Article Sidebar

Full article
Date Published: 28/02/2021
Online Published: 28/02/2020
Abstract Views: 365
Views Full article: 328
Issue
No. 1 (2021)
Section
Articles
How to Cite
Ngo, M. D., Chu, A. T., Nguyen, G. T., Do, X. H., & Nguyen, D. T. (2020). Characteristics and mortality risk factors for burn patients: Data from the National Burn Hospital during 10 years (2010 - 2019). Journal of Disaster Medicine and Burn Injuries, 1, 7-22. https://jbdmp.vn/index.php/yhthvb/article/view/18

Characteristics and mortality risk factors for burn patients: Data from the National Burn Hospital during 10 years (2010 - 2019).

Ngo Minh Duc1,, Chu Anh Tuan1, Nguyen Gia Tien1, Do Xuan Hai2, Nguyen Duc Thuan3
1 Le Huu Trac National Burn Hospital
2 Vietnam Military Medical University
3 103 Military Hospital

Main Article Content

Abstract

Aim: The study aim was to determine the characteristics of treatment results, and mortality risk factors of burn patients for 10 years (2010 - 2019) at the Le Huu Trac National Burns Hospital.
Subjects and methods: A retrospective study of 29.393 data patients burns from Jan 2010 to Dec 2019 at the Le Huu Trac National Burns Hospital. The information about epidemiology, complications and treatment results were collected.
Results: The length of hospital stay is 16.84 ± 14.61 days. The longer time of hospitalization is in men, from 16 to 60 years of age, dorsal burns, combined injuries, and the longest due to electric burns (27.63 days). However shorter in patients with inhalation injury, do not have health insurance. Severe complications are multiorgan disifunction (1.62%), followed by septic shock (0.90%), respiratory failure (0.32%). The mortality rate was 3.4%. Increasing age, the mortality rate increases. According to the season, the highest mortality rate is in the winter, followed by spring, autumn and summer (p < 0.001). 48.3% of patients died within 5 days of hospitalization. Age, fire, inhalation injury, dorsal burns, combined injuries, accompanying diseases, burn area, full-thickness burns, surgically are factors affecting death. Inhalation injury, full-thickness burns and accompanying diseases are the strongest factor of mortality.
Conclusion: The day of treatment is 16.84 days, the mortality rate is 3.4%, electric burns, prolonged fire burns on the most treatment. Age, causes of burns, inhalation injury, burnt locations, combined injuries, accompanying diseases, burn area, full-thickness
burns, surgical are factors that affect the patient's burns' outcomes.

Article Details

Keywords

Characteristics, outcome, burn patients, mortality, risk factors

References

1. M. Keshavarz, F. Javanmardi and A. A. Mohammdi (2020). A decade epidemiological study of pediatric burns in the southwest of Iran. World journal of plastic surgery, 9 (1), 67.
2. M. M. Rybarczyk, J. M. Schafer, C. M. Elm. et al (2016). Prevention of burn injuries in low-and middle-income countries: a systematic review. Burns, 42 (6), 1183-1192.
3. N. A. Forbinake, C. S. Ohandza, K. N. Fai. et al (2020). Mortality analysis of burns in a developing country: a CAMEROONIAN experience. BMC Public Health, 20 (1), 1-6.
4. S. E. Wolf, L. C. Cancio and B. A. Pruitt (2018). 3 - Epidemiological, Demographic and Outcome Characteristics of Burns. Total Burn Care (Fifth Edition), Elsevier, 14-27.e12.
5. Trần Đoàn Đạo (2015). Tình hình điều trị bỏng và di chứng bỏng tại bệnh viện Chợ Rấy trong 3 năm 2012 - 2014. Y học thảm họa và Bỏng,
2/2015, 25-29.
6. Đặng Hoàng Nga, Nguyễn Hải Yến, Nguyễn Thị Hạnh và cộng sự (2015). Tình hình thu dung và điều trị bỏng tại Bệnh viện Đa khoa Trung ương Thái Nguyên. Tạp chí y học Thảm họa và Bỏng, 2-2015,
7. B. K. Martin, R. K. Martin, T. A. Joybari. et al (2012). Epidemiological data, outcome, and costs of burn patients in Kermanshah. Annals of burns and fire disasters, 25 (4), 171.
8. P. Agbenorku, K. Aboah, J. Akpaloo. et al (2016). Epidemiological studies of burn patients in a burn center in Ghana: any clues for prevention? Burns & Trauma, 4 (1), 21.
9. C. A. Bhansali, G. Gandhi, P. Sahastrabudhe. et al (2017). Epidemiological study of burn injuries and its mortality risk factors in a tertiary care hospital. Indian Journal of Burns, 25 (1), 62.
10. H. Li, Z. Yao, J. Tan. et al (2017). Epidemiology and outcome analysis of 6325 burn patients: a five-year retrospective study in a major burn center in Southwest China. Scientific reports, 7, 46066.
11. C. Ye, X. Wang, Y. Zhang. et al (2016). Ten-year epidemiology of chemical burns in western Zhejiang Province, China. Burns, 42 (3), 668-674.
12. Xiaoming Fan, B. Ma, D. Zeng. et al (2017). Burns in a major burns center in East China from 2005 to 2014: Incidence and outcome. Burns, 43
(7), 1586-1595.
13. C. Smolle, J. Cambiaso-Daniel, A. A. Forbes. et al (2017). Recent trends in burn epidemiology worldwide: A systematic review. Burns, 43 (2), 249-257.
14. J. Hwee, C. Song, K. C. Tan. et al (2016). The trends of burns epidemiology in a tropical regional burns center. Burns, 42 (3), 682-686.
15. Iqbal, M. Saaiq and Z. Ali (2013). Epidemiology and outcome of burns: early experience at the country's first national burns center. Burns, 39
(2), 358-362.
16. Y. Zheng, G. Lin, R. Zhan. et al (2019). Epidemiological analysis of 9,779 burn patients in China: An eight‑year retrospective study at a
major burn center in southwest China. Experimental and Therapeutic Medicine, 17 (4), 2847-2854.
17. Nguyễn Tiến Dũng và Nguyễn Như Lâm (2011). Nghiên cứu đặc điểm của bỏng do TNLĐ ở Miền Bắc Việt Nam. Tạp chí y học Thảm họa và Bỏng, 2-2011, 23-31.
18. 18. W. Cheng, S. Wang, C. Shen. et al (2018). Epidemiology of hospitalized burn patients in China: A systematic review. Burns Open, 2 (1), 8-16.
19. D. K. Seo, D. Kym, H. Yim. et al (2015). Epidemiological trends and risk factors in major burns patients in South Korea: a 10-year experience. Burns, 41 (1), 181-187.
20. S. S. Shahmiri, M. Kolahdouzan, A. Omrani. et al (2017). Determinants of Mortality and the Lethal Area 50 Index (LA50) in Burn Patients Admitted to a Large Burn Center; A Single-Center Experience. Bulletin of Emergency & Trauma, 5 (3), 184.
21. G. Vidal-Trecan, S. Tcherny-Lessenot, C. Grossin. et al (2000). Differences between burns in rural and in urban areas: implications for prevention. Burns, 26 (4), 351-358.
22. 22. B. Zhou, X. Zhou, L.-z. Ouyang. et al (2014). An epidemiological analysis of pediatric burns in urban and rural areas in south-central China. Burns, 40 (1), 150-156.
23. Nguyễn Tiến Dũng và Nguyễn Như Lâm (2012). Nghiên cứu các yếu tố tiên lượng tử vong ở bệnh nhân bỏng do tai nạn lao động. Tạp chí y học Thảm họa và Bỏng, 1-2012,
24. S. R. Mashreky, A. Rahman, L. Svanström. et al (2011). Burn mortality in Bangladesh: findings of national health and injury survey. Injury, 42
(5), 507-510.
25. D. Zavlin, V. Chegireddy, S. Boukovalas. et al (2018). Multi-institutional analysis of independent predictors for burn mortality in the United States. Burns & Trauma, 6 (1), 24.
26. S.-A. Emami, S. A. Motevalian, M. Momeni. et al (2016). The epidemiology of geriatric burns in Iran: A national burn registry-based study.
Burns, 42 (5), 1128-1132.
27. C.-I. Yen, M.-J. Chiou, C.-F. Kuo. et al (2018). Determination of risk factors for burn mortality based on a regional population study in Taiwan.
Burns, 44 (6), 1591-1601.
28. L. Knowlin, L. Stanford, D. Moore. et al (2016). The measured effect magnitude of comorbidities on burn injury mortality. Burns, 42 (7), 1433-1438.