The factors affecting mortality in intensive care unit of a burns center | [Journal of Pakistan Medical Association • 2023]

Author(s):

1. Osman Esen: Department of Anesthesiology and Reanimation, Istinye University Vocational School of Health, Istanbul, Turkey

2. Taner Turgut: Department of General Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey

3. Cagri Tiryaki: Department of General Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey

4. Mustafa Burc Yazicioglu: Department of General Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey

5. Ali Ciftci: Department of General Surgery, University of Health Science, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey

6. Hayrunisa Kahraman Esen: Department of Pediatric Surgery, University of Health Science, Fatih Sultan Mehmet Education and Training Hospital, Istanbul, Turkey.

Abstract:

Objective: To determine the characteristics of patients, mortality-affecting factors and mortality rate in follow-up burn-injured patients in an intensive care setting at a burns treatment centre. Method: The retrospective study was conducted between May and November 2014 at Kocaeli Derince Training and Research Hospital Burn Treatment Centre, Kocaeli, Turkey, and comprised data from January 2008 to January 2013 of in-patients who had been treated at the intensive care unit. The therapy outcomes and the follow-up processes were evaluated. Data was analysed using SPSS 17. Results: Of the 381 patients, 105(27.6%) were females and 276(72.4%) were males. The overall mean age was 28.4±21.1 years. There were 52(13.6%) mortalities, while 329(86.4%) survived. The mean total body surface area was 18.3±12.9% in those who survived compared to 52±24.3% in those who died (p<0.000). The highest rate of death was observed in those aged >66 years (p<0.000). The impact of fl ame burns on mortality was statistically signifi cant (p<0.05). The impact of inhalation burns, suicide, abuse, operational requirements and systemic disease on mortality was statistically signifi cant (p<0.05). Conclusions: Older age, higher total body surface area, fl ame burns, presence of inhalation burn, third degree burn, suicide attempt, presence of systemic disease, duration of prolonged mechanical ventilation and operation requirements were found to be poor prognostic factors for survival in burn patients.

Page(s): 763-766

DOI: 10.47391/JPMA.1045

Published: Journal: Journal of Pakistan Medical Association, Volume: 73, Issue: 4, Year: 2023

Keywords:

Burn , Risk Factors , Mortality , Burn centre , Intensive Care

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