Ismaeil Taha, Alramahi Ghassan, Othman Fatmah, Mumenah Noora, Alotaibi Lamia, Baazim Hadeel, Aljawan Sarah, Al-Suabie Shekah
Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center Riyadh, Saudi Arabia.
Int J Burns Trauma. 2020 Aug 15;10(4):169-173. eCollection 2020.
Burn injuries are a significant cause of morbidity and mortality. For patients with extensive burn injuries, mechanical ventilation (MV) is a critical management modality. However, limited data are available regarding the outcome of burn patients receiving mechanical ventilation. This study aimed to determine the outcome in terms of mortality and its associated risk factors in burn patients who required MV.
A retrospective review of all consecutive burn patients, admitted to the Burn Unit and requiring mechanical ventilation at King Abdulaziz Medical City and King Abdullah Specialist Children Hospital in Riyadh, from 2016 to 2019. For each patient, demographic, clinical, and outcome variables were collected. The length of stay was calculated from the date of initiation of MV after admission into the earliest discharge date or death date. The overall mortality rate during the period of the study was also calculated.
A total of 356 patients have been admitted to the Burn Unit during the study period. The median age was 18 years (IQR 4-35 years), and 67% were male. Flame burn (48%) was the most frequent type of burn, followed by scald burns (33%). Of the sample, 80 (20%) were placed on MV with a median length of stay of eight days. The APACHE-II severity score for patients who required MV was 16 (SD±6) and the mortality rate was 20%.
This study reported the hospital outcomes of burn patients requiring MV. Resources should be planned to provide ultimate management plan for burn patients to reduce the mortality rate.
烧伤是发病和死亡的重要原因。对于大面积烧伤患者，机械通气（MV）是一种关键的治疗方式。然而，关于接受机械通气的烧伤患者的预后数据有限。本研究旨在确定需要机械通气的烧伤患者的死亡率及其相关危险因素。
对2016年至2019年在利雅得阿卜杜勒阿齐兹国王医疗城和阿卜杜拉国王专科医院烧伤科住院并需要机械通气的所有连续烧伤患者进行回顾性研究。收集每位患者的人口统计学、临床和结局变量。住院时间从入院后开始机械通气之日起计算至最早出院日期或死亡日期。还计算了研究期间的总体死亡率。
在研究期间，共有356名患者入住烧伤科。中位年龄为18岁（四分位间距4 - 35岁），67%为男性。火焰烧伤（48%）是最常见的烧伤类型，其次是烫伤（33%）。在样本中，80例（20%）接受了机械通气，中位住院时间为8天。需要机械通气的患者的急性生理与慢性健康状况评分系统II（APACHE-II）严重程度评分为16（标准差±6），死亡率为20%。
本研究报告了需要机械通气的烧伤患者的医院结局。应规划资源，为烧伤患者提供最终管理计划以降低死亡率。
