Factors associated with mortality in burn patients admitted to Saraburi Hospital.
Keywords:
burn injury, mortality factors, Saraburi Hospital, sepsis, shockAbstract
This study aimed to study the factors associated with mortality among burn patients admitted to Saraburi Hospital. This was a retrospective study using data collected from the medical records of burn patients admitted to Saraburi Hospital between October 1, 2020, and September 30, 2024, totaling 328 cases. The data collection tool was a researcher-developed record form, which was validated for content validity (IOC = 0.79) and reliability (Cronbach’s alpha = 0.87). Data were analyzed using Chi-square test, Fisher’s exact test, t-test, and logistic regression analysis, with statistical significance set at p < 0.05.
Results: Among 328 patients, 210 (64.02%) were male, with a mean age of 35.3±13.27 years. The mortality rate was 18 cases (5.49%). The most common cause of burns was flame burns (45.73%). Most deceased patients were male (55.56%) with a mean age of 58.24±9.08 years, an average total body surface area burned (%TBSA burn) of 48.69%, and 33.33% had inhalation injury. The leading causes of death were sepsis (50%) and hypovolemic shock (33.33%). Multivariate analysis revealed that age (p=0.003), %TBSA burn (p<0.001), flame burns, and inhalation injury (p=0.038) were significantly associated with mortality.
References
Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nat Rev Dis Primers 2020 Feb 13;6(1):11
Latenser B, Miller S, Bessey P, Browning S, Caruso D, Gomez M, et al. National Burn Repository 2006: A Ten-Year Review. J Burn Care Res 2007;28(5):635–58.
Brusselaers N, Hoste E, Monstrey S, Colpaert K, De Waele J, Vandewoude K, et al. Outcome and changes over time in survival following severe burns from 1985 to 2004. Intensive Care Med 2005;31(12):1648–53.
Who. int. 2022. Burns. [online] Available at: [Accessed 24 September 2022].
Lumenta DB, Hautier A, Desouches C, et al. Mortality and morbidity among elderly people with burns-evauation of data on admission. Burns. 2008; 34: 965-974.
Ying-Zi Huang, Guo-Zhong Lu, Hong-Sheng Zhao, et al. Clinical features and mortality-related factors of extensive burns among young adults: the Kunshan disaster experience Ann Transl Med 2020;8(17): 280-288.
Williams FN, Herndon DN, Hawkins HK, et al. The leading causes of death after burn injury in a single pediatric burn centre. Crit Care 2009;13(6):183. https:// doi.org/10.1186/cc8170.
Arvaniti K, Dimopoulos G, Antonelli M, et al. Epidemiology and age-related mortality in critically ill patients with intra-abdominal infection or sepsis: an international cohort study. Int J Antimicrob Agents 2022;60(1):106591.
Schaefer TJ, Nunez Lopez O. Burn Resuscitation and Management. In: StatPearls. Treasure Island (FL): StatPearls Publishing; January 23, 2023.
Murphy JT, Horton JW, Purdue GF, Hunt JL. Evaluation of troponin-I as an indicator of cardiac dysfunction after thermal injury. J Trauma 1998;45(4):700–4
Krishnan P, Frew Q, Green A, Martin R, Dziewulski P. Cause of death and correlation with autopsy findings in burn patients. Burns 2013;39(4):583–8
Fitzwater J, Purdue GF, Hunt JL, O’Keefe GE. The risk factors and time course of sepsis and organ dysfunction after burn trauma. J Trauma 2003;54(5):959–66
Brusselaers N, Juhász I, Erdei I, Monstrey S, Blot S. Evaluation of mortality following severe burns injury in Hungary: external validation of a prediction model developed on Belgian burn data. Burns 2009;35:1009-14.
McGwin G Jr, George RL, Cross JM, Rue LW. Improving the ability to predict mortality among burn patients. Burns 2008;34:320-7.
Bloemsma GC, Dokter J, Boxma H, Oen IM. Mortality and causes of death in a burn centre. Burns 2008;34:1103-7.

