Abstract
Introduction: Burn injuries being highly devastating in nature, are associated with extensive morbidity and mortality. Although the incidence of burn injuries is less in developed countries but it is increasing in developing and low income countries. Aims & Objectives: The aim of this study was to determine clinical risk factors associated with mortality among burn patients. Place and duration of study: Jinnah Burn and Reconstructive Surgery Center, Lahore from August 2018 till January 2019. Material & Methods: Data was collected by researchers themselves by studying files of patients. Data analysis was done by using SPSS and Pearson Chi Square test was used to determine association of clinical risk factors with mortality among burn patients. Results: Out of 200 patients, 137 were males. The Mortality rate was 12.50 %. Cardiopulmonary arrest was the most common cause of death. Sepsis was the most common complication among burn patients. Higher mortality rates were observed among patients with arterial/venous and urinary catheterization done. Higher survival rates were seen in those patients who were treated with debridement, grafting surgeries, Colistin Use and aided by mechanical ventilation. Conclusion: Aid through mechanical ventilation, grafting surgeries, wound debridement, use of colistin are associated with improved survival outcomes among burn patients. Whereas inhalational injury, arterial/venous catheterization, urinary catheter and sepsis are seen as major predictors of mortality among burn patients
Highlights
Burn injuries being highly devastating in nature, are associated with extensive morbidity and mortality
Aid through mechanical ventilation, grafting surgeries, wound debridement, use of colistin are associated with improved survival outcomes among burn patients
Among positive culture report the most common organism found was pseudomonas 18.85% followed by coinfection of Pseudomonas and Klebsiella 13.1% (Fig-1).Survival rate was statistically better among those patients in whom wound culture was done(p=0.00).Arterial/venous catheter was passed in about 79% of the patients
Summary
Burn injuries being highly devastating in nature, are associated with extensive morbidity and mortality. People with severe burn injuries have increased risk of nosocomial infections which is considered to be the most common cause of death after burn.[8] Patients who survive the burn injuries recover gradually, recovery is incomplete in a large number of cases. It has a remarkable effect on the psyche of patients as the patient has to undergo multiple reconstructive surgeries.[9] Despite of the due importance, the epidemiological studies of burn injury are under-researched in Pakistan.[10] By studying the co relation of outcome of burn injury with various clinical factors inpatients’ profiles, this
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