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Burns in octogenarians.

J Hammond1, C G Ward

  • 1Department of Surgery, University of Miami School of Medicine, Fla.

Southern Medical Journal
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

Elderly burn victims over 80 face high mortality, even with small burns. Early trauma intervention and broadened hospital admission criteria are crucial for improved survival and function in this vulnerable population.

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Area of Science:

  • Gerontology
  • Trauma Surgery
  • Burn Care

Background:

  • Trauma is a leading cause of death in the elderly.
  • The population of individuals aged 80 and older is rapidly increasing.
  • Advanced elderly burn victims present unique challenges due to higher morbidity and mortality rates, even with smaller burn surface areas.

Purpose of the Study:

  • To analyze the outcomes of burn injuries in patients aged 80 years and older.
  • To evaluate the effectiveness of the abbreviated burn severity index (ABSI) in predicting survival for this demographic.
  • To assess the functional status and discharge destinations of elderly burn survivors.

Main Methods:

  • Retrospective review of 29 burn patients aged 80+ treated between September 1982 and August 1990.

Related Experiment Videos

  • Analysis of patient demographics, pre-existing conditions, burn severity (body surface area - BSA), treatment, and outcomes.
  • Correlation of the abbreviated burn severity index (ABSI) with survival rates.

    • Main Results:

    • The study included 29 patients (mean age 83, 72% female) with common comorbidities like hypertension and diabetes.
    • Overall survival rate was 59% (17 out of 29 patients).
    • Deaths occurred even with burns less than 20% BSA, and the ABSI was a significant predictor of survival (11/12 with ABSI ≤7 survived; 9/11 with ABSI ≥9 died).
    • Of 15 survivors who were independent pre-injury, 11 were discharged home.

    Conclusions:

    • Even minor burns can be critical in the advanced elderly, necessitating broader hospital admission criteria.
    • The abbreviated burn severity index (ABSI) is a valuable tool for predicting survival in elderly burn patients.
    • Survivors have a good prognosis for maintaining independent function and returning home, highlighting the importance of effective burn care in this population.