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Chen J, Yan H, Luo G, et al. Characteristics of burn deaths from 2003 to 2009 in a burn center: A retrospective study. Burns Trauma. 2013;1(2):80-6doi: 10.4103/2321-3868.118933.
Chen, J., Yan, H., Luo, G., Luo, Q., Li, X., Zhang, J., Yuan, Z., Peng, D., Peng, Y., Hu, J., & Wu, J. (2013). Characteristics of burn deaths from 2003 to 2009 in a burn center: A retrospective study. Burns & trauma, 1(2), 80-6. https://doi.org/10.4103/2321-3868.118933
Chen, Jian, et al. "Characteristics of burn deaths from 2003 to 2009 in a burn center: A retrospective study." Burns & trauma vol. 1,2 (2013): 80-6. doi: https://doi.org/10.4103/2321-3868.118933
Chen J, Yan H, Luo G, Luo Q, Li X, Zhang J, Yuan Z, Peng D, Peng Y, Hu J, Wu J. Characteristics of burn deaths from 2003 to 2009 in a burn center: A retrospective study. Burns Trauma. 2013 Sep 18;1(2):80-6. doi: 10.4103/2321-3868.118933. eCollection 2013. PMID: 27574629; PMCID: PMC4978095.
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Burns Trauma. 2013 Sep 18;1(2):80-6. doi: 10.4103/2321-3868.118933. eCollection 2013.

Characteristics of burn deaths from 2003 to 2009 in a burn center: A retrospective study.

Burns & trauma

Jian Chen, Hong Yan, Gaoxing Luo, Qizhi Luo, Xiaolu Li, Jiaping Zhang, Zhiqiang Yuan, Daizhi Peng, Yizhi Peng, Jianian Hu, Jun Wu

Affiliations

  1. Institute of Burn Research, Southwest Hospital, State Key Laboratory of Trauma, Burns and Combined Injury, The Third Military Medical University, Chongqing, China.

PMID: 27574629 PMCID: PMC4978095 DOI: 10.4103/2321-3868.118933

Abstract

Mortality remains one of the most important end-point quality control parameters to evaluate a burn care system. We retrospectively reviewed the characteristics and multiple organ dysfunction syndrome (MODS) patterns of burn deaths in our center from January 2003 to December 2009. The mortality rate during this time period was 2.3%. Fifty-six patients died, including 49 males and 7 females. The mean survival time was 28.45 ± 24.60 days. The burn percentage was (76.70 ± 26.86) % total burn surface area (TBSA), with (27.74 ± 24.95) % deep-partial thickness burns and (46.88 ± 33.84) % full-thickness burns. Inhalation injury was diagnosed in 36 (64.29%) patients. Patients who had undergone an operation, particularly in the first week post-burn, had a significantly longer survival time. An average of 5.50 ± 1.35 malfunctioning organs per patient and a mean sequential organ failure assessment (SOFA) score of 13.91 ± 3.65 were observed. The most frequently malfunctioning organs were involved in the respiratory, hematologic, circulatory, and central nervous systems. Most of the organ damage occurred during the first week post-burn, followed by 4 weeks later, with relatively less organ damage observed in the third week. Among patients with a TBSA over 50%, non-survivors had larger burn sizes (particularly larger full-thickness burns) and a higher incidence of inhalation injury compared with survivors; non-survivors were also more likely to have microorganism-positive blood and sputum cultures. In conclusion, burn deaths are related to a higher burn percentage, inhalation injury, MODS, and infection. Early operation may help improve survival duration.

Keywords: Burns; death; multiple organ dysfunction syndrome

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