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Characteristics and the treatment challenges of adult burn patients.
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Abstract
Aims: Investigating characteristics, outcome and the treatment challenges of adult burn patients.
Subjects and methods: A retrospective study was conducted on data of adult burn patients admitted to National Burns Hospital from the 2008 year to the 2017 year.
Results: The male to female ratio was 2.7/1. Patients from rural areas accounted for 72.36%. Almost all adult burn patients had not the health insurance (58.51%). The most common age group was 20 to 39 years old (63.83%). Dry heat and electricity are the most common causes of burns, at 56.91% and 24.8%, respectively. The mean area burned was 9% (3 - 20%) total body surface area (TBSA), the average area of deep burns was 0 - 4% TBSA. The percentage of patients with respiratory burns was 3.83%. 0.94% was the figure for combined injury.
The length of hospital stay (LOS) is 12 days ( from 7 - 23 days). Electrical burns last most treatment days, followed by dry heat burns. The death rate of inhalation injury patients was 75.1%. The LA50 index (Lethal area 50 index) was 64.26%, the LA50 of deep burns was 35.68%. Electrical and dry heat burns were the cause of broader burns, more extensive burn areas, and have a higher combined injury rate and a higher rate of respiratory burns. Overall mortality was 4.6%, mortality rates were higher in uninsured, dry heat burns, electrical burns, respiratory burns, and combined trauma.
Conclusion: There are still many challenges in the treatment of adult burns, especially dry heat burn and electricity burn are large challenges of treatments, which cause longer hospital stays and high mortality rates. In addition, health insurance must also be mentioned.
Article Details
Keywords
Adult burns, , challenges, outcomes, death
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