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Outcome for older burn patients.

V McGill1, A Kowal-Vern, R L Gamelli

  • 1Burn Shock Trauma Institute, Department of Surgery, Loyola University Medical Center, Maywood, Ill 60153, USA.

Archives of Surgery (Chicago, Ill. : 1960)
|March 18, 2000
PubMed
Summary

Older adults, particularly women, face significant burn injuries, with many achieving independence post-discharge. Burn prevention strategies are crucial for this growing population.

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Area of Science:

  • Gerontology
  • Burn Medicine
  • Public Health

Background:

  • Physicians increasingly manage an aging population valuing independence.
  • Older adults represent a growing demographic with unique healthcare needs.

Purpose of the Study:

  • To analyze burn injuries in patients aged 59 and older.
  • To determine survival rates and functional outcomes post-treatment.
  • To identify risk factors and injury patterns in older burn patients.

Main Methods:

  • Retrospective review of 221 burn unit patients aged 59+ over 7 years.
  • Analysis of injury types, locations, associated factors, and treatment outcomes.
  • Assessment of survival rates and functional independence at 6 months post-discharge.

Main Results:

  • Overall survival rate was 72%, with higher survival in younger age groups (86% for 59-69 vs. 47% for 80+).
  • Nearly half of older burn patients were women; common injuries included flame (66%) and smoke inhalation (29%), often occurring in bedrooms/living rooms (41%).
  • Impaired judgment or mobility contributed to 57% of injuries; 50% of survivors in transitional care regained independence at 6 months.

Conclusions:

  • Older women comprise a significant portion of burn admissions, contrary to typical male predominance.
  • Effective burn prevention strategies are essential for creating safer home environments for the elderly.
  • Functional recovery and independence post-discharge require targeted support and rehabilitation.

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