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KMID : 0853020070100010013
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Journal of Korean Burn Society
2007 Volume.10 No. 1 p.13 ~ p.17
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Outcomes of Severe Burn Patients in Hana Hospital Burn Center, Busan, Korea
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Kim Se-Yeon
Lee Joo-Bong
Choi Dong-Hwi
Jeong Cheol-Soo
Kim Hae-Young
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Abstract
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Backgrounds: We aimed to identify special characteristics of severe burn patients admitted to our burn center and their outcomes of treatments and to analyze the factors related with mortality.
Methods: A retrospective analysis of 120 severely burned patients admitted from January, 2005 to December, 2006 to our burn ICU due to severe burns was carried out. Variables examined were age, sex, cause, comorbidity, inhalation injury, TBSA, ABSI and mortality. And we assessed the relationship of the mortality rate and serum level of albumin in blood within 24 hours from injury before supplying albumin, and the level of leukopenia formation within 7 days from injury.
Results: The study group consisted of 78 males and 42 females. 58 fatalities (41.6%) were observed from the study group. The mean age of survivors and non-survivors were 36.7 years and 56.6 years respectively. A positive correlation was shown between age and mortality (p＜0.001). 22 cases were scalds, 92 cases were flame and 6 electrical burns. The mean extent of burn was 48% (20∼95%). The mean TBSA of survivors and non-survivors were 46% and 74% respectively. TBSA strongly correlated with mortality (p＜0.0001). 22 of patients with extensive burns died in the first 5 days following injury due to acute renal failure and shock, while 28 deaths after 7 days were due to multiple organ failure from sepsis. The mean ABSI scores of survivors and non-survivors were 8 and 13. ABSI was strongly predictive of mortality (p＜0.0001). Inhalation injury was accompanied in 28.3% of burn patients. The mortality rate was 36.6% with inhalation injury, and 8.5% without inhalation injury. For the mean severe hypoalbuminemia for survivors and non-survivors are 8% and 88% respectively and showed a positive correlation with mortality. For the mean leukopenia for survivors and non-survivors are 3% and 55% respectively and also showed a positive correlation with mortality. Leukopenia and severe hypoalbuminemia were strongly predictive of mortality (p＜ 0.001, p＜0.0001).
Conclusions: The positive correlation was shown with mortality factors of age, sex, cause, TBSA, ABSI, full thickness burn, inhalation injury, leukopenia, and hypoalbuminemia to severely burned patients. (Journal of Korean Burn Society 2007;10:13-17)
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KEYWORD
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Mortality factors, Severe burn, Outcomes
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