Factors associated with mortality in adult hospitalized burn patients in Tehran

HARIRCHI, Iraj; ZAREI, Mohammad-Reza; BODDOUHI, Nosratollah; DIANAT, Seyedsaied; RASOULI, Mohammad R.; ESLAMI, Vahid; ZANDIEH, Ali

Factors associated with mortality in adult hospitalized burn patients in Tehran

Mohammad-Reza ZAREI, (Department, of Emergency Medicine, Imam Khomeini Hosp. Tehran Univercity of Medical Sciences, Tehran, Iran)

Seyedsaied DIANAT, (Sina Trauma and Surgery Research Center, Sina Hosp. Tehran Univercity of Medical Sciences, Tehran, Iran)

Vahid ESLAMI, (Sina Trauma and Surgery Research Center, Sina Hosp. Tehran Univercity of Medical Sciences, Tehran, Iran)

Iraj HARIRCHI, (Dept of Surgery, Tehran Univercity of Medical Sciences, Tehran, Iran)

Nosratollah BODDOUHI, (Div. of Plastic Surgery, Shahid Motahari Hosp. Tehran Univercity of Medical Sciences, Tehran, Iran)

Ali ZANDIEH, (Sina Trauma and Surgery Research Center, Sina Hosp. Tehran Univercity of Medical Sciences, Tehran, Iran)

Mohammad R. RASOULI (Sina Trauma and Surgery Research Center, Sina Hosp. Tehran Univercity of Medical Sciences, Tehran, Iran)

Ulusal Travma ve Acil Cerrahi Dergisi

2 1

Yıl: 2011 Cilt: 17 Sayı: 1 Sayfa Aralığı: 61 - 65 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Factors associated with mortality in adult hospitalized burn patients in Tehran

Öz:

AMAÇ Yanığı takiben ortaya çıkan mortalite oranı, önemli bir sonuç parametresidir. Bu çalışmada, Tahran?da hastaneye yatırılan erişkin yanıklı hastalarda mortalite ile birlikte olan faktörlerin belirlenmesi amaçlandı. GEREÇ VE YÖNTEM Bu çapraz karşılaştırmalı çalışma, Tahran?daki iki yanık başvuru merkezinde bir yıllık periyotta yapıldı. Çalışma periyodunda hastaneye yatırılan 1321 erişkin (>15 yaş) yanıklı hasta çalışmaya kaydedildi. Mortalite ile birlikte olan faktörleri belirlemek üzere, tek değişkenli analiz ve çok değişkenli (lojistik regresyon) analiz yapıldı. BULGULAR Hastaların ortalama yaşı 33,1±14,9 yıl idi. Yanıkların büyük çoğunluğu kazaya bağlıydı (n=1076, %81,5). Yanık mekanizması ile ilgili olarak, petrol ürünleri ile en sık yanık nedeni idi. Ortalama yüzde yanık toplam vücut yüzey alanı (TVYA) %39,9±%25,8 idi. Mortalite oranı %33 oldu. Sepsis, en sık mortalite nedeniydi. Bu çalışmanın sonuçlarına göre erişkin yanık hastalarında iş kazası olmayan yanıklar, yanık olan TVYA ve ikinci ve üçüncü derece yanıktan etkilenmiş yüzey alanı mortalitenin bağımsız belirleycileridir. SONUÇ Bu çalışma, çalışılan yanık merkezlerinde yüksek bir mortalite oranı olduğunu göstermiştir. Belirlenen risk faktörleri olan hastalar, yatışları sırasında yüksek riskli hastalar olarak sınıflandırılmalı ve bu hastalara hastanede kalış süresince özel ilgi ve bakım gösterilmelidir.

Anahtar Kelime:

Konular: Cerrahi

Tahran kentinde hastaneye yatırılan erişkin yanık hastalarında mortaliteye neden olan faktörler

Öz:

BACKGROUND The mortality rate following burn is an important outcome parameter. This study aimed to identify factors associated with mortality in adult hospitalized burn patients in Tehran, Iran. METHODS This cross-sectional study was performed during a one-year period in two referral burn centers in Tehran. During the study period, 1321 adult (>15 years) hospitalized burn patients were enrolled. Univariate and multivariate (logistic regression) analyses were performed to identify factors associated with mortality. RESULTS The mean age of the patients was 33.1±14.9 years. By far, the majority of burns were accidental (n=1076, 81.5%). Regarding the mechanism of burn, burn with petroleum products was the most frequent. Mean percent burned total body surface area (TBSA) was 39.9%±25.8%. The mortality rate was 33%. Sepsis was the most common cause of mortality. The results of the present study indicated that non work-related burns, burned TBSA and body surface area affected by second- or third-degree burns were independent determinants of mortality among adult hospitalized burn patients. CONCLUSION The present study showed a high mortality rate in the studied burn centers. Patients with identified risk factors should be categorized as high risk at the time of admission and need special attention and care during hospitalization.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ZAREI M, DIANAT S, ESLAMI V, HARIRCHI I, BODDOUHI N, ZANDIEH A, RASOULI M (2011). Factors associated with mortality in adult hospitalized burn patients in Tehran. , 61 - 65.
Chicago	ZAREI Mohammad-Reza,DIANAT Seyedsaied,ESLAMI Vahid,HARIRCHI Iraj,BODDOUHI Nosratollah,ZANDIEH Ali,RASOULI Mohammad R. Factors associated with mortality in adult hospitalized burn patients in Tehran. (2011): 61 - 65.
MLA	ZAREI Mohammad-Reza,DIANAT Seyedsaied,ESLAMI Vahid,HARIRCHI Iraj,BODDOUHI Nosratollah,ZANDIEH Ali,RASOULI Mohammad R. Factors associated with mortality in adult hospitalized burn patients in Tehran. , 2011, ss.61 - 65.
AMA	ZAREI M,DIANAT S,ESLAMI V,HARIRCHI I,BODDOUHI N,ZANDIEH A,RASOULI M Factors associated with mortality in adult hospitalized burn patients in Tehran. . 2011; 61 - 65.
Vancouver	ZAREI M,DIANAT S,ESLAMI V,HARIRCHI I,BODDOUHI N,ZANDIEH A,RASOULI M Factors associated with mortality in adult hospitalized burn patients in Tehran. . 2011; 61 - 65.
IEEE	ZAREI M,DIANAT S,ESLAMI V,HARIRCHI I,BODDOUHI N,ZANDIEH A,RASOULI M "Factors associated with mortality in adult hospitalized burn patients in Tehran." , ss.61 - 65, 2011.
ISNAD	ZAREI, Mohammad-Reza vd. "Factors associated with mortality in adult hospitalized burn patients in Tehran". (2011), 61-65.

APA	ZAREI M, DIANAT S, ESLAMI V, HARIRCHI I, BODDOUHI N, ZANDIEH A, RASOULI M (2011). Factors associated with mortality in adult hospitalized burn patients in Tehran. Ulusal Travma ve Acil Cerrahi Dergisi, 17(1), 61 - 65.
Chicago	ZAREI Mohammad-Reza,DIANAT Seyedsaied,ESLAMI Vahid,HARIRCHI Iraj,BODDOUHI Nosratollah,ZANDIEH Ali,RASOULI Mohammad R. Factors associated with mortality in adult hospitalized burn patients in Tehran. Ulusal Travma ve Acil Cerrahi Dergisi 17, no.1 (2011): 61 - 65.
MLA	ZAREI Mohammad-Reza,DIANAT Seyedsaied,ESLAMI Vahid,HARIRCHI Iraj,BODDOUHI Nosratollah,ZANDIEH Ali,RASOULI Mohammad R. Factors associated with mortality in adult hospitalized burn patients in Tehran. Ulusal Travma ve Acil Cerrahi Dergisi, vol.17, no.1, 2011, ss.61 - 65.
AMA	ZAREI M,DIANAT S,ESLAMI V,HARIRCHI I,BODDOUHI N,ZANDIEH A,RASOULI M Factors associated with mortality in adult hospitalized burn patients in Tehran. Ulusal Travma ve Acil Cerrahi Dergisi. 2011; 17(1): 61 - 65.
Vancouver	ZAREI M,DIANAT S,ESLAMI V,HARIRCHI I,BODDOUHI N,ZANDIEH A,RASOULI M Factors associated with mortality in adult hospitalized burn patients in Tehran. Ulusal Travma ve Acil Cerrahi Dergisi. 2011; 17(1): 61 - 65.
IEEE	ZAREI M,DIANAT S,ESLAMI V,HARIRCHI I,BODDOUHI N,ZANDIEH A,RASOULI M "Factors associated with mortality in adult hospitalized burn patients in Tehran." Ulusal Travma ve Acil Cerrahi Dergisi, 17, ss.61 - 65, 2011.
ISNAD	ZAREI, Mohammad-Reza vd. "Factors associated with mortality in adult hospitalized burn patients in Tehran". Ulusal Travma ve Acil Cerrahi Dergisi 17/1 (2011), 61-65.