Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of...

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Authors: Abarca, Luis, Guilabert, Patricia, Martin, Nuria, Usua, Gemma, Barret Nerín, Juan Pedro, Colomina Soler, M. J. (María José)
Format: article
Status:Published version
Publication Date:2023
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/207901
Online Access:https://hdl.handle.net/2445/207901
Access Level:Open access
Keyword:Cremades
Epidemiologia
Malalties cardiovasculars
Mortalitat
Burns and scalds
Epidemiology
Cardiovascular diseases
Mortality
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spelling Epidemiology and mortality in patients hospitalized for burns in Catalonia, SpainAbarca, LuisGuilabert, PatriciaMartin, NuriaUsua, GemmaBarret Nerín, Juan PedroColomina Soler, M. J. (María José)CremadesEpidemiologiaMalalties cardiovascularsMortalitatBurns and scaldsEpidemiologyCardiovascular diseasesMortalityBurn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/105 population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.Nature Publishing Group2024202420232024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion17 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/207901Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1038/s41598-023-40198-2Scientific Reports, 2023, vol. 13, num.1https://doi.org/10.1038/s41598-023-40198-2cc-by (c) Abarca, L. et al., 2023http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2079012026-05-29T05:05:01Z
dc.title.none.fl_str_mv Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
title Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
spellingShingle Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
Abarca, Luis
Cremades
Epidemiologia
Malalties cardiovasculars
Mortalitat
Burns and scalds
Epidemiology
Cardiovascular diseases
Mortality
title_short Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
title_full Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
title_fullStr Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
title_full_unstemmed Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
title_sort Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain
dc.creator.none.fl_str_mv Abarca, Luis
Guilabert, Patricia
Martin, Nuria
Usua, Gemma
Barret Nerín, Juan Pedro
Colomina Soler, M. J. (María José)
author Abarca, Luis
author_facet Abarca, Luis
Guilabert, Patricia
Martin, Nuria
Usua, Gemma
Barret Nerín, Juan Pedro
Colomina Soler, M. J. (María José)
author_role author
author2 Guilabert, Patricia
Martin, Nuria
Usua, Gemma
Barret Nerín, Juan Pedro
Colomina Soler, M. J. (María José)
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Cremades
Epidemiologia
Malalties cardiovasculars
Mortalitat
Burns and scalds
Epidemiology
Cardiovascular diseases
Mortality
topic Cremades
Epidemiologia
Malalties cardiovasculars
Mortalitat
Burns and scalds
Epidemiology
Cardiovascular diseases
Mortality
description Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/105 population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.
publishDate 2023
dc.date.none.fl_str_mv 2023
2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/207901
url https://hdl.handle.net/2445/207901
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1038/s41598-023-40198-2
Scientific Reports, 2023, vol. 13, num.1
https://doi.org/10.1038/s41598-023-40198-2
dc.rights.none.fl_str_mv cc-by (c) Abarca, L. et al., 2023
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Abarca, L. et al., 2023
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 17 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Nature Publishing Group
publisher.none.fl_str_mv Nature Publishing Group
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,228081

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