Aetiology and outcome of burns in the elderly.
BACKGROUND
This retrospective study, analyses aetiology and factors affecting the outcome of burns in patients over 65 years of age.


METHODS
Sixty-three consecutive patients, over 65 years of age, were admitted to a Burns Unit over a period of 3 years. Retrospective data was analyzed, taking into account aetiology, burn thickness and area, co-morbid factors. Also, surgery as a factor-affecting outcome was examined.


RESULTS
There was a significant difference of total body surface area burn (TBSA), Abbreviated Burn Severity Index (ABSI), Baux score and the number of pre-existing co-morbid factors between survivors and non-survivors. Age and surgery were not significant to the outcome. Patients undergoing surgery had increased hospital stay without any difference in mortality. The timing of surgery did not have any impact on hospital stay or survival.


CONCLUSIONS
This study shows a positive correlation between the number of co-morbid conditions and mortality. Early surgery after careful patient selection does not have any negative impact on patient survival.
Rao
K
K
Department of Plastic Surgery and Burns, University Hospitals Birmingham NHS Trust, Selly Oak Hospital, Raddlebarn Road, Birmingham B29 6JD, United Kingdom. krisrao@doctors.net.uk
Ali
S N
SN
Moiemen
N S
NS
D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000209:etiology* / Q000401:mortality / Q000628:therapy; D002423:Cause of Death; D006402:Hematologic Diseases / Q000209:etiology; D006801:Humans; D007902:Length of Stay; D008659:Metabolic Diseases / Q000209:etiology; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome