Acta clinica Croatica, Vol. 62. No. 1, 2023.
Original scientific paper
https://doi.org/10.20471/acc.2023.62.01.14
Epidemiological Characteristics and Factors Associated with Mortality in Severely Burned Patients – Croatian National Burn Center Report
Agata Škunca
; Department of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ana Mesić
; Department of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tihana Magdić Turković
; Department of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tomislav Radočaj
; Department of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Slavica Potočki
; Department of Chemistry and Biochemistry, Zagreb University School of Medicine, Zagreb, Croatia
Abstract
The authors conducted a single-center retrospective study during the last 6.5 years.
The study aimed to describe demographic data of burn patients in the Croatian Burn Center and
investigate factors affecting mortality for the first time after the Center was established. The study
included 109 severely burned patients with a total body surface area (TBSA) burned ≥20%, admitted
to the burn intensive care unit. The relationship between the fatal outcome and age, sex, comorbidity,
mechanism of injury, TBSA burned, and inhalation injury was investigated. The mean patient age was
54.50±20.21 years and the mean TBSA burned was 42.48±18.64%, with the mortality rate of 50%.
The results demonstrated that patients with 2 or more comorbidities compared with those with no
comorbidities had a higher chance of lethal outcome (p<0.0001). With an increase of TBSA by 1%,
the odds of lethal outcome are expected to increase by 7% (p<0.0001). Other variables included in the
analysis did not show statistical significance. TBSA percentage is a well-known predictor of mortality
and numerous studies indicate an association between comorbidities and mortality but there are conflicting
results about other demographic factors and injury characteristics.
Keywords
Burns; Epidemiology; Croatia; Mortality; Adult
Hrčak ID:
307267
URI
Publication date:
1.4.2023.
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