TY - JOUR
PY - 2022//
TI - Epidemiology and outcome analysis of 1359 intensive care burn patients: a 14-year retrospective study in a major burn center
JO - Burns: journal of the International Society for Burn Injuries
A1 - Obed, Doha
A1 - Schroeter, Andreas
A1 - Gruber, Lisa
A1 - Bucher, Florian
A1 - Salim, Mustafa
A1 - Bingoel, Alperen S.
A1 - Krezdorn, Nicco
A1 - Dastagir, Khaled
A1 - Vogt, Peter M.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - AIMS: Globally, burn-related morbidity and mortality still remain high. In order to identify regional high-risk populations and to suggest appropriate prevention measure allocation, we aimed at analyzing epidemiological characteristics, etiology and outcomes of our 14-year experience with an intensive care unit (ICU) burn patient population.
METHODS: A retrospective observational study was conducted including patients treated between March 2007 and December 2020 in our intensive care burn unit. Demographic, clinical and epidemiological data were collected and analyzed.
RESULTS: A total of 1359 patients were included. 68% of the subjects were males and the largest age group affected entailed 45-64-year-old adults (34%). Regarding etiology, flame and contact burns were the most common in all age groups. Mean affected total body surface area (TBSA) was 13 ± 14.5% in all subjects. Most of the burns occurred domestically or during recreational activities. Mean hospital stay was 17.77 ± 19.7 days. The average mortality was 7.7%. The mortality rate showed an overall decreasing trend whilst burn severity remained consistent from 2007 to 2020.
CONCLUSIONS: Despite consistent burn severity presentations of annual ICU admissions, burn injury mortality showed a decreasing trend, which was in part attributed to substantial progress in burn care and treatment and improved burn prevention awareness. Statistically significant age and gender differences could be detected with regard to burn etiology and seasonality, as well as outcomes, which highlight the importance of individualized primary prevention programs.
Language: en
LA - en SN - 0305-4179 UR - http://dx.doi.org/10.1016/j.burns.2022.08.022 ID - ref1 ER -