Epidemiology of Burn-Related Morbidity and Mortality in Patients Over 80 Years of Age.

Autor:	Secanho MS; Discipline of Plastic Surgery, Department of Surgery and Orthopedic, Botucatu Medical School, São Paulo State University (UNESP), Brazil., Rajesh A; Department of Surgery, University of Texas Health Science Center at San Antonio, USA., Menezes Neto BF; Discipline of Plastic Surgery, Department of Surgery and Orthopedic, Botucatu Medical School, São Paulo State University (UNESP), Brazil., Maciel ABPO; Botucatu Medical School, São Paulo State University, Brazil., Chequim MM; Botucatu Medical School, São Paulo State University, Brazil., Rocha C; State Hospital of Bauru, São Paulo, Brazil., Palhares Neto AA; Discipline of Plastic Surgery, Department of Surgery and Orthopedic, Botucatu Medical School, São Paulo State University (UNESP), Brazil.
Jazyk:	angličtina
Zdroj:	Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2022 Sep 01; Vol. 43 (5), pp. 1042-1047.
DOI:	10.1093/jbcr/irab205
Abstrakt:	Burns cause greater morbidity and mortality in older patients owing to the physiological changes and functional status declines with age. We sought to characterize the epidemiology of burn injuries in the patient population aged over 80 years. A retrospective analysis of all patients aged >80 years admitted to a tertiary burn center in Brazil over a 10-year period was conducted. Multiple parameters including comorbidities, BSA burned, intensive care unit (ICU) admissions, inhalation injury, and revised Baux score were analyzed to assess association with mortality. Twenty-six patients were identified. The overall mortality rate was 42.3%. The mortality rate increased with the TBSA, with 100% mortality at >20% total BSA involvement (P < .001). Inhalation injury occurred in 3 (11.5%) patients, all of whom suffered mortality (P < .001). ICU admission was necessary for 14 (53.8%) patients, out of which 11 (78.6%) did not survive (P < .001). The revised Baux score had a significant impact on the mortality, with higher values among patients who did not survive (89.2 ± 6.2 vs 110.7 ± 17.9, P < .001). Burns cause high mortality in the octogenarian and nonagenarian populations. It is important to stratify patients at high risk, institute prompt treatment and discuss goals of care early on for optimal patient outcomes. (© The Author(s) 2021. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu