| خلاصه مقاله | Introduction. Annually, more than 300000 burned patients suffer and
die from the burned injury caused morbidities, 95% of which, are from
developing low income countries. According to the released data of legal
medicine agency, burn injuries, follow car accidents and poisonings to
be the third cause of death in traumatic patients. Therefore, we decided
to conduct this study to accurately identify the risk factors, predicting
factors, and lab tests associated with death, and the factors affecting the
in-hospital mortality of burned patients in north-west of Iran.
Methods. In this study, we have indicated the essential death predicting
and affecting factors among burned patients in 2019 in Sina hospital,
to provide the clinicians with a better and more in-depth insight into
burned cases and reported the most important parameters based on data
gathered from 1167 patients admitted to a referral center of Burning and
Plastic Surgery in north-west of Iran.
Results. Electrolyte disturbance was observed in 18.5% of admitted
patients, and 83.3% of expired patients. Calcium level disturbance at
the point of admission and during hospital stay was associated with
higher rates of mortality and the mean calcium levels was higher among
those who lived. ARF (Acute Renal Failure) has occurred in 2.7% of all
patients and 33.3% of expired patients. The OR of the acute renal failure
for mortality was calculated to be 77.714 (P < 0.001).
Conclusion. This study indicating the significant role of renal failure
in death prediction among burned patients. Regarding the fact that
electrolyte disturbance occurs in burned patients mostly due to the loss
of the defensive skin barrier and the significant role of the kidney to tune
the level of each electrolyte and work against the injury, renal failure
could have increased the mortality risk through affecting the defensive
mechanism of the kidney. |