[Epidemiology, initial management and analysis of morbidity-mortality of severe burn patient].
OBJECTIVE
Describe the epidemiological characteristics of severe burn patients and analyze the factors related with morbidity-mortality.


METHODS
Observational, retrospective study of patients admitted to an intensive care unit of a level III hospital due to severe burns from January 1998 to December 2004.


METHODS
59 patients with criteria of "severe burn" and expected stay in ICU greater than three days. MAIN ENDPOINTS OF INTEREST: We studied epidemiological endpoints of this type of patients, diagnosis and initial treatment, early complications and morbidity-mortality.


RESULTS
The burned body surface was 41% +/- 25% and age 49 +/- 21 years. Patients remained hospitalized in ICU for a median of 4 days (interquartile range: 2-19). A total of 78% of the patients needed mechanical ventilation, 47% had some infection during admission and 28% developed acute kidney failure during the first week. Mortality in the ICU was 42%. Endpoints associated independently with a significant increase of mortality were burned body surface greater than 35% (OR 1.08; 95% CI: 1.03-1.12) and development of kidney failure (OR 5.47; 95% CI: 2.02 -8.93).


CONCLUSIONS
Mortality of these patients is very high and is conditioned largely by initial care. Percentage of burned body surface (BBS) and kidney failure entails greater mortality in our series.
Curiel-Balsera
E
E
Unidad de Cuidados Intensivos, Hospital Regional Carlos Haya, Málaga, España. emiliouci@ya.com
Prieto-Palomino
M A
MA
Fernández-Jiménez
S
S
Fernández-Ortega
J F
JF
Mora-Ordoñez
J
J
Delgado-Amaya
M
M
D018806:APACHE; D000328:Adult; D002056:Burns / Q000401:mortality* / Q000628:therapy; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D012189:Retrospective Studies; D012307:Risk Factors