Aging and burn: A five-year retrospective study in a major burn centre in Portugal

Caetano, Pedro; Brandão, Carla Figueiredo; Pascoal, A.; Campos, I.; Cabral, Luís; Tao, Ming

doi:10.1016/j.rehab.2018.05.140

Cited by 5 publications

(9 citation statements)

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“…In the present study, the majority of burns occurred at home, were relatively common in summer and winter, and flame and flash burns were the major risk factors for elderly patients. These findings are consistent with previous reports [2,12,14,[18][19][20]. Therefore, strengthening the investigation of burn hazards in the homes of elderly patients with burns and increasing preventive measures, such as installing smoke alarms and improving wire quality, are important measures to prevent burns in the elderly population [21].…”

Section: Discussionsupporting

confidence: 92%

“…Most of the elderly patients with severe burns in this study were aged 60 to 69 years old, which was similar to other reports [2]. Some studies reported a higher risk of burns in older women [12,14,17,18]. However, most of the patients included in this study were male.…”

Section: Discussionsupporting

confidence: 90%

“…The prevalence of pre-existing comorbidities is a unique feature of the elderly population and increases the vulnerability and mortality of burns in the elderly population [29][30][31]. In the present study, approximately half of the patients had at least one pre-existing comorbidity, which is less than the reported 69-82.4% rate in the literature [18,32,33]. The major pre-existing comorbidities were hypertension, diabetes mellitus, ischemic heart disease, and chronic obstructive pulmonary disease, similar to some previous findings [2,34,35].…”

Section: E918537-8contrasting

confidence: 67%

“…Even with the same degree of burns, the prognosis of the elderly is often worse [3]. The literature published over the last decade reports a mortality rate of burns in the elderly ranging from 8% to 67%, and the average is approximately 15-20% in most reports [14,[18][19][20]32,34,35]. In the present study, the mortality rate of the elderly patients with severe burns was 24.8%.…”

Section: E918537-8mentioning

confidence: 52%

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Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Wang

Zhang

et al. 2020

Med Sci Monit

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Background: The treatment of elderly patients with severe burns is difficult and the mortality rate is high. The aim of this study was to investigate the epidemiological features of elderly patients with severe burns. Material/Methods: Data from 109 elderly patients with severe burns between January 2009 and December 2018 were retrospectively analyzed. Demographic data, clinical characteristics, treatments, and outcomes were statistically analyzed. Results: Among the 109 elderly patients with severe burns, the male-to-female ratio was 1.73: 1.0. The median age of the elderly patients was 67 years, and the median total body surface area (TBSA) burned was 42%. Notably, 67.9% of burns occurred at home and most frequently occurred in summer (38.5%) and winter (28.4%); flame and flash burns predominated (83.4%). The incidence of inhalation injury was 35.8%, and pre-existing comorbidities were observed in approximately 51.4% of the patients. The median length of stay in the hospital per TBSA burned was 0.4 days. The mortality rate in the elderly patients was 24.8%, and the mortality rates in the ³70% TBSA group, inhalation injury group, and patients with 3 or more pre-existing comorbidities were significantly higher than in the other groups. The risk of death increased with an increase in the number of pre-existing comorbidities (odds ratio: 2.222; 95% confidence interval: 1.174-4.205). Conclusions: At a major burn center in Southwest China, the incidence and mortality of elderly patients with severe burns displayed no downward trend. There are etiological characteristics of these age groups that should be considered for prevention. Meanwhile, multidisciplinary treatment in a hospital and an increase in the social support for the elderly population might improve outcomes.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: E918537-8contrasting

confidence: 67%

Section: E918537-8mentioning

confidence: 52%

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Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Wang

Zhang

et al. 2020

Med Sci Monit

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“…[9][10][11][12][13][14] However, also, only age itself is an adverse prognostic factor in burn injuries. [15][16][17][18] With the aging population, the percentage of geriatric patients is expected to increase over the next few decades. [19,20] According to the United Nations estimates, the proportion of the world population aged 65 or older is expected to triple to reach 2 billion by 2050.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and Clinical Characteristics and Outcomes of Inpatient Burn Injuries in Older Adults: Factors Associated with Mortality

Gürbüz¹

2020

Ulus Travma Acil Cerrahi Derg

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Epidemiological and clinical characteristics and outcomes of inpatient burn injuries in older adults: Factors associated with mortality [2,3] Furthermore, lower response and avoidance (slower reaction time) of these patients in the event of harm led to an increased percentage of TBSA burns and increased risk of inhalation injury. [1][2][3] Although significant progress has been made in burn management over the past few decades, the incidence of mortality and morbidity has decreased. However, the overall mortality rate of the elderly after burn injury is still higher than that of the children or young adults, and little progress made in improving the outcome of burn damage in older adults over

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Outcome of burn injury and associated factor among patient visited at Addis Ababa burn, emergency and trauma hospital: a two years hospital-based cross-sectional study

et al. 2022

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Background Burn is one of the critical health problems worldwide. Developing countries with sub-Saharan and Asian populations are affected more. Its mortality and non-fatal complications depend on several factors including age, sex, residency, cause, the extent of the burn, and time and level of care given. Objective The purpose of this study was to assess the outcome of burn injury and its associated factor among patients who visited Addis Ababa burn emergency and trauma hospital. Methods The institutional-based, retrospective cross-sectional study design was conducted from April 1, 2019, to March 30, 2021. After checking the data for its consistency the data were entered and analyzed by using SPSS version 25. A total of 241 patients who had visited Addis Ababa burn, emergency and trauma Hospitals after sustained burn injury were recruited through convenience sampling method for final analysis. Model goodness-of-fit was checked by Hosmer and Lemeshow test (0.272). After checking multi-collinearity both the bi-variable and multivariable logistic regression model was fitted and variables having a p-value less than or equal to 0.05 at 95% CI in the multivariable analysis were considered statistically significant. Result Adults (age 15 to 60 years) are the most affected groups accounting for 55.2% followed by pediatric age groups (age <15 years) (43.6%) and the elderly (age > 60 years) (1.2%). Scald burn was the major cause accounting for 39 % followed by Flame burn (33.6%), Electrical burn (26.6%), and chemical burn (0.8%). The mean TBSA% was 15.49%, ranging from1% to 64%. Adult males are more affected by electrical burns while adult females and the elderly encounter flame burn. 78.4% of patients were discharged without complications, 14.9% were discharged with complications and 6.6% died. The commonest long-term complication is the amputation of the extremity (19, 7.9%). Age greater than 60 years and TBSA% greater than 30% is a strong predictors of mortality with odds of 2.2 at 95% CI of [1.32, 3.69] and 8.7 at 95% CI of [1.33, 57.32] respectively. Conclusion and recommendation The mortality rate show decrement from previous studies. Overall scald burn is common in all age groups but electrical burns and flame burns affected more adult and elderly age groups. Extremities were by far, the commonest affected body parts. The extent of burn injury and the age of the patient independently predict mortality. Early intervention will reduce mortality and complications.

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Aging and burn: A five-year retrospective study in a major burn centre in Portugal

Cited by 5 publications

References 0 publications

Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Epidemiological and Clinical Characteristics and Outcomes of Inpatient Burn Injuries in Older Adults: Factors Associated with Mortality

Outcome of burn injury and associated factor among patient visited at Addis Ababa burn, emergency and trauma hospital: a two years hospital-based cross-sectional study

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