Prognostic factors affecting the mortality of 2nd and 3rd degree burn injuries at a tertiary care center in Indonesia

Abstract

About two million people suffer from burn injuries in the United States each year, with 100,000 hospitalized in the burn unit. Around 1000 patients suffer from severe burn injuries, with each year average of 300 deaths. Improvements in the understanding of the prognostic factors affecting burn injuries over the past decades have led to advances in medical and surgical treatment. However, comprehensive data on the factors affecting burn injuries in Indonesia have not been available, yet. The aim of the study was to investigate the prognostic factors affecting the mortality of 2nd and 3rd burn injuries patients in Dr. Sardjito General Hospital, Yogyakarta. This was a cross-sectional study conducted within the period of 2007-2011 using secondary data from the Department of Medical Records. Chi-square and logistic regression analysis were used to evaluate the correlation between the prognostic factors and the mortality. A p value 0.05). Furthermore, patients with albumin level 50%, inhalation trauma and hospitalized in 24 hours after the incident were at 22.98, 7.65, 3.0 and 4.59 times higher risk of mortality, respectively (p<0.05). In conclusion, albumin level, burn injury percentage, inhalation trauma and time of arrival are prognostic factors affecting the mortality of the burn injuries patients.