2002, Number 2
Cir Plast 2002; 12 (2)
Analysis of the morbi-mortality of extensive burnt adults
Moscoso MVH, Cuenca-Pardo J, Álvarez-Díaz CJ
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In a period of two years, we studied 149 adult patients with extensive burns that were admitted to Burn Unit of the “Dr. Victorio de la Fuente Narváez” Traumatology Hospital of the Mexican Institute of Social Security (IMSS). The injury mechanism was fire in 105 patients, electricity in 34, hot liquids in six and chemicals in four, with an extension of 30 to 93% of the total body surface (mean = 45.82%). These injuries were second and third degree. In 65 patients (43.6%) hot smoke inhalation was reported; 56 (43.6%) had complications and infection was corroborated in 34 (22.8%). Mortality occurred in 28 patients (18.7%), due to multiple organic failure, sepsis and hydro-electrolytic imbalance; 78.5% of the deaths happened in the first eight days. A relationship was not found between mortality and age, sex, previous diseases, depth of the injuries, or infection, but it was found hot smoke inhalation (p ‹ 0.001 and OR of 7.43) and with the extension, since 22 of the 28 dead patients had more than 40% of burnt corporal surface (p ‹ 0.001). Survival of the extensively burnt patient in this study could not be determined specifically with predisposal factors, however, what was found was surviving is not related to age, previous health state or complications that emerge during their handling.
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