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Characteristics and prognostic factors of mortality in burns patients at the Cho Ray Hospital from 2020 to 2022
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Abstract
Objectives: Evaluation of characteristics, treatment results, and some predictive factors of death in burn patients at Cho Ray Hospital from 2020 to 2022.
Method: Retrospective study on 2,053 data of burn patients from January 2020 to December 2022 inpatient treatment at Cho Ray Hospital.
Result: The average number of days of treatment was 18.2 days. The median number of days of treatment in survivors was 19.6 days and in patients who died was 10.1 days. Women have an average longer number of treatment days than men. Patients of working age, who are rural and have health insurance have a longer average number of treatment days. Patients with electrical burns had the longest average number of treatment days at 28.7 days. The average number of days of treatment extended according to the severity of the burns and V-degree burns had the longest average number of treatment days at 34.6 days. Common complications were sepsis (4.97%), septic shock (3.9%), acute renal failure (2.78%), pneumonia (1.7%), and mycosis (1.32%). The overall mortality rate was 14.7%. The patient has a general burn area, and the larger the area of deep burns, the higher the mortality rate. Burn patients with mental and behavioral disorders have a mortality rate of 50%. Age, respiratory burns, burn area, deep burn area, surgery, and comorbid mental and behavioral disorders are the strongest factors in the prognosis of death.
Conclusion: The average number of days of treatment was 18.2 days. Patients with electric burns, and deep burns have the longest average number of days of treatment. The overall mortality rate was 14.7%. The mortality rate is directly proportional to the general burn area and the area of deep burns. Age, respiratory burns, burn area, deep burn area, surgery, and accompanying mental and behavioral disorders are the strongest prognostic factors of death.
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Keywords
Characteristic, mortality, burn, burn patients
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