Long-Term Trends in Mortality According to Age Among Adult Burn Patients

Abstract

The purpose of this study was to evaluate differences in mortality among adult burn patients over a 25-year period according to age. All patients admitted to a regional burn center between 1973 and 1997 were divided into three age groups (18-34, 35-54, and 55 and older), and mortality rates were compared over time. Between 1973 and 1997, the proportion of patients in each age group remained consistent, as did the type of burns. The average total body surface area burned declined steadily from 31.6% in the 1970s to 18.2% in the late 1990s. The absolute change in mortality was small (7.7%), moderate (16.3%), and large (30.2%) in the young, middle-aged, and old, respectively. However, the relative change demonstrated the opposite pattern. The results of this study suggest that declines in mortality among adult burn patients have occurred across the age spectrum over the past 25 years.

Mortality After Burn Injury in Children: A 33-year Population-Based Study

“…During the follow-up period after discharge, an additional 1.5% (n = 156) of the burn cohort died of which 68% were male with 0.6% (n = 248) deaths in the noninjured cohort died of which 77% were male. There was no significant difference (P = .09) in the median (IQR) age at death between the burn and uninjured (19 [13][14][15][16][17][18][19][20][21][22][23][24][25] Table 3 for summary of MRR analyses for TBSA% burn severity.…”

“…Advances in the management of patients with burns over the past decades have resulted in improved inhospital survival after burn injury, 8,[22][23][24] and there were only 8 (0.1%) in-hospital fatalities in this pediatric burn cohort. After adjusting for known potential confounders, the pediatric burn cohort was found to have a 1.6 times greater risk of longterm all-cause mortality compared with a frequency matched population-based noninjured cohort.…”

Factors associated with survival of burned patients

“…It is well established in the literature that death possibility at the extremes of age (children and elderly) are higher [14,15]. On the other hand, others have found bimodal presentation different in age, with the first peak at six years old and second peak among young adults, differing from the bimodal distribution of the age extremes [12,[16][17][18]. In this study, the first peak occured in patients between 41 and 50 years old (25%) and the second peak in the group between 51 and 60 years old (17.1%), while the distribution converges with other works.…”

Mortality and causes of death of Dutch burn patients during the period 2006–2011

“…Even though the mortality of burn patients has decreased in the last decades [1][2][3], patients still die as a result of their burn injuries. The literature indicates that the leading cause of late mortality is multiple organ failure (MOF) [4][5][6][7].…”