Epidemiology of Burn-Related Morbidity and Mortality in Patients Over 80 Years of Age
| Autor: | Balduino Ferreira Menezes Neto, Merimar Maria Chequim, Aristides Augusto Palhares Neto, Ana Beatriz Pedroso de Oliveira Maciel, Aashish Rajesh, Murilo Sagrbi Secanho, Cristiane Rocha |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Body Surface Area Burn Units law.invention law Internal medicine Epidemiology medicine Humans In patient Aged Retrospective Studies Body surface area Aged 80 and over business.industry Mortality rate Baux score Rehabilitation Burn center Length of Stay Intensive care unit Inhalation injury Emergency Medicine Surgery Morbidity business Burns |
| Zdroj: | Journal of burn careresearch : official publication of the American Burn Association. 43(5) |
| ISSN: | 1559-0488 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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