Tokai University School of Medicine, Department of Emergency and Critical Care Medicine, 143 Shimokasuya, Isehara City, Kanagawa 259-1193, Japan.
Burns. 2010 Nov;36(7):1116-21. doi: 10.1016/j.burns.2010.02.006. Epub 2010 Apr 25.
In this study, we report the clinical characteristics of elderly Japanese patients with severe burns. We studied the clinical features of 76 adult patients with severe burns, 35 of whom (46.1%) were ≥65 years old. We evaluated the characteristics of patients with respect to each type of burn. In addition, we studied the rate of death and survival in the elderly and also between the elderly and non-elderly patients. The following parameters were either assessed or compared between the elderly and non-elderly: gender, average age, vital signs (Glasgow Coma Scale, systolic blood pressure, heart rate and respiratory rate) and PaO(2)/FiO(2) (P/F) ratio at admission, cause of burn and a history of physical or psychiatric disease. Further, we investigated whether the burn was caused by attempting suicide and determined the percent total body surface area (%TBSA), second- and third-degree burn area, burn index (BI), prognostic burn index (PBI), presence of tracheal burns, presence of alcohol intoxication and overdose poisoning, presence of tracheal intubation, outcome and cause of death. The male:female ratio of the elderly patients was 17:18 (average age, 78.1 (8.2) years). Burns were mostly caused by flame (26/35), followed by scalding (8/35). Ten patients had attempted suicide. The %TBSA, second-degree burn area, third-degree burn area, BI and PBI, respectively were 46.6% (26.7%), 15.3% (19.0%), 35.6% (26.0%), 41.1 (25.2) and 119.2 (25.9). Of the 35 patients, 23 died. The notable characteristics of the elderly patients who died were flame as the cause of the burns: high %TBSA, BI and PBI, and a high rate of tracheal intubation. Elderly patients constituted approximately 45% of our study population. Most burns were caused by flames. The incidence of accidental bathtub-related burns was higher and that of suicide attempts was lower in the elderly patients, as compared with the non-elderly patients. Severe burns were fatal for elderly patients. Therefore, elderly Japanese people should be educated on how to prevent non-intentional burns.
在这项研究中，我们报告了老年日本严重烧伤患者的临床特征。我们研究了 76 名成人严重烧伤患者的临床特征，其中 35 名（46.1%）年龄≥65 岁。我们评估了患者在各种烧伤类型下的特征。此外，我们还研究了老年人和非老年人的死亡率和存活率。在老年人和非老年人之间，我们评估或比较了以下参数：性别、平均年龄、生命体征（格拉斯哥昏迷量表、收缩压、心率和呼吸频率）和入院时的 PaO2/FiO2（P/F）比值、烧伤原因和身体或精神疾病史。此外，我们还调查了烧伤是否是由自杀引起的，并确定了总体表烧伤面积（%TBSA）、二度和三度烧伤面积、烧伤指数（BI）、预后烧伤指数（PBI）、气管烧伤、酒精中毒和药物过量、气管插管、结局和死因。老年患者的男女比例为 17:18（平均年龄为 78.1（8.2）岁）。烧伤主要由火焰引起（26/35），其次是烫伤（8/35）。10 名患者试图自杀。%TBSA、二度烧伤面积、三度烧伤面积、BI 和 PBI 分别为 46.6%（26.7%）、15.3%（19.0%）、35.6%（26.0%）、41.1（25.2%）和 119.2（25.9%）。35 名患者中有 23 人死亡。死亡的老年患者的显著特征是烧伤原因是火焰：%TBSA、BI 和 PBI 高，气管插管率高。老年患者约占我们研究人群的 45%。大多数烧伤是由火焰引起的。与非老年患者相比，老年患者意外浴缸相关烧伤的发生率较高，自杀企图的发生率较低。严重烧伤对老年患者是致命的。因此，应该对日本老年人进行如何预防非故意烧伤的教育。
