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Acute Respiratory Failure-II01:21

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The Role Of Comorbidities On Outcome Prediction In Acute Burn Patients.

C Brandão1, R Meireles1, I Brito1

  • 1Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal.

Annals of Burns and Fire Disasters
|January 17, 2022
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Summary

Comorbidities significantly impact burn patient outcomes, increasing mortality and prolonged hospital stays. Incorporating comorbidity data into burn admission scores can improve mortality prediction accuracy.

Keywords:
burncomorbiditiesmortality

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Area of Science:

  • Trauma Surgery
  • Critical Care Medicine
  • Burn Management

Background:

  • Burn trauma is a major cause of death and illness.
  • Existing mortality prediction formulas do not account for comorbidities in burn patients.
  • Comorbidities can significantly affect patient prognosis and hospital resource utilization.

Purpose of the Study:

  • To investigate the influence of comorbidities on in-hospital mortality in burn patients.
  • To assess the impact of comorbidities on prolonged length of hospital stay (≥30 days).
  • To determine if comorbidities improve the accuracy of burn outcome prediction models.

Main Methods:

  • Retrospective analysis of 677 burn patients' medical records over a 5-year period.
  • Evaluation of factors including age, %TBSA burned, inhalation injury, and Charlson Comorbidity Index (CCI) score.
  • Multivariate logistic regression to identify independent predictors of mortality and prolonged LOS.

Main Results:

  • The overall in-hospital mortality rate was 6.5%.
  • Patients who died or had prolonged LOS were older, had larger %TBSA burned, more inhalation injuries, and higher CCI scores.
  • Age, %TBSA burned, CCI score, and inhalation injury were independently associated with mortality and prolonged LOS.

Conclusions:

  • Comorbidities are significant independent predictors of mortality and prolonged hospital stay in burn patients.
  • The Charlson Comorbidity Index (CCI) is a valuable tool for assessing comorbidity burden in this population.
  • Inclusion of comorbidity assessment in burn admission scoring systems is recommended for enhanced predictive accuracy.