Maria Fernanda Hutter, Diana Julia Tedesco, Fadi Khalaf, Marc G Jeschke
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引用次数: 0
Abstract
Background: The literature provides hints of seasonal influences on burn injury occurrence and outcomes in temperate climates. Still, data for geographic regions experiencing significant changes in climate throughout the year is scarce. Especially the influence of seasonal differences in burn incidence and outcomes for older adults (≥60 years old), a particularly vulnerable patient cohort with increased mortality and morbidity compared to adults (18-59 years old), has not been investigated so far. Since burns pose a significant public health concern, we aimed to understand seasonal burn injury admission patterns and outcomes to utilize them for targetable prevention measures and effective resource allocation.
Methods: This retrospective single-center cohort study examined data from adult burn patients (≥18 years) with reported %TBSA (Total Body Surface Area) treated between 2006 and 2020 at a provincial burn center in Ontario, Canada. Patients were stratified based on age group: adults (18-59 years) and older adults (≥60 years) Demographic data, comorbidities, and clinical outcomes were compared.
Results: A total of 2445 eligible patients were enrolled in this study. Most burn injuries occurred in Summer, in which the burn patient population was also significantly younger compared to Winter. Summer admissions showed a greater median %TBSA. In contrast, length of stay per %TBSA (LOS:TBSA) revealed a shorter hospitalization in Summer compared to Winter. However, mortality did not show differences across seasons.
Conclusion: Seasonal variations in the incidence and severity of burn injuries, along with associated fluctuations in LOS:TBSA, exist between age groups. This understanding can assist in tailoring burn prevention programs and aid in anticipating the types of burn injuries that may occur during specific times of the year to enhance patient care strategies.
期刊介绍：
SHOCK®: Injury, Inflammation, and Sepsis: Laboratory and Clinical Approaches includes studies of novel therapeutic approaches, such as immunomodulation, gene therapy, nutrition, and others. The mission of the Journal is to foster and promote multidisciplinary studies, both experimental and clinical in nature, that critically examine the etiology, mechanisms and novel therapeutics of shock-related pathophysiological conditions. Its purpose is to excel as a vehicle for timely publication in the areas of basic and clinical studies of shock, trauma, sepsis, inflammation, ischemia, and related pathobiological states, with particular emphasis on the biologic mechanisms that determine the response to such injury. Making such information available will ultimately facilitate improved care of the traumatized or septic individual.
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