title: A 10-year experience with major burns from a non-burn intensive care unit.
abstract: OBJECTIVE
  The aim of this study was to review clinical data and outcomes of patients with burns in a Mexican non-burn intensive care unit (ICU).
  
  
  METHODS
  We did a retrospective analysis of our single-centre database of burn patients admitted to the ICU in the Hospital Civil Fray Antonio Alcalde (University Hospital). The sample was divided for analysis into two groups according to the outcome 'death' or 'discharge' from ICU.
  
  
  RESULTS
  Overall mortality was 58.2%, without a decreasing trend in mortality rates through the years. We identified the presence of third-degree burns (odds ratio (OR) 1.5, p=0.003), and >49% total burned surface area (TBSA; OR 3.3, p≤0.001) was associated with mortality. Mean age was higher in deceased patients (38.2 years vs. 31.3 years, p=0.003) as was the TBSA (62.8% vs. 36.4%, p≤0.001). At multivariate analysis, inhalation injury was not associated with increased mortality, but it was with more mechanical ventilation days. Early surgical debridement/cleansing was performed in most patients; however, the mean of the procedures was 1.7 per patient in both groups.
  
  
  CONCLUSIONS
  We identified significant factors associated with mortality. These variables and prognosis from non-burn ICUs differ broadly compared with burn intensive care units (BICUs); thus, more structured, multidisciplinary and specialised treatment strategies are still needed.
authors.affiliation: Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara. Electronic address: drmiguelibarra@hotmail.com.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Ibarra Estrada
authors.affiliation: Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara.
authors.forename: Quetzalcóatl
authors.initials: Q
authors.lastname: Chávez Peña
authors.affiliation: Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara.
authors.forename: Dante Ismael
authors.initials: DI
authors.lastname: García Guardado
authors.affiliation: Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara.
authors.forename: José Arnulfo
authors.initials: JA
authors.lastname: López Pulgarín
authors.affiliation: Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Aguirre Avalos
authors.affiliation: Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara.
authors.forename: Federico
authors.initials: F
authors.lastname: Corona Jiménez
mesh_terms: D000328:Adult; D017677:Age Distribution; D002056:Burns / Q000401:mortality*; D016638:Critical Illness; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D016019:Survival Analysis; D015599:Trauma Severity Indices
keywords: Major burn; Mortality; Non-burn ICU; Prognosis