J Korean Burn Soc.  2023 Dec;26(2):28-35. 10.47955/jkbs.23.0009.

Clinical and Epidemiological Characteristics of Admitted Burn Patients and Analysis of Prognostic Factors

• Lee J
• Park Y
• Jung Y

• KMID: 2549009
• DOI: http://doi.org/10.47955/jkbs.23.0009

Abstract

Purpose
When evaluation and treatment of burn patients were not performed appropriately, patients can get complication and even lead to death. This study was performed to investigate the epidemiological characteristics, prognostic factors of admitted burn patients and thus help establishing therapeutic plan for them.
Methods
A retrospective review was performed on all admitted burn patients from January 2013 to December 2022 through emergency center. Age, sex, burn mechanism, burn depth, TBSA, inhalation injury, mechanical ventilation, operation, lab, underlying disease was collected as variables. Length of stay, ICU admission, developing complications, mortality was collected as prognosis.
Results
1,159 patients were enrolled. Baseline characteristics of patients were women 523 (45.1%), age 36.2±24.8 yrs, TBSA 7.0±10.2%, inhalation injury 45 cases (3.8%), mechanical ventilation 50 cases (4.3%), operation 315 cases (30.3%), WBC 10035±4572/uL, CRP 8.1±27.1 mg/L, albumin 4.0±0.5 g/dL, DM 77 cases (6.6%), HTN 175 cases (15.1%), caner 15 cases (1.3%), hospital day 21.2±21.0 days, ICU admission 111 cases (9.6%),complication 36 cases (3.1%), death 21 cases (1.8%). The factors that increase the risk in all four prognosis : hospital days, ICU admission, complications, death were flame burn, full-thickness burn, TBSA over 20%, mechanical ventilation, WBC abnormalities, albumin abnormalities.
Conclusion
Burn patients who admitted through emergency center are mostly scalding burn, second degree burn, TBSA 0∼5%. Patients with flame burn, full-thickness burn, TBSA over 20%, mechanical ventilation, WBC abnormalities, albumin abnormalities had worse prognosis. Otherwise, patients with scalding burn and second degree burn showed favorable outcomes.

Keyword

Burn; Epidemiology; Prognostic factor; Admission