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2024, Number 3

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Cir Plast 2024; 34 (3)

Association of survival and mortality with demographics in patients with major burns at a Mexican burn center 2022-2023: A retrospective cohort study

Rendón-Mejía NA, Cuervo-Ollervides LF, Flores-González N, Hernández-Terrazas CA
Full text How to cite this article 10.35366/118350

DOI

DOI: 10.35366/118350
URL: https://dx.doi.org/10.35366/118350

Language: Spanish
References: 10
Page: 93-98
PDF size: 368.31 Kb.


Key words:

burned patients, plastic surgery, survival, mortality, intensive care.

ABSTRACT

Introduction: patients with burns continue to be one of the most important public health problems in Mexico, ranked 13th place among the causes of annual mortality. Burns cause important morbidities, such as infection, systemic inflammatory response syndrome, sepsis and organ failure. Objective: to identify the most affected population and the type of burn with higher morbidity and mortality including the patients with major burns. Material and methods: a retrospective observational cohort study of the population admitted to the burn unit of the General Hospital of Chihuahua "Salvador Zubirán Anchondo" from January 1, 2022, to December 31, 2023, was carried out. Overall cumulative mortality and survival were measured using the Kaplan-Meier method. A multivariate Cox correlation model was done to evaluate the association between mortality and the time at which it happens after the burns. Results: a total of 208 patients admitted to our Burn Unit were analyzed: 162 male (77.9%) and 46 female (22.1%). The mean total body surface area was 21.3%, with a range of 1 to 99%; the most frequent cause was direct fire injuries with 140 patients (67.3%). The degree of burn depth with the highest incidence was second degree with 113 admissions (54.6%). Mortality was estimated at 12.5% (26/208), with an average length of stay of 16.8 days (0-119). Conclusion: there is an association between burn depth, age, percentage of surface burned and number of comorbidities when patients were admitted to our burn unit.


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Cir Plast. 2024;34