Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes

Abstract Burns are one of the most common injuries in daily life for all ages of population. This study was to investigate the epidemiology and outcomes among burn patients in one of the largest burn centers in the southwest of China. The study was performed at the Institute of Burn Research in the...

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Autores principales:	Ling Chen, Xiaochong He, Jishu Xian, Jianmei Liao, Xuanji Chen, Yue Luo, Zonghua Wang, Ning Li
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4f30ac658e63413cbe0fa5cb8b8cec4b
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spelling	oai:doaj.org-article:4f30ac658e63413cbe0fa5cb8b8cec4b2021-12-02T13:41:34ZDevelopment of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes10.1038/s41598-021-88507-x2045-2322https://doaj.org/article/4f30ac658e63413cbe0fa5cb8b8cec4b2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88507-xhttps://doaj.org/toc/2045-2322Abstract Burns are one of the most common injuries in daily life for all ages of population. This study was to investigate the epidemiology and outcomes among burn patients in one of the largest burn centers in the southwest of China. The study was performed at the Institute of Burn Research in the first affiliated with the Army Medical University (AMU). A total of 17,939 burn patients were included in this retrospective study. Information regarding burn epidemiology and outcomes in 17 years were collected, calculated and compared. The age ranged from 257 days to 95 years old. Scalding and flame were the two most common causes to burn injuries, comprising of 91.96% in total. Limbs, head/face/neck, and trunk were the most frequently occurred burn sites, with the number and the percent of 12,324 (68.70%), 7989 (44.53%), and 7771 (43.32%), respectively. The average total body surface area (TBSA) was 13.64 ± 16.83% (median 8%) with a range of 0.1–100%. A total of 874 (4.9%) patients had TBSA > 50%. The presence of a burn with an inhalation injury was confirmed in 543 patients (3.03%). The average LOS was 32.11 ± 65.72 days (median: 17 days). Eventually, the retrospective analysis resulted in the development of a burn management continuum used for developing strategies to prevent and manage severe burns. The annual number of burn injuries has kept decreasing, which was partially attributed to the increased awareness and education of burn prevention and the improved burn-preventative circumstances. However, the burn severity and the economic burden were still in a high level. And the gender difference and age difference should be considered when making individualized interventions and rehabilitative treatments.Ling ChenXiaochong HeJishu XianJianmei LiaoXuanji ChenYue LuoZonghua WangNing LiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ling Chen Xiaochong He Jishu Xian Jianmei Liao Xuanji Chen Yue Luo Zonghua Wang Ning Li Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
description	Abstract Burns are one of the most common injuries in daily life for all ages of population. This study was to investigate the epidemiology and outcomes among burn patients in one of the largest burn centers in the southwest of China. The study was performed at the Institute of Burn Research in the first affiliated with the Army Medical University (AMU). A total of 17,939 burn patients were included in this retrospective study. Information regarding burn epidemiology and outcomes in 17 years were collected, calculated and compared. The age ranged from 257 days to 95 years old. Scalding and flame were the two most common causes to burn injuries, comprising of 91.96% in total. Limbs, head/face/neck, and trunk were the most frequently occurred burn sites, with the number and the percent of 12,324 (68.70%), 7989 (44.53%), and 7771 (43.32%), respectively. The average total body surface area (TBSA) was 13.64 ± 16.83% (median 8%) with a range of 0.1–100%. A total of 874 (4.9%) patients had TBSA > 50%. The presence of a burn with an inhalation injury was confirmed in 543 patients (3.03%). The average LOS was 32.11 ± 65.72 days (median: 17 days). Eventually, the retrospective analysis resulted in the development of a burn management continuum used for developing strategies to prevent and manage severe burns. The annual number of burn injuries has kept decreasing, which was partially attributed to the increased awareness and education of burn prevention and the improved burn-preventative circumstances. However, the burn severity and the economic burden were still in a high level. And the gender difference and age difference should be considered when making individualized interventions and rehabilitative treatments.
format	article
author	Ling Chen Xiaochong He Jishu Xian Jianmei Liao Xuanji Chen Yue Luo Zonghua Wang Ning Li
author_facet	Ling Chen Xiaochong He Jishu Xian Jianmei Liao Xuanji Chen Yue Luo Zonghua Wang Ning Li
author_sort	Ling Chen
title	Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
title_short	Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
title_full	Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
title_fullStr	Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
title_full_unstemmed	Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
title_sort	development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/4f30ac658e63413cbe0fa5cb8b8cec4b
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Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes

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