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Factors affecting mortality in patients with burns

机译:影响烧伤患者死亡率的因素

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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.
机译:目的:生活质量和期望的提高导致老年人口的增加。烧伤治疗的改善导致儿童和年轻人的死亡率降低,但在老年患者中,烧伤仍然是重要的创伤,应该与其他年龄组采取不同的处理方法。这项研究的目的是评估影响45岁以上烧伤患者死亡率的因素。方法:本研究包括最近3年在烧伤科接受治疗的45岁以上的58名患者。对他们的年龄,烧伤百分比和深度,并存疾病和死亡率进行了回顾性检查。结果:幸存患者的平均年龄为57.4岁,而未幸存患者的平均年龄为70岁(p = 0.002)。存活患者的烧伤区域宽度为21.1%,非存活患者为50%(p <0.01)。其他共存疾病对死亡率的影响显着(p = 0.001)。死亡的最常见原因是败血症和充血性心力衰竭。结论:我们发现年龄,烧伤百分比和并存疾病对治疗成功率和死亡率均具有负面影响。通过认真的随访和多学科的方法,这些情况下的死亡率将降低。

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