De-Souza D A, Marchesan W G, Greene L J
Centro de Química de Proteínas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brazil.
Burns. 1998 Aug;24(5):433-8. doi: 10.1016/s0305-4179(98)00043-6.
This retrospective analysis of burn patients in a University Hospital in the state of São Paulo, Brazil, was carried out to characterize this population and to identify the factors that affect the mortality rate. All patients hospitalized from January 1990 to April 1995 (n = 229, 3.6 patients/month) and who terminated treatment were included. Of these, 80.8% (185 patients) were hospitalized within 24 h of the burn. Occupational and/or domestic accidents were responsible for most of the burns (78.6%), which were mainly caused by a direct flame (71.2%). with alcohol being the flammable fluid most frequently used. The average patient treated at the center was a male of 9 years of age or less with 20-40% burned body surface, who received care within 24 h after suffering an accidental alcohol burn and who was hospitalized for < or =30 days. The mortality rate was 18.8% for all patients and increased with burned body surface and age, and for suicide patients. Suicide attempts for all patients > or = 18 years were the cause of 46 .5% (20/43) of the burns involving women and of 8.9% (8/90) of the burns involving men. The mortality rate was significantly higher for self-inflicted burns (42.9%) than for accidental burns (20.2%).
对巴西圣保罗州一家大学医院的烧伤患者进行了这项回顾性分析，以描述该人群的特征并确定影响死亡率的因素。纳入了1990年1月至1995年4月期间住院（n = 229，每月3.6例患者）且结束治疗的所有患者。其中，80.8%（185例患者）在烧伤后24小时内入院。职业和/或家庭事故导致了大多数烧伤（78.6%），主要由直接火焰引起（71.2%），酒精是最常使用的易燃液体。该中心治疗的平均患者为9岁及以下男性，烧伤体表面积为20% - 40%，在意外酒精烧伤后24小时内接受治疗，住院时间≤30天。所有患者的死亡率为18.8%，且随着烧伤体表面积和年龄的增加而上升，自杀患者的死亡率也较高。所有≥18岁患者的自杀企图导致46.5%（20/43）的女性烧伤和8.9%（8/90）的男性烧伤。自残烧伤的死亡率（42.9%）显著高于意外烧伤（20.2%）。
