Factors associated with duration of hospitalization and outcome in burns patients: A cross sectional study from Government Tertiary Care Hospital in Karachi, Pakistan

Khaliq, Muhammad Farhan; Noorani, Muhammad Muslim; Siddiqui, Uzair Ahmed; Ibran, Ehmer al; Rao, Masood Hussain

doi:10.1016/j.burns.2012.04.002

Cited by 16 publications

(17 citation statements)

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“…Different distribution of affected body regions is dependent upon different mechanisms of injury. In agreement with other studies (El-Hadidy et al, 2009;Khaliq et al, 2013;Basu et al, 2014;Grivna et al, 2014), the present study reported upper extremities to be the most affected body regions.…”

Section: Discussionsupporting

confidence: 94%

“…The present study revealed that males were more exposed to burns than females (68.1% vs. 31.9 %) which agrees with other findings from South Africa (Scheven et al, 2012), Egypt (El Hadidyet al, 2009), Emirates (Grivnaet al, 2014), Kuwait (Sharma et al, 2005), Portugal (Bartosch et al, 2013), Pakistan (Khaliq et al, 2013;Adil et al, 2016) and Iran (Mirmohammadi, et al, 2012). On the contrary, other studies in Egypt (Hemeda et al, 2003;Mgahed et al, 2013) and India (Basu et al, 2014) reported the preponderance of females.…”

Section: Discussionsupporting

confidence: 91%

“…In agreement with studies from low and middle-income countries (Attia et al, 2000;Sharma et al, 2005;Forjuoh, 2006;Mirmohammadi, et al, 2012;El Mehrat et al, 2014), the present study showed low proportions of electric and chemical burn injuries. Those injuries showed a higher occurrence rate in young adults and middle aged males, which agrees with other studies (Hemeda et al, 2003;Mimohammadi, et al, 2012;Khaliq et al, 2013;Stylianou et al, 2015) and might be related to occupational exposure or to their engagement in household maintenance activities.…”

Section: Discussionsupporting

confidence: 90%

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A Study of Burn Injuries in Patients Admitted to the Burn Unit, Suez Canal University Hospital: Medico-Legal Perspectives

Hashish

Abdel-Karim

2017

Mansoura Journal of Forensic Medicine and Clinical Toxicology

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Burn injuries Medico-legal aspects Mortality predictors Burn injuries present a major public health concern. This study aimed to assess burn injuries and their outcome in patients admitted to the Burn Unit of Suez Canal University Hospital, Ismailia, Egypt from the medico-legal point of view and to determine factors that affect their mortality. The medical records of all patients admitted to the Burn Unit, Suez Canal University Hospital in the period between 1 st January 2013 and 31 st December 2014 were reviewed retrospectively. The total number was 292 patient, the mean age of patients was 17.5±17.2 years; children less than 5 years of age were more exposed to burn injuries (35.6%) than other age groups. Males constituted 68.1% of the study group, while 63% came from rural areas. Flame burns and scalds represented 48.2% and 44.9% respectively with a predominance of injuries in colder months. The majority of cases (72.6%) showed a percentage of total body surface area (TBSA) less than 20%. Upper extremities were most commonly affected (58.2%). A significant relationship was found between TBSA and each of: type of burn, duration of the hospital stay, ICU admission and outcome. A significant relation was also found between type of burn and each of: age, gender, and duration of hospital stay. Mortality rate was 5.5% of cases and septicemia was the most common cause of death (43.8%). Using stepwise logistic regression, TBSA and ICU admission were the only detected mortality predictors.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

A Study of Burn Injuries in Patients Admitted to the Burn Unit, Suez Canal University Hospital: Medico-Legal Perspectives

Hashish

Abdel-Karim

2017

Mansoura Journal of Forensic Medicine and Clinical Toxicology

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“…The HAIs prevalence was an important and significant predictor of outcome among burn causalties also described by (Taneja et al, 2004). HAIs caused mortality and morbidity among the patients in 90 days and there were total 25 deaths constituting 27.77% mortality and there were 47 cases of disability constituting 48.45% due to infection and burn which is comparable to other studies (Appelgren et al, 2002) and (Wurtz et al, 1995) who evaluated nosocomial infection which were capable to become worse with the passage of time and prolonged stay in hospital (Wong and Ngim, 1995) which is also considered by (Khaliq et al, 2013) focusing on factors associated with duration of stay and mortality among burn patients in Karachi, Pakistan. The primary bloodstream infections and wound infections were more common and significant cause of deaths also observed in other studies like (Taneja et al, 2004).…”

Section: Discussionsupporting

confidence: 65%

“…The mortality rate in our study was 25.77% while Tariq et al, (2013) reported 14% for the hospitalised subset of patients, whereas Khaliq et al, (2013) reported24.69% and 26.38% respectively for males and females. Haik et al (2003) reported an overall mortality rate of 4.4% among burn patients.…”

Section: Mortality Rate Associated With Hospital Acquired Infectionscontrasting

confidence: 63%

Mortality rate associated with hospital acquired infections among burn patients

et al. 2016

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Abstract-Introduction:Hospital acquired infections (HAIs) are the major contributors of mortality associated with burn injuries. The aim of this research was to document the antecedents affiliated with major burn injuries, hospitalization and mortality in burn patients. Methods: We performed a single center prospective study of patients admitted during 3 months period (April-June 2014) in burn wards of government hospital. There were 100 patients in this investigation which were observed weekly. The inclusion criterion was based on the shifting of patients from emergency to the wards after initial treatment of more than 24 h. Variables included were age and gender of the patient, the percent total body surface area (%TBSA) burn, the cause of the burn. Results: Mean age of patients was 30.29 years. More females (55.67%) were admitted than males (44.32%). The total body surface area (%TBSA) burnt were from 15%-95% respectively moreover children were more sensitive to hospital acquired infections (HAIs) and mortality rate was 34% in children with mean age of 5 years and disability of body parts were 42% among 75% were females. Whereas the most common (HAIs) were primary bloodstream (PBS) with mean value of 30.50, wound infections (WIS) were at second prevalence with mean value of 27.50, followed by sepsis (S) and pneumonia (P) 10.33, eye infections (EIs) 4.833 and urinary tract infections (UTIs) 2.667. Factors significantly (p-value= 0.000) associated with increased duration of hospitalization caught HAIs mortality include the age and gender of the patient, the cause of burn, inhalation injury, the region affected and %TBSA burnt. Conclusion: It concluded that the mortality was very much dependent on age and gender of the patient, burn causes, affected area as well as % TBSA burnt are considerable factors in determining the relationship of HAIs and whether the patients will survive or knuckle to injuries. Better compliance techniques, stricter control over disinfection and sterilization practices and usage of broad spectrum antibiotics, and reduction of the environmental contamination are required to reduce the HAIs rates among burn patients.

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Predictors of short‐term outcomes of burn in a newly established burn centre in Iran

et al. 2021

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Burn injuries are one of the most important health challenges worldwide, resulting in long hospital stays and a heavy financial burden on patients, families and communities (Herndon, 2012). They are the fourth most common type of trauma worldwide, following traffic accidents, falls and interpersonal violence (Knowlin et al., 2016).Annually, burns result in more than 7.1 million injuries and loss of almost 18 million disability adjusted life years (DALYs) (Rybarczyk et al., 2016). A total of 195,000 deaths are reported annually due to burn injuries worldwide, more than 95% of which occur in developing countries (Herndon, 2012). In Iran, burns are one of the most common forms of trauma and the seventh most important cause of disease burden due to injuries (Emami et al., 2016).Despite advances in the treatment of burn injuries, they still result in metabolic changes, complications and undesirable effects that may influence the entire body (Townsend et al. 2016). In general, the outcomes of burn injuries can be categorized into short-term,

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Factors associated with duration of hospitalization and outcome in burns patients: A cross sectional study from Government Tertiary Care Hospital in Karachi, Pakistan

Cited by 16 publications

References 16 publications

A Study of Burn Injuries in Patients Admitted to the Burn Unit, Suez Canal University Hospital: Medico-Legal Perspectives

A Study of Burn Injuries in Patients Admitted to the Burn Unit, Suez Canal University Hospital: Medico-Legal Perspectives

Mortality rate associated with hospital acquired infections among burn patients

Predictors of short‐term outcomes of burn in a newly established burn centre in Iran

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