Abdulsalam A, Ogunkeyede A O, Bada E, Chira M K
National Orthopaedic Hospital Igbobi, Lagos, Nigeria.
University of Ilorin Teaching Hospital, Nigeria.
Ann Burns Fire Disasters. 2023 Dec 31;36(4):299-306. eCollection 2023 Dec.
The elderly population is on the increase globally according to the current global demographic changes and is more vulnerable to burn injuries. Despite recent advances in burn care, the outcome of burns in the elderly has only marginally improved when compared with children and younger adults. The objective of this study was to determine the patterns and outcomes of burns in the elderly and eventually proffer prevention strategies. A retrospective review of all the elderly (65 years and older) burn patients managed at the Burn Centre of National Orthopaedic Hospital Igbobi Lagos (NOHIL) between January 2015 and December 2019 was performed. The socio-demographic data, clinical information surrounding the burn injury and management were extracted from the medical records, analyzed and presented. A total of 21 patients were included in this study, with a male to female ratio of 1:1.1. Flame burns represented the commonest cause of burns (85.7%) and the majority had pre-injury comorbidities (57.1%). All the patients with %TBSA of less than 40% were successfully managed and discharged while death occurred in all the patients with %TBSA of 40% and above, with a mortality rate of 11.1%. This study provided an epidemiological profile of elderly burn patients in Nigeria. One in five burn admissions is elderly, with flame burns being the major cause of burns. Most of the burns occurred indoors and were related to cooking activities. Prevention strategies were recommended to improve home safety and make the home a safer place for the elderly.
根据当前全球人口结构变化，全球老年人口数量正在增加，且他们更容易遭受烧伤。尽管近期烧伤护理取得了进展，但与儿童和年轻人相比，老年烧伤患者的治疗结果仅略有改善。本研究的目的是确定老年烧伤患者的模式和治疗结果，并最终提出预防策略。对2015年1月至2019年12月期间在拉各斯伊格博比国立骨科医院烧伤中心接受治疗的所有65岁及以上老年烧伤患者进行了回顾性研究。从病历中提取了社会人口统计学数据、烧伤损伤及治疗的临床信息，进行分析并呈现。本研究共纳入21例患者，男女比例为1:1.1。火焰烧伤是最常见的烧伤原因（85.7%），大多数患者在受伤前患有合并症（57.1%）。所有烧伤总面积小于40%的患者均成功治愈并出院，而烧伤总面积在40%及以上的所有患者均死亡，死亡率为11.1%。本研究提供了尼日利亚老年烧伤患者的流行病学概况。每五例烧伤入院患者中就有一例是老年人，火焰烧伤是主要的烧伤原因。大多数烧伤发生在室内，与烹饪活动有关。建议采取预防策略以提高家庭安全性，让家庭成为老年人更安全的地方。
