Outcome for Older Burn Patients

McGill, Victoria; Kowal-Vern, Areta; Gamelli, Richard L.

doi:10.1001/archsurg.135.3.320

Cited by 76 publications

(23 citation statements)

References 18 publications

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“…There have so far been a few reports showing that patients with impaired movement due to cerebrovascular disease or Parkinson syndrome tend to suffer severe burn injuries and have worse outcomes (Raff et al 1996;Germann et al 1997;McGill et al 2000). Our results show that an impaired mobility results in a longer exposure to the burning agent, thereby leading to severe burn injuries and a poor prognosis.…”

Section: Discussionsupporting

confidence: 46%

Unfavorable Outcome of Burn Patients with Neuropsychiatric Disorders

Yanagawa

Saitoh

Sakamoto

et al. 2005

Tohoku J. Exp. Med.

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Section: Discussionsupporting

confidence: 46%

Unfavorable Outcome of Burn Patients with Neuropsychiatric Disorders

Yanagawa

Saitoh

Sakamoto

et al. 2005

Tohoku J. Exp. Med.

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“…Inhalation injury of the lung in adults is usually proportional to the depth and extent of body surface area burned (252,279,342,440). Children have a lower rate of inhalation injury because of the prominence of scald injury in this group (200,320).…”

Section: Inhalation Injurymentioning

confidence: 99%

“…A recent review of adult patients admitted to a burn center over a 7-year period showed that 221 of 1,557 (11%) were Ͼ59 years of age and a higher proportion were women (279). Most elderly burn patients had one or more existing medical conditions and impaired judgment and/or mobility.…”

Section: Impact Of Patient Demographics and Burn Severitymentioning

confidence: 99%

Burn Wound Infections

Church

Elsayed

Reid³

et al. 2006

Clin Microbiol Rev

1,623

1,345

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SUMMARYBurns are one of the most common and devastating forms of trauma. Patients with serious thermal injury require immediate specialized care in order to minimize morbidity and mortality. Significant thermal injuries induce a state of immunosuppression that predisposes burn patients to infectious complications. A current summary of the classifications of burn wound infections, including their diagnosis, treatment, and prevention, is given. Early excision of the eschar has substantially decreased the incidence of invasive burn wound infection and secondary sepsis, but most deaths in severely burn-injured patients are still due to burn wound sepsis or complications due to inhalation injury. Burn patients are also at risk for developing sepsis secondary to pneumonia, catheter-related infections, and suppurative thrombophlebitis. The introduction of silver-impregnated devices (e.g., central lines and Foley urinary catheters) may reduce the incidence of nosocomial infections due to prolonged placement of these devices. Improved outcomes for severely burned patients have been attributed to medical advances in fluid resuscitation, nutritional support, pulmonary and burn wound care, and infection control practices.

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“…On the other hand, in elderly patients who are not good to accommodate to stress and presence of coexistent diseases are effecting burns treatment and treatment results in a negative way [11]. In studies conducted, burns are noted to be at 4 th place in geriatric patients' death due to injuries [12].…”

Section: Discussionmentioning

confidence: 99%

Factors affecting mortality in patients with burns

Erbiş

Aliosmanoglu²,

Öztürk³

et al. 2015

J Clin Exp Invest

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ÖZETAmaç: Yaşam kalitesi ve tıbbi tedavi imkanlarının artması, yaşlı hasta nüfusunda bir artışa neden olmuştur. Yanık tedavisindeki gelişmeler çocuklarda ve genç erişkinlerde yanığa bağlı mortalitede azalmaya neden olmuştur, ancak yaşlılardaki yanıklar, diğer yaş gruplarından farklı şekilde ele alınması gereken önemli bir travmadır. Bu çalışmanın amacı 45 yaşın üzerindeki yanıklı hastalarda mortalite üzerine etkili faktörleri değerlendirmektir.Yöntemler: Son 3 yıl içerisinde yanık ünitemizde tedavi edilen 45 yaş üzerindeki 58 hasta çalışmaya dahil edildi. Hastaların yaşları, yanık oranları ve yanıklarının derinliği, eşlik eden hastalıklar ve mortalite oranları retrospektif olarak değerlendirildi. Bulgular:Mortalite gelişmeyen hastaların ortalama yaşı 57,4 yıl iken, mortalite gelişenlerinki 70 yıl idi (p=0,002). Ortalama yanık genişliği mortalite gelişmeyenlerde % 21,1 iken, mortalite gelişenlerde % 50 idi (p<0,01). Yanık-lı hastalarda eşlik eden hastalık bulunmasının mortalite üzerine anlamlı etkisi olduğu saptandı (p=0,001). Mortalitenin en önemli nedeni sepsis ve konjestif kalp yetmezliği idi.Sonuç: Çalışmamızın sonuçları yanık alanının yüzdesi-nin ve eşlik eden hastalıkların varlığının tedavi başarısı ve mortalite üzerine olumsuz etkileri olduğunu gösterdi. Bu hastalarda multidisipliner yaklaşım ve yakın takip ile mortalite oranlarının düşeceğini düşünmekteyiz.Anahtar kelimeler: Yanıklar, eşlik eden hastalıklar, mortalite, yaşlı hastalar ABSTRACT Objective: The increase in life quality and expectancy causes an increase in the elderly population. Improvements in burn treatment resulted in decreased mortality in children and young adults but in elderly patients burns are still an important trauma that should be handed differently than other age groups. The aim of this study was to evaluate the factors effecting mortality in patients with burns over 45 years old.Methods: Fifty-eight patients over 45 years of age, who were treated in our burns unit in the last 3 years were included in our study. Their age, burn percentage and depth, coexisting diseases and mortality rates were examined retrospectively.Results: The average age of surviving patients was 57.4 years while it was 70 years for nonsurviving patients (p=0.002). The width of burn area was 21.1 % in surviving and 50 % in nonsurviving patients (p<0.01). The effect of additional coexistent diseases on mortality was significant (p=0.001). The most common reasons of mortality were sepsis and congestive heart failure. Conclusion:We found out that the age, percentage of burns and coexistent diseases had a negative effect on success of treatment and mortality. Mortality rates will decrease in these cases with careful follow-up and a multidisciplinary approach. J Clin Exp Invest 2015; 6 (3): 240-243

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Outcome for Older Burn Patients

Cited by 76 publications

References 18 publications

Unfavorable Outcome of Burn Patients with Neuropsychiatric Disorders

Unfavorable Outcome of Burn Patients with Neuropsychiatric Disorders

Burn Wound Infections

Factors affecting mortality in patients with burns

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