Epidemiologic and clinical characteristics of severe burn patients: results of a retrospective multicenter study in China, 2011-2015

Hao Tian, Liangxi Wang, Weiguo Xie, Chuanan Shen, Guanghua Guo, Jiaqi Liu, Chunmao Han, Licheng Ren, Yi Liang, Yong Tang, Yuan Wang, Meifang Yin, Jiaping Zhang, Yuesheng Huang, Hao Tian, Liangxi Wang, Weiguo Xie, Chuanan Shen, Guanghua Guo, Jiaqi Liu, Chunmao Han, Licheng Ren, Yi Liang, Yong Tang, Yuan Wang, Meifang Yin, Jiaping Zhang, Yuesheng Huang

Abstract

Background: Severe burns injury is a serious pathology, leading to teratogenicity and significant mortality, and it also has a long-term social impact. The aim of this article is to describe the hospitalized population with severe burns injuries in eight burn centers in China between 2011 and 2015 and to suggest future preventive strategies.

Methods: This 5-year retrospective review included all patients with severe burns in a database at eight institutions. The data collected included gender, age, month distribution, etiology, location, presence of inhalation injury, total burn surface area, depth of the burn, the length of hospitalization, and mortality. SPSS 19.0 software was used to analyze the data.

Results: A total of 1126 patients were included: 803 (71.3%) male patients and 323 (28.7%) female patients. Scalds were the most common cause of burns (476, 42.27%), followed by fire (457, 40.59%). The extremities were the most frequently affected areas, followed by the trunk. The median length of hospitalization was 30 (15, 52) days. The overall mortality rate was 14.21%.

Conclusions: Although medical centers have devoted intensive resources to improving the survival rates of burn patients, expenditures for prevention and education programs are minimal. Our findings suggest that more attention should be paid to the importance of prevention and the reduction of injury severity. This study may contribute to the establishment of a nationwide burn database and the elaboration of strategies to prevent severe burns injury.

Keywords: Epidemiology; Multicenter; Severe burns.

Conflict of interest statement

Collection of retrospective data was approved by the Institutional Review Board of the Southwest Hospital, the Third Military Medical University (Army Medical University). Patients or their legal representative are not informed that their data were collected for research purposes in this observational study.The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Age distribution of severe burn patients by gender group
Fig. 2
Fig. 2
Month and season distribution of severe burn patients. a Number of patients being represented graphically according to month distribution in male and female groups. b The proportion of severe burn patients in the four seasons
Fig. 3
Fig. 3
Distribution of location. Depiction of four types of location where severe burns occurred
Fig. 4
Fig. 4
Percentage of total burns and full-thickness burns to body parts by gender group
Fig. 5
Fig. 5
Distribution of % total body surface area (TBSA) and full-thickness burns %TBSA by age. a Number of patients according to the percentage of TBSA involved with burns by age group. b Number of patients according to the percentage of TBSA involved with full-thickness burns by age group
Fig. 6
Fig. 6
Distribution of % total body surface area (TBSA) and full-thickness burns %TBSA by etiology. a Number of patients according to the percentage of TBSA involved with burns by etiology group. b Number of patients according to the percentage of TBSA involved with full-thickness burns by etiology group
Fig. 7
Fig. 7
Number of severe burns patients represented graphically according to the length of hospitalization by gender group

References

    1. Smolle C, Cambiaso-Daniel J, Forbes AA, Wurzer P, Hundeshagen G, Branski LK, et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns. 2017;43:249–257. doi: 10.1016/j.burns.2016.08.013.
    1. Han TH, Kim JH, Yang MS, Han KW, Han SH, Jung JA, et al. A retrospective analysis of 19,157 burns patients: 18-year experience from Hallym Burn Center in Seoul, Korea. Burns. 2005;31:465–470. doi: 10.1016/j.burns.2004.11.014.
    1. Elberg JJ, Schroder HA, Glent-Madsen L, Hall KV. Burns: epidemiology and the effect of a prevention programme. Burns Incl Therm Inj. 1987;13:391–393. doi: 10.1016/0305-4179(87)90130-6.
    1. Ahn CS, Maitz PK. The true cost of burn. Burns. 2012;38:967–974. doi: 10.1016/j.burns.2012.05.016.
    1. Organization WH. A WHO plan for burn prevention and care. Bull World Health Organ. 2008;87:802-3.
    1. Fan X, Ma B, Zeng D, Fang X, Li H, Xiao S, et al. Burns in a major burns center in East China from 2005 to 2014: incidence and outcome. Burns. 2017;43:1586–1595. doi: 10.1016/j.burns.2017.01.033.
    1. Cheng W, Yan-hua R, Fang-gang N, Wei-li D, Guo-an Z. Epidemiology of 1974 burn patients at a major burn center in Beijing: a nine-year study. J Burn Care Res. 2012;33:e228–e233. doi: 10.1097/BCR.0b013e3182479b13.
    1. Ye C, Wang X, Zhang Y, Ni L, Jiang R, Liu L, et al. Ten-year epidemiology of chemical burns in western Zhejiang Province, China. Burns. 2016;42:668–674. doi: 10.1016/j.burns.2015.12.004.
    1. Dedovic Z, Brychta P, Koupilova I, Suchanek I. Epidemiology of childhood burns at the Burn Centre in Brno, Czech Republic. Burns. 1996;22:125–129. doi: 10.1016/0305-4179(95)00106-9.
    1. Anlatici R, Ozerdem OR, Dalay C, Kesiktas E, Acarturk S, Seydaoglu G. A retrospective analysis of 1083 Turkish patients with serious burns. Burns. 2002;28:231–237. doi: 10.1016/S0305-4179(01)00095-X.
    1. Koller J, Orsag M, Ondriasova E, Graffinger I, Bukovcan P. Analysis of 1119 burn injuries treated at the Bratislava Burn Department during a five-year period. Acta Chir Plast. 1994;36:67–70.
    1. Dhopte A, Tiwari VK, Patel P, Bamal R. Epidemiology of pediatric burns and future prevention strategies-a study of 475 patients from a high-volume burn center in North India. Burns Trauma. 2017;5:1. doi: 10.1186/s41038-016-0067-3.
    1. Dhopte A, Bamal R, Tiwari VK. A prospective analysis of risk factors for pediatric burn mortality at a tertiary burn center in North India. Burns Trauma. 2017;5:30. doi: 10.1186/s41038-017-0095-7.
    1. Dokter J, Vloemans AF, Beerthuizen GI, van der Vlies CH, Boxma H, Breederveld R, et al. Epidemiology and trends in severe burns in the Netherlands. Burns. 2014;40:1406–1414. doi: 10.1016/j.burns.2014.03.003.
    1. Liu Y, Chen JJ, Crook N, Yu R, Xu XW, Cen Y. Epidemiologic investigation of burns in the elderly in Sichuan Province. Burns. 2013;39:389–394. doi: 10.1016/j.burns.2012.04.012.
    1. Morita S, Higami S, Yamagiwa T, Iizuka S, Nakagawa Y, Yamamoto I, et al. Characteristics of elderly Japanese patients with severe burns. Burns. 2010;36:1116–1121. doi: 10.1016/j.burns.2010.02.006.
    1. Schiefer JL, Perbix W, Grigutsch D, Zinser M, Demir E, Fuchs PC, et al. Etiology, incidence and gender-specific patterns of severe burns in a German Burn Center––insights of 25 years. Burns. 2016;42:687–696. doi: 10.1016/j.burns.2015.10.031.
    1. Seo DK, Kym D, Yim H, Yang HT, Cho YS, Kim JH, et al. Epidemiological trends and risk factors in major burns patients in South Korea: a 10-year experience. Burns. 2015;41:181–187. doi: 10.1016/j.burns.2014.05.004.
    1. Barret JP, Gomez P, Solano I, Gonzalez-Dorrego M, Crisol FJ. Epidemiology and mortality of adult burns in Catalonia. Burns. 1999;25:325–329. doi: 10.1016/S0305-4179(98)00190-9.
    1. Aldemir M, Kara IH, Girgin S, Guloglu C. Factors affecting mortality and epidemiological data in patients hospitalised with burns in Diyarbakir, Turkey. S Afr J Surg. 2005;43:159–162.
    1. Tripathee S, Basnet SJ. Epidemiology of burn injuries in Nepal: a systemic review. Burns Trauma. 2017;5:10. doi: 10.1186/s41038-017-0075-y.
    1. Brusselaers N, Monstrey S, Vogelaers D, Hoste E, Blot S. Severe burn injury in Europe: a systematic review of the incidence, etiology, morbidity, and mortality. Crit Care. 2010;14:R188. doi: 10.1186/cc9300.
    1. Darling GE, Keresteci MA, Ibanez D, Pugash RA, Peters WJ, Neligan PC. Pulmonary complications in inhalation injuries with associated cutaneous burn. J Trauma. 1996;40:83–89. doi: 10.1097/00005373-199601000-00016.
    1. Osler T, Glance LG, Hosmer DW. Simplified estimates of the probability of death after burn injuries: extending and updating the Baux score. J Trauma. 2010;68:690–697. doi: 10.1097/TA.0b013e3181c453b3.
    1. Kobayashi K, Ikeda H, Higuchi R, Nozaki M, Yamamoto Y, Urabe M, et al. Epidemiological and outcome characteristics of major burns in Tokyo. Burns. 2005;31(1):S3–S11. doi: 10.1016/j.burns.2004.10.007.

Source: PubMed

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

3
Abonner