@article{ref1,
title="Epidemiology, initial management and analysis of morbidity-mortality of severe burn patient",
journal="Medicina intensiva",
year="2006",
author="Curiel-Balsera, E. and Prieto-Palomino, M. A. and Fernández-Jiménez, S. and Fernández-Ortega, J. F. and Mora-Ordoñez, J. and Delgado-Amaya, M.",
volume="30",
number="8",
pages="363-369",
abstract="OBJECTIVE: Describe the epidemiological characteristics of severe burn patients and analyze the factors related with morbidity-mortality. DESIGN AND SCOPE: Observational, retrospective study of patients admitted to an intensive care unit of a level III hospital due to severe burns from January 1998 to December 2004. PATIENTS: 59 patients with criteria of &quot;severe burn&quot; and expected stay in ICU greater than three days. MAIN ENDPOINTS OF INTEREST: We studied epidemiological endpoints of this type of patients, diagnosis and initial treatment, early complications and morbidity-mortality. RESULTS: The burned body surface was 41% +/- 25% and age 49 +/- 21 years. Patients remained hospitalized in ICU for a median of 4 days (interquartile range: 2-19). A total of 78% of the patients needed mechanical ventilation, 47% had some infection during admission and 28% developed acute kidney failure during the first week. Mortality in the ICU was 42%. Endpoints associated independently with a significant increase of mortality were burned body surface greater than 35% (OR 1.08; 95% CI: 1.03-1.12) and development of kidney failure (OR 5.47; 95% CI: 2.02 -8.93). CONCLUSIONS: Mortality of these patients is very high and is conditioned largely by initial care. Percentage of burned body surface (BBS) and kidney failure entails greater mortality in our series.<p /><p>Language: es</p>",
language="es",
issn="0210-5691",
doi="",
url="http://dx.doi.org/"
}