Epidemiology and Outcome Analysis of 3030 Burn Patients with an ICD-10 Approach

Overview

Journal Ann Burns Fire Disasters

Date 2020 Jun 12

PMID 32523489

Citations 9

Authors

J Alipour

Y Mehdipour

A Karimi

Affiliations

Soon will be listed here.

Abstract

The present study aims to document the epidemiologic features and outcomes of burn injuries in Southeastern Iran based on International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) guidelines. This retrospective cross-sectional study was carried out at Khatam-Al-Anbiya Hospital. Patient demographics, including burn injury data and outcome data were collected from medical records and analyzed through descriptive and analytical statistics using SPSS software. A total of 3,030 burn patients were included in this study. A total of 55% of the subjects were males. The largest age group included patients aged 15-44 (61%). The majority of burns were caused by flame (70.5%), and most of them were third-degree burns (73%). Mean affected total body surface area (TBSA) was 43.98%±30.75% in all subjects and 80.85%±21.41% in the deceased individuals. Most of the burns were accidental (66.2%), and 37% of them occurred in winter. Mean hospital stay was 4.49±4.67 days (within the range of 1-113 days). A quarter of all patients admitted to the hospital died (24.9%). The number of admitted patients, mean length of stay (LOS), and the mortality rate showed a decreasing trend from 2007 to 2016. In contrast, the total mortality rate was high. The significant predictors of mortality included being female, flame burns, longer LOS, a larger TBSA, burns of higher degrees, as well as burn complications. The documentation of burn data, based on ICD-10 directives, standardizes findings from burn injury analyses and leads to the comparability of data at different national and international levels.

Citing Articles

Study of the Relationship Between Patient Demographics, Burn Etiology, and the Incidence of Burn Wound Infection in Tanta University Burn Unit.

Sadaka M, Abdeldaim D Ann Burns Fire Disasters. 2024; 37(1):3-9.

PMID: 38680837 PMC: 11041824.

Burns During Covid-19 Pandemic: Demographics, Etiological and Clinical Trends in 2021 at the National Burn Care Centre in Islamabad, Pakistan.

Rehan M, Iqbal T, Khan M, Tariq M, Khokhar O, Ain Q Ann Burns Fire Disasters. 2024; 37(1):28-34.

PMID: 38680832 PMC: 11042046.

Morbidity and mortality risks associated with valproate withdrawal in young adults with epilepsy.

Mbizvo G, Bucci T, Lip G, Marson A Brain. 2024; 147(10):3426-3441.

PMID: 38657115 PMC: 11449131. DOI: 10.1093/brain/awae128.

Effects of acupressure on sleep quality and anxiety of patients with second- or third-degree burns: a randomized sham-controlled trial.

Salajegheh Z, Harorani M, Shahrodi M, Dolati E, Farahani M, Amini N BMC Complement Med Ther. 2024; 24(1):5.

PMID: 38167078 PMC: 10759327. DOI: 10.1186/s12906-023-04292-2.

[Visual analysis of the current research status and hotspots of electric burns at home and abroad].

Chen H, Huang Y, Liu W, Liu B, Chen G, Zhang D Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023; 39(10):977-984.

PMID: 37899564 PMC: 11630444. DOI: 10.3760/cma.j.cn501225-20230511-00167.

References

Emami S, Motevalian S, Momeni M, Karimi H . The epidemiology of geriatric burns in Iran: A national burn registry-based study. Burns. 2016; 42(5):1128-1132. DOI: 10.1016/j.burns.2016.03.011. View

Ho W, Ying S . An epidemiological study of 1063 hospitalized burn patients in a tertiary burns centre in Hong Kong. Burns. 2001; 27(2):119-23. DOI: 10.1016/s0305-4179(00)00095-4. View

Shahmiri S, Kolahdouzan M, Omrani A, Khazaei M, Salehi H, Motavalian A . Determinants of Mortality and the Lethal Area 50 Index (LA50) in Burn Patients Admitted to a Large Burn Center; A Single Center Experience. Bull Emerg Trauma. 2017; 5(3):184-189. PMC: 5547206. View

Mobayen M, Farzan R, Dadashi A, Rimaz S, Aghebati R . Effect of early grafting on improvement of lethal area index (la50) in burn patients: a 7-year investigation in a burn referral centre in the North of Iran. Ann Burns Fire Disasters. 2018; 30(3):189-192. PMC: 5946751. View

Iqbal T, Saaiq M, Ali Z . Epidemiology and outcome of burns: early experience at the country's first national burns centre. Burns. 2012; 39(2):358-62. DOI: 10.1016/j.burns.2012.07.011. View

Atiyeh B, Masellis A, Conte C . Optimizing burn treatment in developing low- and middle-income countries with limited health care resources (part 1). Ann Burns Fire Disasters. 2011; 22(3):121-5. PMC: 3188147. View

Aldana M, Navarrete N . Epidemiology of a decade of Pediatric fatal burns in Colombia, South America. Burns. 2015; 41(7):1587-92. DOI: 10.1016/j.burns.2015.05.005. View

Hwee J, Song C, Tan K, Tan B, Chong S . The trends of burns epidemiology in a tropical regional burns centre. Burns. 2016; 42(3):682-6. DOI: 10.1016/j.burns.2015.10.019. View

Ansari-Moghaddam A, Baghbanian A, Dogoonchi M, Chooban B, Mostaghim-Roudi M, Torkfar G . Epidemiology of burn injuries in south-eastern Iran: a retrospective study. J Pak Med Assoc. 2014; 63(12):1476-81. View

10.

Gilbert A, Rajha E, El Khuri C, Chebl R, Mailhac A, Makki M . Epidemiology of burn patients presenting to a tertiary hospital emergency department in Lebanon. Burns. 2017; 44(1):218-225. DOI: 10.1016/j.burns.2017.06.015. View

11.

Belba M, Petrela E, Belba A . Epidemiology and outcome analysis of sepsis and organ dysfunction/failure after burns. Burns. 2017; 43(6):1335-1347. DOI: 10.1016/j.burns.2017.02.017. View

12.

Forjuoh S . Burns in low- and middle-income countries: a review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns. 2006; 32(5):529-37. DOI: 10.1016/j.burns.2006.04.002. View

13.

Saadat M, Bahaoddini A, Mohabatkar H, Noemani K . High incidence of suicide by burning in Masjid-i-Sulaiman (southwest of Iran), a polluted area with natural sour gas leakage. Burns. 2004; 30(8):829-32. DOI: 10.1016/j.burns.2004.06.003. View

14.

Kumar S, Ali W, Verma A, Pandey A, Rathore S . Epidemiology and mortality of burns in the Lucknow Region, India--a 5 year study. Burns. 2013; 39(8):1599-605. DOI: 10.1016/j.burns.2013.04.008. View

15.

Ringo Y, Chilonga K . Burns at KCMC: epidemiology, presentation, management and treatment outcome. Burns. 2013; 40(5):1024-9. DOI: 10.1016/j.burns.2013.10.019. View

16.

Batra A . Burn mortality: recent trends and sociocultural determinants in rural India. Burns. 2003; 29(3):270-5. DOI: 10.1016/s0305-4179(02)00306-6. View

17.

Yoon C, Cho Y, Park S, Chung S, Choi Y . Epidemiology of burns caused by moxibustion in Korea. Burns. 2016; 42(7):1588-1592. DOI: 10.1016/j.burns.2016.04.015. View

18.

. A conceptual framework for the revision of the ICD-10 classification of mental and behavioural disorders. World Psychiatry. 2011; 10(2):86-92. PMC: 3104876. DOI: 10.1002/j.2051-5545.2011.tb00022.x. View

19.

Mason S, Nathens A, Byrne J, Gonzalez A, Fowler R, Karanicolas P . Trends in the epidemiology of major burn injury among hospitalized patients: A population-based analysis. J Trauma Acute Care Surg. 2017; 83(5):867-874. PMC: 5656518. DOI: 10.1097/TA.0000000000001586. View

20.

Jin R, Wu P, Ho J, Wang X, Han C . Five-year epidemiology of liquefied petroleum gas-related burns. Burns. 2017; 44(1):210-217. DOI: 10.1016/j.burns.2017.05.011. View