Factors affecting outcome in burn cases

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Factors affecting outcome in burn cases

Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 5

Abstract

Introduction: Traditionally, burn area and patient´s age have been employed as the primary predictors of mortality after thermal injury. Other factors identified during the course of hospitalization also may help to predict accurately those patients who are likely to die. Aims and Objectives: To study the survival rate in burn cases and study the various factors affecting the outcome in burn cases. Materials and Method: The present retrospective descriptive study was conducted to study the various factors associated with the outcome in burn patients. The study was conducted in the department of surgery at Mahatma Gandhi Institute of Medical Sciences, Sevagram. For the purpose of study retrospective data was collected from 1st April 1999 to 31st March 2003. All the patients who sustained burns and admitted to Kasturba Hospital during this period were included in this study. During the study period total 714 cases of burn were admitted and 344 patients died in the institute. The case records were obtained from the medical records department and details of the patients were recorded in the given standard proforma. The details about age, sex, marital status, educational status, occupation and socioeconomic status were recorded. Detailed history including place, time of burn, nature and type of burn, and other relevant conditions were retrieved from the case records. Details about clinical examination including assessment of general condition of the patient, area of burn, depth of burn and systemic examination were recorded from the case sheet. The collected information was entered in excel sheet and was analyzed by using appropriate tables and graphs. Results: out of total 714 cases of burn in the study 344(46.78%) cases died in the due course of treatment. It was seen that 42.22% patients of burns died due to septicemia and making it the most common cause of death in the present study. It was followed by ARDS (18.86%), acute renal failure (13.77%), burn shock and pulmonary embolism (7.19% each). the patients with TBSA more than 60% burns had mortality almost 100% irrespective of age, sex, type of burn, depth of burn and time of presentation to hospital, thus showing that even with the modest care patients of this group do not survive. There was definite impact of age, sex, type of burn, depth of burn on mortality below 60% of burns. As the age was increasing mortality increased. It was also high in females, burns due to flame, in deep burns and in patients who presented late to the hospital. Conclusion: Thus we conclude that survival rate in the burn cases was 53.22%. Septicemia was the most common cause of death in the present study. Increasing age, female sex, percentage of body surface area involved and depth of burn the factors which were affecting the outcome in burn cases.

Authors and Affiliations

Ravi Rambhau Khandare

Keywords

burn case Septicemia cause of death.

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EP ID EP191914
DOI -
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