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Clinical and epidemiological characteristics in elderly burns treated at the National Burn Hospital for 3 years (2017 - 2019)
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Abstract
Aims: Describe some epidemiological, clinical characteristics and results of burn treatment in the elderly patients treated at the National Burn Hospital.
Objects and methods: The retrospective study was on 586 elderly patients (≥ 60 years old) who were hospitalized and treated at the National Burn Hospital from January 1, 2017, to December 31, 2019.
Study indicators: Years old, sex, residence, cause of the burn, total body surface area (TBSA) and deep burn area, combine with severe chronic disease, combined injury; complications and results of treatment.
Results: Elderly burned account for 6.27% of the total number of inpatient burn patients. The average age of them is 70.09 ± 8.7 years. The ratio of Male / Female = 1.3 / 1; patients coming from rural areas account for 59.9% and 91.6% have health insurance. Dry heat burns are 49.5%, wet heat burns are 37%, electric burns are 11.4%, the lowest are chemical burns (2%). Most of the burns are caused by life accidents (84.3%), intentionally burned by accident (8.9%), burns caused by traffic accidents (3.9%), and work accidents (2.9%). Burn patient's rate combined with inhalation injury burns was 4.1%. The average burn area was 11.96 ± 17.25% TBSA, deep burns patients were 60.2%, with an average deep burn area of 4.63 ± 10.47% TBSA. 28.2% of burns patients had from 1 to 3 severe chronic diseases with cardiovascular diseases have the highest prevalence (15.4%), followed by diabetes (7.3%) and neuropathy (6.1%).
During when the treatment, 7.78% of patients suffer from complications, very often multiorgan failure (4.44%), septic shock (2.56%), burns shock (1.88%), gastrointestinal bleeding (1.02%). Treatment Outcome: The overall mortality rate was 9.6%. Inhalation injury burns have a very high mortality rate (95.8%).
Conclusion: The rate of the elderly burned has a propensity to increase; the death rate is high, especially when inhalation injury burns.
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Keywords
Elderly, burns elderly, mortality rate
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