Epidemiology and outcome analysis of severe extensive burns: a 12-year summary of 103 cases in a burn center in China.
The purpose of this article is to improve the treatment of severe extensive burns (SEB) patients by summarizing treatment experience in recent 12 years in China and analyzing the follow-up quality of life (QOL) in these patients. Clinical data and rescue measures of 103 SEB patients (≥70% TBSA) admitted in a burn center in Shanghai between 1997 and 2009 were reviewed, and QOL and hand function of those who survived more than 2 years were assessed by Brief Version of Burn Specific Health scale-B and Michigan Hand Outcome Questionnaire. Of these, 76.7% were caused by flames and 15.5% caused by scald. The median burn area was 87.5% (interquartile range, 77.0-95.0%) TBSA, of which third-degree burns accounted for 56.5% (interquartile range, 25.8-80.0%) TBSA; 71.8% were complicated by inhalation injury. The occurrence of in-hospital complications was 75.7%, with the respiratory system complications predominating (49.5%). The fatality rate was 28.2%, mainly due to sepsis and multiple organ dysfunction syndrome. Work, body image, and heat sensitivity got the lowest Brief Version of Burn Specific Health scale-B scores in all nine domains, and Michigan Hand Outcome Questionnaire scores were also relatively poor. Flame burns remain to be the main cause of SEB in China in recent 12 years. Treatment is still challenged because of the depth and extensive burn area and high occurrence of multiple system complications. How to ameliorate QOL of SEB patients, intensify the functional rehabilitation, and improve their physical appearance in particular remain to be a crux.
Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai, People's Republic of China.
Bing
B
Xie
Shi-Chu
SC
Xiao
Xu-Dong
XD
Peng
Shi-Hui
SH
Zhu
Kai-Yang
KY
Lv
Heng-Yu
HY
Li
Zhao-Fan
ZF
Xia
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001830:Body Surface Area; D002053:Burn Units / Q000706:statistics & numerical data; D002056:Burns / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D002681:China / Q000453:epidemiology; D003131:Combined Modality Therapy; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D012189:Retrospective Studies; D018570:Risk Assessment; D017678:Sex Distribution; D018434:Sickness Impact Profile; D015996:Survival Rate; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult