Investigating the factors affecting the death rate of patients in the burn ward of Rasht city hospital in 2019-2020

Mohammadreza Mobayen, Shayan Pourmirbabaei, Erfan Ghanbarzadeh, Armin Soleymanpour, Amir Rigi, Saghar Samimi Sadeh, Fatemeh Taslimi, Ali Shabbak

Abstract


Introduction: Burn is the fourth cause of trauma worldwide (1-3) and as a major health challenges, it is one of the most common health related accidents in different societies (4). Burn is one of the important causes of injury in Iran and it is responsible for 6 percent of deaths in Iran, among all deaths caused by accidents (5).

Method: Data was obtained by reviewing the hospital documents of patients attending to Velayat Burn Hospital of Rasht from March 2019 till 2020, regarding the possible factors affecting death among burn patients. Data were then entered in SPSS 26 and the variants were analysed by one sample t test and chi-square (p<0.05).

Results: There were 231 females (58.5%) and 326 males (41.5%) in our patients. The most common cause of burn was flame (49.4%). The most common area of burn was the upper limp (59.5%). The average percent of burn in patients was 23.41±19.17 %. Most of the patients (45.8%) were admitted between 5 to 10 days and most burns were in the winter (28.7%).  The average blood glucose in patients was 113 mg/dl, average pH was 4.4, average BUN[1] was 19.6 mg/dl and average creatinine was 1.2±0.7 mg/dl. A significant relationship was found between self-immolation and neuropsychiatric diseases. Most common cause of death in patients was respiratory failure (54.1%). Inhalation burn injury was seen in 40 patients (7.2%) and self-immolation was 11 (1.97%) of patients. In the case of place of burn 459 patients were in home, 61 in work and 37 patients in other places. In all the patients, 47 (8.43%) were expired and 510 (91.75%) were rescued.

Conclusion: According to current results, the most common cause of burn was flame and most common area was the upper limb. Most of the burns were in winter and a significant relationship exists between self-immolation and neuropsychiatric diseases. Most common cause of death in patients was respiratory failure. Lower pH and higher BUN had a significant relationship with death. Therefore, focusing on burn by hot liquids should be a priority in any of the high risk groups and prevention of burn and education of true usage of incendiary and hot devices and safety precautions, should be noted more than ever.


Keywords


Burn, Mortality, Cause of Death, Nursing

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References


Macedo JLSd, Santos JB. Predictive factors of mortality in burn patients. Revista do Instituto de Medicina Tropical de São Paulo. 2007;49(6):365-70.

Peck M, Pressman MA. The correlation between burn mortality rates from fire and flame and economic status of countries. Burns. 2013;39(6):1054-9.

Murray CJ, Lopez AD, Organization WH. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary: World Health Organization; 1996.

Tabiee S, Nakhaee M. Epidemiology of burn patients in Emam Reza Hospital, Birjand, 1998–2002. Journal of Shahrekord Uuniversity of Medical Sciences. 2004;6.

Vasee N, Badoohi N, Molavi M, Jahangiri K, Babaee A. to determine LA50 in Shahid Motahari burn hospital, Tehran, Iran. Payesh (Health Monitor). 2009;8(3):297-301.

Association AB. Burn incidence and treatment in the United States: 2011 fact sheet. Chicago: American Burn Association. 2011.

Rouzbahani R, Zamani A, Omranifard M, Rouzbahani A, FaragZadegan Z, Rezaei F. An epidemiological study on Burned patients admitted to Imam Mousa Kazem hospital, Isfahan, 2003-2004. Journal of Shahrekord Uuniversity of Medical Sciences. 2005;7.

Rafiei M, Memarzadeh M, HOSSEINPOUR M. Evaluation of burn epidemiology in children hospitalized in Esfahan province during the recent two years. 2007.

Azizi AA, Zarei J, Nabovati E, Vakili-Arki H, Abbasi E, Razavi AR. Determining of the Factors Affecting Mortality in Burn Patients Using a Decision Tree Data Mining Algorithm. Journal of Management of Health (2018), 16 (54): pp 34-45.

Forjuoh SN. Burns in low-and middle-income countries: a review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns. 2006;32(5):529-37.

Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns. 2011;37(7):1087-100.

Peck MD, Kruger GE, Van Der Merwe AE, Godakumbura W, Ahuja RB. Burns and fires from non-electric domestic appliances in low and middle income countries: Part I. The scope of the problem. Burns. 2008;34(3):303-11.

Peck MD. Epidemiology of burns throughout the World. Part II: intentional burns in adults. Burns. 2012;38(5):630-7.

Patel PN, Abdelwahab M, Most SP. A review and modification of dorsal preservation rhinoplasty techniques. Facial Plastic Surgery & Aesthetic Medicine. 2020;22(2):71-9.

Kadri SS, Miller AC, Hohmann S, Bonne S, Nielsen C, Wells C, et al. Risk factors for in-hospital mortality in smoke inhalation-associated acute lung injury: data from 68 United States hospitals. Chest. 2016;150(6):1260-8.

Tan Chor Lip H, Tan JH, Thomas M, Imran F-H, Azmah Tuan Mat TN. Survival analysis and mortality predictors of hospitalized severe burn victims in a Malaysian burns intensive care unit. Burns & trauma. 2019;7:s41038-018-0140-1.

Sharma PN, Bang RL, Ghoneim IE, Bang S, Sharma P, Ebrahim MK. Predicting factors influencing the fatal outcome of burns in Kuwait. Burns. 2005;31(2):188-92.

Tabiee S, nakhaee M. Epidemiology of burn patients in Emam Reza Hospital, Birjand, 1998–2002. J Shahrekord Univ Med Sci. 2004; 6 (1) :43-51.

Amani L, Soleymanzadeh Moghadam S, Roudbari M, Roustapoor R, Armat M, Rastegar Lari A. Epidemiology and Mortality of burned patients referred to Motahari Hospital, Tehran. RJMS. 2015; 21 (127) :31-38.

Kabirzadeh Az, Zamani Kiasari A, Bagherian Farahabadi A, Mohseni Saravi B, Kabirzadeh Agh, Tavasoli Ashrafi A. Burn death rate among hospitalized patients in Zare' teaching hospital of Mazandaran medical University, Sari, Iran (2002-04). J Gorgan Univ Med Sci. 2007; 9 (1) :79-82

Ebrahimian M. Causes of burning and its mortality rate in Shiraz. Journal of Inflammatory Diseases. 2000; 3 (4) :97-102.

Berry CC, Wachtel TL, Frank HA. An analysis of factors which predict mortality in hospitalized burn patients. Burns. 1982;9(1):38-45.

Bhansali CA, Gandhi G, Sahastrabudhe P, Panse N. Epidemiological study of burn injuries and its mortality risk factors in a tertiary care hospital. Indian Journal of Burns. 2017;25(1):62.

Tarim A, Nursal TZ, Yildirim S, Noyan T, Moray G, Haberal M. Epidemiology of pediatric burn injuries in southern Turkey. Journal of Burn Care & Rehabilitation. 2005;26(4):327-30.

Tarim MA. Factors affecting mortality in burn patients admitted to intensive care unit. Eastern Journal of Medicine. 2013;18(2):72.

Yen C-I, Chiou M-J, Kuo C-F, Liao H-T. Determination of risk factors for burn mortality based on a regional population study in Taiwan. Burns. 2018;44(6):1591-601.

Kasenda S, Mategula D, Manda GE, Chokotho TK. Risk Factors of Mortality of Hospitalised Adult Burn Patients a Malawian Tertiary Hospital Burns Unit. BioRxiv. 2018:421982.

Cheung M, Cobb AN, Kuo PC. Predicting burn patient mortality with electronic medical records. Surgery. 2018;164(4):839-47.

Williams FN, Strassle PD, Knowlin L, Napravnik S, van Duin D, Charles A, et al. Sex-based differences in inpatient burn mortality. World journal of surgery. 2019;43(12):3035-43.

Bloemsma G, Dokter J, Boxma H, Oen I. Mortality and causes of death in a burn centre. Burns. 2008;34(8):1103-7.


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