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[Epidemiology, initial management and analysis of morbidity-mortality of severe burn patient].
- Source :
-
Medicina intensiva [Med Intensiva] 2006 Nov; Vol. 30 (8), pp. 363-9. - Publication Year :
- 2006
-
Abstract
- Objective: Describe the epidemiological characteristics of severe burn patients and analyze the factors related with morbidity-mortality.<br />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.<br />Patients: 59 patients with criteria of "severe burn" 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.<br />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).<br />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.
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0210-5691
- Volume :
- 30
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Medicina intensiva
- Publication Type :
- Academic Journal
- Accession number :
- 17129533
- Full Text :
- https://doi.org/10.1016/s0210-5691(06)74549-1