Trends and risk factors for mortality in elderly burns patients: A retrospective review
| Autor: | Josef Haik, Denis Visentin, Michelle Cleary, Moti Harats, Adi Givon, Matan Segalovich, Rachel Kornhaber, Kobi Peleg, Hagit Ofir |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Body Surface Area Smoke inhalation Population Critical Care and Intensive Care Medicine Fires 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Age groups Risk Factors Elderly population Epidemiology Medicine Humans Israel Mortality education Aged Retrospective Studies Aged 80 and over education.field_of_study Retrospective review business.industry Mortality rate Age Factors 030208 emergency & critical care medicine General Medicine Middle Aged Smoke Inhalation Injury medicine.disease Key factors Emergency Medicine Surgery Female business Burns Demography |
| Zdroj: | Burns : journal of the International Society for Burn Injuries. 45(6) |
| ISSN: | 1879-1409 1997-2016 |
| Popis: | The elderly experience higher mortality rates and poorer outcomes compared to younger burn survivors with similar injuries.This epidemiological study reviewed records of all admitted elderly burn patients collected from five burns facilities in Israel between 1997-2016. Collected data was limited to the population aged 20+, focused on the population aged 60+.Mortality rates for elderly patients increased with TBSA and increases with age. Regression analyses demonstrated a decrease in mortality of 2.9% (p=0.013) per 5 years, an overall decrease of 11.6% over the 20-year study period, with the decline more significant for older age groups. This decrease in mortality was much larger than that observed for all burns patients over this period. The most common cause of injury in the elderly population was fire, with mortality rate highest for this cause. There was no effect of gender on mortality rate. Mortality increased when smoke inhalation was present for TBSA20%, with mortality unaffected by the presence of smoke inhalation for higher TBSA. The need for surgery correlates with high mortality rates.This study identified key factors that impact mortality and demonstrated a large decrease in mortality in the elderly patients over the study period. |
| Databáze: | OpenAIRE |
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