of a multifaceted strategy, in ensuring excellent antimicrobial control, thus avoiding the need for autologous grafting and contributing to a rapid healing and complete restoration of the face and head skin.

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“…Intensive scores · Abbreviated Burn Severity Index (ABSI) · medical comorbities · outcome Während die Variable Geschlecht bei Tobiasen et al [4] und anderen Autoren aus den Jahren 1965 -1990 [2,10,13] als Einflussfaktor bestätigt ist, zeigen v. a. Studien der letzten Jahre, dass diesem Faktor -wenn überhaupt -nur ein minimaler und sehr kleiner Vorhersagewert zuzumessen ist [2,3,11,15,18]. Demgegenüber steht ein wesentlich größerer Einfluss der Faktoren Inhalationstrauma und drittgradige Verbrennung [2, 3,11,13 -15, 17 -20].…”

Section: Introductionunclassified

“…Der signifikante Einfluss einer drittgradigen Verbrennung auf die Überlebenswahrscheinlichkeit ist in zahlreichen Studien nachgewiesen [2,11,13,20]. Obwohl Ryan et al [18] dem BAUX-Index das Prädikat "obsolet" zuweisen, kann man in Abb.…”

Section: Introductionunclassified

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Integration von Vorerkrankungen und Risikofaktoren im Abbreviated Burn Severity Index (ABSI)

Hörbrand

Schrank

Henckel-Donnersmarck

et al. 2003

Anasthesiol Intensivmed Notfallmed Schmerzthe

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Mortality rate and prognostic indices in 2615 burned patients

Cited by 20 publications

References 18 publications

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

Successful management of deep facial burns in a patient with extensive third‐degree burns: the role of a nanocrystalline silver dressing in facilitating resurfacing

Integration von Vorerkrankungen und Risikofaktoren im Abbreviated Burn Severity Index (ABSI)

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