Measured Effect Magnitude of Comorbidities on Burn Injury Mortality

Knowlin, Laquanda; Charles, Anthony; Stanford, Lindsay; Cairns, Bruce A.

doi:10.1016/j.jamcollsurg.2016.08.524

Cited by 2 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to these results, 18.5% of patients overall had comorbidities and 57% of old people had one or more comorbid conditions. In a recent large study with over 7000 patients, there was at least one comorbidity in 40% of burn patients 14 with another reporting that 26.4% of the adult burned population had one or more medical comorbidities 22 and a third showing that over 45% of elderly burn patients had a Charlson score of 2 or more. 15 In common with many other studies, our data show that those with comorbidities are older than those without, and the older the age, the higher the number of comorbidities and higher the Charlson comorbidity score.…”

Section: Discussionmentioning

confidence: 99%

“…15 In common with many other studies, our data show that those with comorbidities are older than those without, and the older the age, the higher the number of comorbidities and higher the Charlson comorbidity score. 14,15,18,19 Age, burn size (% TBSA), and presence of inhalation injury are the most important prognostic factors in burn patients, 23 but the effects of comorbidities on patients' outcome after burn injury are controversial, 15,24,25 with uncertainty as to whether comorbidities have an independent role in increasing the risk of mortality of burn patients regardless of age. 15 In this study, in-hospital mortality rate and hospitalization length were not significantly different between the two groups, but comorbid patients were significantly older and had a higher TBSA with higher Charlson comorbidity score.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately the retrospective nature of this study meant that the control of the important confounding factors such as age, TBSA, and inhalation injury was not possible, so the independent impact of comorbidities on the patients' outcome could not be assessed, nor were we able to assess the connection between comorbidities and death within one year of discharge. Knowlin et al 14 demonstrated that comorbidities had significant impact on death rate following burns, with younger burn patients with preexisting medical comorbidities being more susceptible to worse prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…Preexisting medical comorbidities have a significant effect on burn injury mortality rate in all age groups. 14 Despite the important effects of comorbidities on the outcome following burn injury, there is insufficient epidemiologic data, such as prevalence, reported in the literature but needs to be taken into account. 2,15 The aim of this study was to determine the prevalence of comorbid conditions among burn patients admitted to a tertiary burn hospital, so that future researchers may be helped to assess the impact of comorbidities on burn patients' outcomes.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The prevalence of comorbidities among acute burn patients

Salehi

Kamran

Abbaszadeh-Kasbi

2018

Trauma

View full text Add to dashboard Cite

Introduction: The elderly population in Iran is growing, and more medical comorbidities can be identified, so hospital admissions of burn patients with associated medical comorbidities are expected to rise as well. As these medical comorbidities may affect the prognosis of burn patients, additional health care services are likely to be required. Therefore, the aim of this study was to determine the prevalence of comorbidities among patients with burn injury. Methods: A retrospective study of all burn patients admitted to the Motahari Burn Hospital, Iran over a 14-month period was conducted. Variables gathered from patients' medical record files were demographic characteristics, clinical burn features, hospital course, and preexisting comorbidities. The comorbidity score of patients was calculated by using the updated Charlson comorbidity index. Results: A total of 732 patients were hospitalized, 136 (18.5%) patients had comorbidities, and more than 57% of elderly people (!61 years) had one or more comorbid conditions. The most common cause of burn injury among the comorbid patients was scald (38.2%) injury. The two most frequent comorbid conditions among all cases were congestive heart failure (25.8%) and diabetes (23.5%), respectively. As patients got older, the Charlson score also increased. There were no significant differences between comorbid and noncomorbid patients in terms of hospitalization period and mortality rate. Those comorbid patients who died had significantly higher Charlson score and larger mean burn sizes compared to surviving comorbid patients; they were also significantly older. Conclusion: The prevalence of comorbidities in burn patients was 18.5% and among older burn patients rose to 57%. Diabetes and congestive heart failure were the two most common comorbid conditions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The prevalence of comorbidities among acute burn patients

Salehi

Kamran

Abbaszadeh-Kasbi

2018

Trauma

View full text Add to dashboard Cite

show abstract

Bezpieczeństwo Użytkowania Chemii Gospodarczej W Życiu Codziennym Z Elementami Pierwszej Pomocy

Głodowska

2024

Zeszyty Naukowe Pro Publico Bono

View full text Add to dashboard Cite

Autor artykułu w celu zweryfikowania konieczności przeprowadzenia badań dotyczących bezpieczeństwa użytkowania chemii gospodarczej przez jej konsumentów sprawdził występowanieewentualnych luk w wiedzy powszechnie dostępnej w danym zakresie tematycznym. Przeprowadzona analiza dowiodła, iż wykonanie takowych badań jest konieczne do zwiększenia świadomościkonsumentów w kwestii bezpieczeństwa związanego ze środkami czystości. Badania wstępne przeprowadzone przez autora w tym artykule wykazały, że wiedza społeczeństwa w tym zakresietematycznym jest niska i wskazuje zapotrzebowanie na większą ilość dostępnych materiałów edukacyjnych w celu podniesienia poziomu bezpieczeństwa i zminimalizowania ilości wypadkówzwiązanych z ekspozycją na chemię gospodarczą. Wstępne wyniki badań przeprowadzonych w artykule wykazały, iż m.in. 31% respondentów nie zapoznaje się ze środkami ostrożności związanymiz korzystaniem ze środków czystości, 46% nie zna znaczenia znaków ostrzegawczych na etykietach, a 49% nie umiałoby udzielić pomocy osobie poszkodowanej po ekspozycji na czynnikiszkodliwe występujące w chemii gospodarczej. Zaskakującym wynikiem badań było, iż 48% spośród ankietowanych doznało w przeszłości urazu związanego z korzystaniem ze środków czystości.Na podstawie uzyskanych wyników badań wnioskuje się, iż niezbędne jest uzupełnienie luk merytorycznych w zakresie bezpieczeństwa użytkowania chemii gospodarczej w życiu codziennymwśród społeczeństwa. Jest to działanie konieczne do zwiększenia świadomości odpowiedniego stosowania środków czystości oraz zminimalizowania ilości wypadków występujących z ich udziałem.

show abstract

Measured Effect Magnitude of Comorbidities on Burn Injury Mortality

Cited by 2 publications

References 21 publications

The prevalence of comorbidities among acute burn patients

The prevalence of comorbidities among acute burn patients

Bezpieczeństwo Użytkowania Chemii Gospodarczej W Życiu Codziennym Z Elementami Pierwszej Pomocy

Contact Info

Product

Resources

About