Citation

Sepehripour S, Duggineni S, Shahsavari S, Dheansa B. Burns 2018; 44(6): 1446-1450.

Affiliation

Queen Victoria Hospital, East Grinstead, United Kingdom.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.burns.2018.04.009

PMID

29784558

Abstract

INTRODUCTION: Burn injuries commonly occur in vulnerable age and social groups. Previous research has shown that frailty may represent a more important marker of adverse outcome in healthcare rather than chronological age (Roberts et al., 2012). In this paper we determined the relationship between burn injury, frailty, co-morbidities and long-term survival.

METHODOLOGY: Retrospective data collection from patients aged 75 with burns injuries, treated and discharged at Queen Victoria Hospital. The Clinical Frailty Scale (Rockwood et al., 2005) was used to calculate frailty at the time of admission. The expected mortality age (life expectancy) of deceased patients was obtained from two survival predictors.

RESULTS: The data shows a statistically significant correlation between frailty score and complications and a statistically significant correlation between total body surface area percentage and complications. No significant difference was found between expected and observed age of death or life expectancy amongst the deceased (p value of 0.109).

CONCLUSIONS: Based on the data from our unit, sustaining a burn as an elderly person does not reduce life expectancy. Medical and surgical complications, immediate, early and late, although higher with greater frailty and TBSA of burn, but do not adversely affect survival in this population.

Copyright © 2018 Elsevier Ltd. All rights reserved.

Language: en

Keywords

Burns; Elderly; Frailty; Life expectancy; Mortality