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Home Oxygen Therapy in Burn Patients: A Single-Center Five-Year Analysis
Anna Fouty1, Andrew Haiflich2, Chandler S Hinson1
1Frederick P. Whiddon College of Medicine University of South Alabama, Mobile, AL, United States.
Home oxygen therapy (HOT) patients who smoke face a high risk of severe burns. Active smoking is the main cause of HOT-related burns, leading to increased mortality and prolonged hospital stays.
Area of Science:
- Pulmonary Medicine
- Burn Injury Research
- Patient Safety
Background:
- Home oxygen therapy (HOT) is vital for chronic pulmonary diseases.
- Current or former smokers on HOT face elevated burn injury risks.
- Previous studies indicated a rise in HOT-related burns.
Purpose of the Study:
- To analyze trends and risk factors of HOT-related burns.
- To assess the impact of HOT on burn patient outcomes.
- To identify patient demographics and injury patterns.
Main Methods:
- Retrospective review of burn patients admitted to a tertiary burn center (2019-2023).
- Analysis of patients with documented home oxygen therapy use.
- Comparison of outcomes between HOT and non-HOT burn patients.
Main Results:
- 2% of burn admissions involved patients on HOT; 57.7% of these burns were HOT-related.
- Cigarette smoking caused 87% of HOT-related burns.
- HOT burn patients were older, had more comorbidities, higher rates of facial burns/inhalation injuries, and a 5.9x higher mortality risk.
Conclusions:
- Active smoking is the primary risk factor for HOT-related burns.
- Targeted education and safety measures are crucial for smokers on HOT.
- Enhanced safety protocols and interventions are needed to reduce morbidity and mortality.
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