Characteristics of burn injuries in old and extremely old patients: A city-wide study

Q3 Medicine

Burns open : an international open access journal for burn injuries Pub Date : 2025-05-12 DOI:10.1016/j.burnso.2025.100408

Takahiro Yamanaka, Ryo Yamamoto, Junichi Sasaki

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Abstract

Background

The global population is aging rapidly. However, research on the characteristics of burn injuries in extremely old individuals remains limited. The current study aimed to identify the characteristics of burn injuries among elderly people by examining a city-wide burn database in Tokyo.

Methods

This observational study was conducted at 14 burn centers, and data from the Tokyo Burn Unit Association registry from 1999 to 2020 were used. Demographic characteristics, burn mechanisms and severity, and clinical outcomes were compared among three age groups: >80 (very old), 65–79 (old), and 18–64 years.

Results

In total, 11,876 patients with burn, including 1,150 aged > 80 years, 1,916 aged 65–79 years, and 8,810 aged 18–64 years, were analyzed. Older patients had a higher incidence of flame burns, burns in the closed space, and trunk, perineum, and lower extremity injuries. The older population had a greater injury severity, longer length of hospital stay, and higher in-hospital mortality rate. Similar trends were observed in the very old population.

Conclusion

This study elucidated the characteristics of burn injuries, which included injury mechanisms and anatomical burn sites, among elderly individuals.

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老年和极老年患者烧伤的特点：一项全市范围的研究

全球人口正在迅速老龄化。然而，对极老个体烧伤特征的研究仍然有限。目前的研究旨在通过检查东京全市烧伤数据库来确定老年人烧伤的特征。方法：本观察性研究在14个烧伤中心进行，使用1999年至2020年东京烧伤协会登记的数据。人口统计学特征、烧伤机制、严重程度和临床结果在三个年龄组中进行比较：80岁（高龄）、65-79岁（高龄）和18-64岁。结果烧伤患者11876例，其中老年1150例；80例，65-79岁1916例，18-64岁8810例。老年患者火焰烧伤、密闭空间烧伤、躯干、会阴和下肢损伤发生率较高。老年人群损伤严重程度更大，住院时间更长，住院死亡率更高。在高龄人群中也观察到类似的趋势。结论本研究阐明了老年人烧伤的特点，包括损伤机制和烧伤解剖部位。

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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