Epidemiology and Factors Related to Mortality in Patients Managed in the Adult Burn Unit at Mayo Hospital, Lahore: A Retrospective Review

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Author(s): Saqib Saleem, Bussan Birkhez Shami, Mehvish Aamer, Ijaz Ashraf, Hamid Hussain Ansari, Saadia Nosheen Jan, Muhammad Sohail, Muhammad Mustehsan Bashir

Pages: 54-62 |

Objective/Purpose: To study the epidemiology and factors related to mortality in patients managed at the adult burn unit at Mayo Hospital, Lahore. Patient and Methods: This retrospective review was conducted at the adult burn unit, between September 2013 and august 2017. Records of all hospitalized acute burn patients were included, while incomplete records were excluded. The patient’s demographics, burn injury detail and outcomes were obtained from the records and entered in the Data collection form. Results were analyzed using SPSS v 16. Results: A total of 514 adult acute burn patients were admitted, while complete data was available for 468 patients. Mean age was 28.56 yrs. (±11.53) (11-75). They were mostly males (284 (60.7%)). The mean Percentage of burn calculated in these patients was 25.74% (±15.53%) (2%-95%). Most of the burns were of mixed thickness variety 377(80.6%).flame burn 303(64.7%) was the most common cause of burn followed by 68 (14.5%)scald and 66(14.l¾)electrical. Medicolegal causes included mostly 428 (91.5%) accidental burns. The incident occurred most frequently at 332 (70.9%)homes.The duration of stay in hospital was 17.63 days (±16.65) (1-11 ldays). 322 (68.8%) patients were discharged and 104 (24.41 %)patients expired.42 (9%)1eft against medical advice and their data was not used outcomes analysis.Analysis of variables in relation to burn outcomes illustrated a statistically significant difference in patients age, percentage of burn, modified Bauxscore, length of stay, medicolegal causes, presence of inhalation injury and presence of comorbidity between the discharged and expired groups(p<0.05). Conclusion: Burn causes both death and deformity, and is a major problem in our part of the world. Despite this, improving both prevention and management can greatly reduce burden and outcome of this injury.