Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China

Wei Qian; Song Wang; Yangping Wang; Xiaorong Zhang; Mian Liu; Rixing Zhan; Yong Huang; Weifeng He; Gaoxing Luo

doi:10.1093/burnst/tkz005

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Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China

更新时间：2022-06-09

- Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China
- Burns & Trauma Vol. 8, Issue 1, (2020)
- 作者机构：
  
  Institute of Burn Research
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkz005
  CLC：
- Published：2020，
  
  Published Online：23 March 2020，
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Wei Qian, Song Wang, Yangping Wang, Xiaorong Zhang, Mian Liu, Rixing Zhan, Yong Huang, Weifeng He, Gaoxing Luo, Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China, Burns & Trauma, Volume 8, 2020, tkz005, https://doi.org/10.1093/burnst/tkz005
DOI：

Wei Qian, Song Wang, Yangping Wang, Xiaorong Zhang, Mian Liu, Rixing Zhan, Yong Huang, Weifeng He, Gaoxing Luo, Epidemiological and clinical characteristics of burns in the older person: a seven-year retrospective analysis of 693 cases at a burn center in south-west China, Burns & Trauma, Volume 8, 2020, tkz005, https://doi.org/10.1093/burnst/tkz005 DOI：

摘要

Abstract

BackgroundBurns are one of the major traumas that may affect older individuals. The purpose of this study was to investigate the epidemiological and clinical characteristics of geriatric burns at a major center in south-west China.MethodsThis retrospective study was conducted at the Institute of Burn Research

Southwest Hospital of Army Medical University between 2010 and 2016

and the data collected from medical records included admission date

age

gender

premorbid disease

burn etiology

injured anatomical location

burn area and depth

inhalation injury

number of surgeries

length of stay (LOS)

clinical outcome

and medical cost.ResultsOf the 693 older burn patients included

60.75% were male and 56.85% were aged 60–69 years. Burns peaked in December–March and June. Flame was the most common cause of burns

making up 51.95% of all cases

and also dominated in the burn patients aged 60–69 years. Limbs were the most common anatomical sites of burns (69.41%)

and the median total body surface area (TBSA) was 5% (interquartile range [IQR]: 2%–15%). The percentage of the patients who underwent surgeries and number of surgeries significantly increased in the cases of contact burns

younger age and full-thickness burns. Six deaths resulted in a mortality of 0.9%. The median LOS was 16 days (IQR: 8–29 days)

and the main risk factors were more surgeries

better outcomes

and full-thickness burns. The median cost was 20

228 CNY (IQR: 10

457– 46

581.5 CNY)

and major risk factors included longer LOS

larger TBSA

and more surgeries. Furthermore

compared to the earlier data from our center

the proportion of older adults among all burns (7.50% vs. 4.15%)

proportion of flame burns (51.95% vs. 33.90%)

and mean age (69.05 years vs. 65.10 years) were significantly higher

while the proportion of premorbidities (16.9% vs. 83.9%)

mortality (0.9% vs. 7.5%) and median TBSA (5% vs. 21%) were significantly lower.ConclusionsThis study suggested that closer attention should be paid to prevent burn injuries in older people aged 60–69 years

especially males

regarding incidents in the summer and winter

and flame burns. Moreover

tailored intervention strategies based on related risk factors should be under special consideration.

关键词

Keywords

Geriatric burnsEpidemiologyOutcomeCostRisk factors

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