Analyzing Mortality in Burned Patients with Lethal Area 50.
AJTES Vol 6, No 2, July 2022
Abdullahu B et al - Analyzing Mortality in Burned Patients with Lethal Area 50.

Keywords

Burns
Mortality
Lethal Area 50

How to Cite

Abdullahu, B., & Belba, M. (2022). Analyzing Mortality in Burned Patients with Lethal Area 50. Albanian Journal of Trauma and Emergency Surgery, 6(2), 1013 - 1017. https://doi.org/10.32391/ajtes.v6i2.272

Abstract

Background; Clinical outcome is the most measurable of the critical care activity. Although every burn center has its own particular limitations, it is clear that exists a minimum standard of survival after burn injury which is LA50 (Lethal Area 50).

The aim of this study is to present demographic and epidemiologic features of severe burns in Albania in the period 2009-2019 and to analyze burn mortality as an important outcome measure analyzing LA 50.

Material and Methods; The study is retrospective clinical and analytical. Since our burn center is the only one in the country it encompasses all the cases with moderate burns from the capital and severe burns. The data used are obtained by the analysis of the medical records of 1684 patients hospitalized in Burns Service ICU near University Hospital Center in Tirana, Albania during 2009-2019.

Results; While comparing the decade (2009-2019) with the previous one (1998-2008) there is a progressive decrease of mortality (6.89% versus 10.5%) of our burn patient population although mean BSA (%) burned increased to 25.6±19.1 % (versus 22.8±14.7%). LA 50 for all patients was 80.04%, for children was 77.7%, for adults was 87% and for elderly was 52.28%. The mortality rate of all ICU burns as an average for 2009-2019 was 0.35 cases per 100000 population/year.

Conclusions; The long-term studies and the comparison of our results with the ones of other burn centers have allowed us to determine the actual level of care and as well as to build up contemporary protocols in order to improve the treatment with the objection decreasing the mortality. Improvements in overall mortality expressed by LA 50 noticed it as an important outcome measure.

https://doi.org/10.32391/ajtes.v6i2.272
Abdullahu B et al - Analyzing Mortality in Burned Patients with Lethal Area 50.

References

Brusselaers N, Monstrey S, Vogelaers D, Hoste E, Blot S. Severe burn injury in Europe: a systematic review of the incidence, etiology, morbidity, and mortality. Crit Care 2010;14: https://ccforum.biomedcentral.com/articles/10.1186/cc9300

Belba MK, Petrela EY. Epidemiology and mortality of burned patients treated in the university hospital center in Tirana, Albania: an analysis of 2337 cases during the period 1998– 2008. Burns 2012;38(2):155–63. https://doi.org/10.1016/j.burns.2011.03.024

Burn care Resources in North American, 1999-2000 Ed. Chicago. Ill: American Burn Association, 625 N Michigan Ave Ste 1530, Chicago, IL 60611.

Brusselaers N, Hoste EA, Monstrey S, Colpaert KE, De Waele JJ, Vandewoude KH et al. Outcome and changes over time in survival following severe burns from 1985 to 2004. Intensive Care Med. 2005; 31:1648–1653. https://doi.org/10.1007/s00134-005-2819-6

Aldemir M, Kara IH, Girgin S, Guloglu C. Factors affecting mortality and epidemiological data in patients hospitalised with burns in Diyarbakir, Turkey. S Afr J Surg. 2005; 43:159–162. https://www.journalagent.com/ejm/pdfs/EJM_18_2_72_75.pdf

Perro G, Bourdarias B, Cutillas M, Castède JC, Sanchez R. Analyseepidemiologique de 2000 brulés hospitalises à Bordeaux entre 1987-1994. Ann Burns Fire Disasters. 1996; 9:131–138.

Ho WS, Ying SY, Burd A. Outcome analysis of 286 severely burned patients: retrospective study. Hong Kong Med J. 2002;8(4):235–9. https://europepmc.org/article/med/12167725

Akerlund E, Fredrik RM, Huss R, Sjöberg F. Burns in Sweden: an analysis of 24,538 cases during the period 1987-2004. Burns. 2007; 33:31–36. https://doi.org/10.1016/j.burns.2006.10.002

Dokter J, Vloemans AF, Beerthuizen GI, van der Vlies CH, Boxma H, Breederveld R, et al. The Dutch Burn Repository Group. Epidemiology and trends in severe burns in the Netherlands. Burns. 2014; 40:1406–14. https://doi.org/10.1016/j.burns.2014.03.003

Barret JP, Gomez P, Solano I, Gonzalez-Dorrego M, Crisol FJ. Epidemiology and mortality of adult burns in Catalonia. Burns. 1999; 25:325–329. https://doi.org/10.1016/s0305-4179(98)00190-9

da Silva PN, Amarante J, Costa-Ferreira A, Silva A, Reis J. Burn patients in Portugal: analysis of 14,797 cases during 1993-1999. Burns. 2003; 29:265–269. https://doi.org/10.1016/s0305-4179(02)00312-1

Saffle JR. Predicting outcomes of burns. NEJM. https://doi.org/10.1056/nejm199802053380610 1998; 338(6): 387–8.

Kasten KR, Makley AT, Kagan RJ. Update on the critical care management of severe burns. J Intensive Care Med. 2011;26(4):223–36. https://doi.org/10.1177/0885066610390869

Wassermann D, Schlotterer M. Survival rates of patients hospitalized in French burn units during 1985. Burns. 1989;15(4):261–4. https://doi.org/10.1016/0305-4179(89)90046-6

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.