Author(s): Leila Kholusi, Kamran Aghakhani, Maryam Ameri, Naime Farhidnia, Mohammad Reza Abolghasemi
In addition to the considerable developments in medical and surgery techniques, patients with burn injuries are at risk of many complications such as mortality. The current cross-sectional study evaluated the effect of different variables, such as age, gender, pregnancy, underlying diseases, total body surface area (TBSA), burning degree, the burned member, motivation, addiction, inhalation injury, admission to the intensive care unit, intubation, initial fluid therapy, simultaneous trauma, the time elapsed from the burning to admission, and the name of referring center (if the patient was referred) on the treatment response. The current prospective study evaluated all patients hospitalized in Shahid Motahari Burn Hospital of Tehran, Iran, from Sep. 2014 for four months, due to severe burning. Hence, a checklist was completed for each patient. To evaluate the effect of the mentioned variables the univariate logistic regression was employed for statistical analysis. Four hundred-fifty-two patients were admitted to the hospital for burning within the four months period of the study. In the current study, the rate of mortality was 14.18%. Mortality was independently related to the inhalation injury (aOR: 11.6, P < 0.001), burning degree (aOR: 1.7, P = 0.006), TBSA (aOR: 1.1, P < 0.001) and age (aOR: 1.1, P < 0.001). Values are significant at P < 0.05. It is important to consider inhalation injury, burning degree, TBSA, and age of the patient in rapid evaluations. To reduce burning events, it is necessary to teach educational and preventing programs for the general public. It is also recommended to design and implement retraining programs regarding handling the patients with burning injuries for the medical staff.
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