Epidemiology and Outcome of Hospitalized Patients in Al-Yarmuk Burn Center, 2009-2010

number: 
3264
English
Degree: 
Imprint: 
Medicine
Author: 
Amaal khalaf Mohammed
Supervisor: 
Dr. Atheer J. Al-Saffar
year: 
2013
Abstract:

Introduction: Burn injuries are yet among the most important public health issues, at least in terms of morbidity and long-term disability, throughout the world. They cause more than 1% of the global burden of disease. Burn injuries remain a major concern for health authorities in Iraq where published data and detailed studies about burn trauma are scarce and the burden of problem not well estimated.Objectives of the study: To assess the epidemiological characteristics of patient with burns in AL-Yarmuk teaching hospital burn centre in terms of sociodemographic characteristics, to illustrate the circumstances, models and intent of the burn whether accidental or intentional (suicidal or homicidal) and to study outcome of admitted burns patients particularly in hospital morbidity and mortality and investigate factors associated with death.Patients and Methods: A hospital base record study with retrospective approach. Obtained from patient files stored in archives of police case unit for burns admitted patient .During the period extended from the beginning of 2009 to the end of 2010, using a odified questionnaire to collect data about epidemiological characteristics and outcome of patients.The data were analysed using statistical package for social science (SPSS).Results: A total of (874) of burn patients were admitted to the Al-Yarmuk burn centre during the years 2009 and 2010,out of them369 patients were excluded by exclusion criteria ,the included patients were 505 patients .The mean age of the patients (± SD) was 22.48 ± 16.57 years, (50.3%) were females (54.9%) were singles, children and students were (37.6%),the housewives were (25%), most of the admitted patients IV were residents of Baghdad. Scalds and contacts with hot objects were the most common mechanism of injury accounting for 44.2% of the patient. Winter has the highest frequency of burns (31.7%), intentional in 22.4% of burns from these intentional burns 11.7% were homicidal and 10.7% were suicidal.The most common site of injury was the multiple areas which were affected in (33.1%), more than three quarters of the patients (76.4%) had Total Body Surface Area (TBSA) of 50% or less and 48.9 % of admitted patients had second degree of burn, The mean hospital stay of the patients (± SD) was 8.09 ± 5.42 days. The out comes were 65.1% cured, 7.9% referred to plastic surgery and 26.9% died. For those who died, females were (61%) and male were (39%). Mortality with suicidal intent was significantly associated with female gender.Mortality were significantly associated with Total Body Surface Area >50%, age>40 years and presence of inhalation injury.Conclusions: Burns are an important public health issue with associated sociodemographic characteristics causing defined morbidity and mortality, children and young age adults more affected. Intentional burns by explosive are serious and important problem in Iraq. Suicide by intentional self burn is common and mostly affects adolescents and young women.