The timing of death in burn patients

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-27 DOI:10.1002/ams2.970

Kazuhiro Yoneda, Akinori Osuka, Shinya Ohnishi, Hiroshi Matsuura, Jun Oda

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引用次数: 0

Abstract

Aim

When treating burn patients, some patients die in the chronic phase, even if they overcome the acute phase of the burn. To elucidate the timing of death and its underlying causes among burn patients.

Methods

Patients evaluated were admitted to our burn center between January 2015, and December 2019. Patient information, time, and cause of death were retrospectively collected from their medical records.

Results

Among 342 admitted patients, 49 died. The time of death was as follows: within 24 h (n = 9), within 3 days (n = 7), within 1 week (n = 5), within 2 weeks (n = 4), within 3 weeks (n = 3), within 30 days (n = 6), within 60 days (n = 5), and after 60 days (n = 9). The causes of death within 3 days were hypoxic encephalopathy, extensive burns (>80%), severe heat stroke, and acute coronary syndrome. The causes of death after 3 days were sepsis, pneumonia, intestinal ischemia, pancreatitis, and worsening of chronic diseases. The mortality rate was similar for patients ≥65 years of age and those with a burn area of ≥20%, with both groups showing a particularly poor prognosis.

Conclusions

The timing of death in hospitalized burn patients showed a bimodal distribution as approximately 40% of patients who survived the resuscitation period died after 30 days. Elderly patients were at particularly high risk for mortality. In burn care, treatment planning should consider not only the short-term but also the long-term prognosis.

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烧伤病人的死亡时间。

目的：在治疗烧伤患者时，有些患者即使度过了烧伤的急性期，也会在慢性期死亡。目的：阐明烧伤患者的死亡时间及其根本原因：评估对象为 2015 年 1 月至 2019 年 12 月期间在本烧伤中心住院的患者。从病历中回顾性收集患者信息、死亡时间和原因：在 342 名入院患者中，49 人死亡。死亡时间如下：24小时内（9人）、3天内（7人）、1周内（5人）、2周内（4人）、3周内（3人）、30天内（6人）、60天内（5人）和60天后（9人）。3 天内的死亡原因是缺氧性脑病、大面积烧伤（>80%）、严重中暑和急性冠状动脉综合征。3 天后的死亡原因是败血症、肺炎、肠缺血、胰腺炎和慢性病恶化。年龄≥65岁和烧伤面积≥20%的患者死亡率相似，两组患者的预后都特别差：住院烧伤患者的死亡时间呈双峰分布，在抢救期存活的患者中，约有 40% 在 30 天后死亡。老年患者的死亡风险尤其高。在烧伤护理中，治疗计划不仅要考虑短期预后，还要考虑长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.