Clinical and Epidemiological Characteristics of Admitted Burn Patients and Analysis of Prognostic Factors
Jungee Lee, M.D., Yoonjin Park, M.D. and Youngyun Jung, M.D.
Department of Emergency Medicine, Hanil General Hospital, Seoul, Korea
Correspondence to: 정영윤, 서울시 도봉구 우이천로 308
㉾ 01450, 한일병원 응급의료센터
Tel: 02-901-3008, Fax: 02-901-3004
E-mail: 21510015@hanilmed.net
㉾ 01450, 한일병원 응급의료센터
Tel: 02-901-3008, Fax: 02-901-3004
E-mail: 21510015@hanilmed.net
Received August 29, 2023; Revised October 25, 2023; Accepted October 26, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Abstract
- Purpose: When evaluation and treatment of burn patients were not performed appropriately, patients can get complication and even lead to death. This study was performed to investigate the epidemiological characteristics, prognostic factors of admitted burn patients and thus help establishing therapeutic plan for them.
Methods: A retrospective review was performed on all admitted burn patients from January 2013 to December 2022 through emergency center. Age, sex, burn mechanism, burn depth, TBSA, inhalation injury, mechanical ventilation, operation, lab, underlying disease was collected as variables. Length of stay, ICU admission, developing complications, mortality was collected as prognosis.
Results: 1,159 patients were enrolled. Baseline characteristics of patients were women 523 (45.1%), age 36.2±24.8 yrs, TBSA 7.0±10.2%, inhalation injury 45 cases (3.8%), mechanical ventilation 50 cases (4.3%), operation 315 cases (30.3%), WBC 10035±4572/uL, CRP 8.1±27.1 mg/L, albumin 4.0±0.5 g/dL, DM 77 cases (6.6%), HTN 175 cases (15.1%), caner 15 cases (1.3%), hospital day 21.2±21.0 days, ICU admission 111 cases (9.6%),complication 36 cases (3.1%), death 21 cases (1.8%). The factors that increase the risk in all four prognosis : hospital days, ICU admission, complications, death were flame burn, full-thickness burn, TBSA over 20%, mechanical ventilation, WBC abnormalities, albumin abnormalities.
Conclusion: Burn patients who admitted through emergency center are mostly scalding burn, second degree burn, TBSA 0∼5%. Patients with flame burn, full-thickness burn, TBSA over 20%, mechanical ventilation, WBC abnormalities, albumin abnormalities had worse prognosis. Otherwise, patients with scalding burn and second degree burn showed favorable outcomes. - Keywords : Burn, Epidemiology, Prognostic factor, Admission
- June 2024, 27 (1)
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