Department of Surgery, Service of Burns and Plastic Surgery, University Hospital Center "Mother Teresa", Tirana, Albania.
Department of Surgery, Service of Burns and Plastic Surgery, University Hospital Center "Mother Teresa", Tirana, Albania; Department of Surgery, Service of Burns and Plastic Surgery, Service of Anesthesiology, University Hospital Center "Mother Teresa", Tirana, Albania; Department of Biomedical and Experimental Courses, Field of science: Pharmacology, Faculty of Medicine, University of Medicine, Tirana, Albania.
Burns. 2021 Jun;47(4):930-943. doi: 10.1016/j.burns.2020.09.006. Epub 2020 Oct 8.
Statistical and epidemiological data taken throughout decades show trends of the pathology of burns and its treatment. The aim of this study is to analyze the summarized epidemiological and clinical data of severe burn patients during the period 2009-2019 in order to acquire an accurate and recent picture of this pathology. This can create a basis for improving community health outcomes.
The study retrospectively analyzes the data of severe burn patients admitted in the Intensive Care Unit (ICU) of the Service of Burns and Plastic Surgery of the University Hospital Center in Tirana, Albania, from 2009 to 2019. SPSS 23 software is used for the conduction of the Descriptive and Inferential Statistics. Statistical significance is defined as p<0.05.
Incidence rate of burn admissions which need ICU treatment in our data was 5.2 patients/100,000population/year. The mean age of our population was 24.9±25.5 years. The most frequent causes of burns in all patients were scalds (49.6%) followed by flame (39.5%), electrical (5.1%), chemical (5%) and with unknown cause (0.7%). Death rate from fire and burns for the period 2009-2019 was 0.3 patients per 100,000population/year. Overall mortality was 6.8%. The ABSI, Baux and R Baux scoring system remain accurate and valuable tools in the prediction of burn patient mortality. A probability of death chart for our service has been developed based on age and BSA (%) burned which needs to validate in the future.
Etiology of burns have changed toward an increase in proportion of flame burns especially in adults and elderly population. Survival following severe burns has improved over the past 11 years even in patients with three risk factors (age ≥60, BSA (%) burned ≥40% and presence of inhalation burn). LA 50 for all patients was 80%. LOS/BSA (%) ratio is a more valuable indicator than LOS alone. Improvement in the treatment of severe burns is a combination of preventive health care, appropriate treatment protocols and improvements in equipment and infrastructure.
几十年来的统计和流行病学数据显示了烧伤病理及其治疗的趋势。本研究旨在分析 2009 年至 2019 年期间严重烧伤患者的汇总流行病学和临床数据，以便准确了解该病理学的最新情况。这可以为改善社区健康结果奠定基础。
本研究回顾性分析了 2009 年至 2019 年期间阿尔巴尼亚地拉那大学医院烧伤和整形外科学服务中心重症监护病房（ICU）收治的严重烧伤患者的数据。使用 SPSS 23 软件进行描述性和推论性统计分析。统计显著性定义为 p<0.05。
我们的数据显示，需要 ICU 治疗的烧伤住院率为 5.2 例/10 万人/年。我们人群的平均年龄为 24.9±25.5 岁。所有患者中最常见的烧伤原因是烫伤（49.6%），其次是火焰（39.5%）、电（5.1%）、化学（5%）和原因不明（0.7%）。2009 年至 2019 年期间，火灾和烧伤的死亡率为每 10 万人中有 0.3 例。总体死亡率为 6.8%。ABSI、Baux 和 R Baux 评分系统仍然是预测烧伤患者死亡率的准确且有价值的工具。根据年龄和烧伤面积（%），我们已经为我们的服务制定了一张死亡率预测图表，需要在未来进行验证。
烧伤的病因已经发生变化，火焰烧伤的比例增加，特别是在成年人和老年人群中。在过去的 11 年中，即使在有三个危险因素（年龄≥60 岁、烧伤面积（%）≥40%和吸入性烧伤）的患者中，严重烧伤的存活率也有所提高。所有患者的 LA50 为 80%。LOS/BSA（%）比值比 LOS 更有价值。严重烧伤治疗的改善是预防保健、适当的治疗方案以及设备和基础设施改进的综合结果。
