Analysis of Clinical Data of 471 Elderly Patients Hospitalized with Burns

Wei CHEN; Zichen ZHANG; Ruoyu WANG; He JIANG; Wende CAO; Yulan MIAO

doi:10.12259/j.issn.2095-610X.S20230202

Volume 44 Issue 2

Feb. 2023

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Wei CHEN, Zichen ZHANG, Ruoyu WANG, He JIANG, Wende CAO, Yulan MIAO. Analysis of Clinical Data of 471 Elderly Patients Hospitalized with Burns[J]. Journal of Kunming Medical University, 2023, 44(2): 88-97. doi: 10.12259/j.issn.2095-610X.S20230202

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Wei CHEN, Zichen ZHANG, Ruoyu WANG, He JIANG, Wende CAO, Yulan MIAO. Analysis of Clinical Data of 471 Elderly Patients Hospitalized with Burns[J]. Journal of Kunming Medical University, 2023, 44(2): 88-97. doi: 10.12259/j.issn.2095-610X.S20230202

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Analysis of Clinical Data of 471 Elderly Patients Hospitalized with Burns

doi: 10.12259/j.issn.2095-610X.S20230202

Burn Research Institute，The Second Affiliated Hospital of Kunming Medical University ， Kunming Yunnan 650032，China

Received Date: 2022-12-26
Available Online: 2023-01-31
Publish Date: 2023-02-25

Abstract

Abstract

Objective To provide a practical basis for the field of elderly burn injury prevention and treatment by retrospectively analyzing the clinical data of elderly burn patients. Methods We retrospectively analyse the medical records of elderly burn patients who met the inclusion criteria admitted to the Second Affiliated Hospital of Kunming Medical University （hereafter referred to as the author’s unit） from January 2014 to December 2020, including gender, age, chronic disease, place of residence, place of injury, prehospital emergency trauma treatment, route of medical treatment, cause of injury, season of onset, burn site, burn area, and depth of burn. The data were analyzed by cardinality fit to optimize the data. The data were subjected to chi-square goodness-of-fit test, c²test, linear association, Fisher’s exact probability test, rank sum test, one-way and multi-way Cox regression analysis, and multiple linear regression analysis. Results （1） A total of 471 patients met the inclusion criteria, there was an overall increasing trend of the proportion of elderly patients to inpatients in the same period with the increase of years （P < 0.01）. The male to female ratio was 1.75∶1 （300/171）, significantly more males than females （P < 0.001）; the age distribution of patients was 69 （64, 77） years. In total, 247 patients （52.44%） had combined chronic diseases, and the common chronic diseases were hypertension 141 times （33.41%）, diabetes mellitus 71 times （16.82%）, old cerebral infarction 51 times （12.09%） in that order. （2） There were significantly more patients living in rural areas than in urban areas, and significantly more burns at home than in public places （all P < 0.05）. There were 381 （80.89%） patients with untreated wounds in the prehospital emergency; only 34 were treated by 120; the common causes of injury were flame burns 274 （58.17%）, hot liquid burns 155 （32.91%） in that order. The most frequent seasons were winter （168 cases, 35.67%） and spring （130 cases, 27.60%）. The common burn sites were lower extremity 350 cases （74.31%） and upper extremity 230 cases （48.83%） in that order. The total burn area ≤10% TBSA was 272 cases （57.75%）, of which 170 cases （36.09% of the total） were combined with third-degree burns. The severity of burns, in descending order, was moderate in 234 cases （49.68%）, mild in 102 cases （21.66%）, severe in 80 cases （16.99%）, and extra-severe in 55 cases （11.68%）. （3） In this group, 288 patients （61.15%） were finally cured and improved, 164 （34.82%） were automatically discharged, and 19 （4.03%） died. The age, total burn area, third-degree burn area, inhalation injury, post-injury complications, and combined chronic diseases were independent risk factors for the death in elderly patients （all P < 0.05）. The duration of hospitalization was 11 （5, 22） d, and the hospitalization cost was 14320.62 （6347.92, 39638.06） yuan, which was influenced by the duration of hospitalization, total burn area, third-degree burn area, treatment modality, and complications after taking its logarithm because of the skewed distribution of hospitalization cost. Conclusions Elderly burns often occur in rural homes in winter and spring, with a male predominance, and flame burns and hydrothermal burns are the main causes. Patients are mostly young elderly people, and small-area deep burns are common, mainly concentrated in the lower and upper limbs, with high treatment costs. Most families lack knowledge of first aid for burns, and 120 emergency personnel are relatively inadequate regarding emergency treatment of burn trauma. Specific emergency prevention and treatment strategies for elderly burns should be optimized, education on first aid for burns and prevention of chronic diseases should be increased, and social support should be strengthened to reduce the incidence and morbidity of elderly burns and reduce economic losses.
- Elderly people,
- Burns,
- Hospitalized patients,
- Epidemiology

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References(38)

References

[1]	熊飞,鲁彦良,张慧. 云南省社会化养老发展问题研究[J]. 经济研究导刊,2021,(16):47-49. doi: 10.3969/j.issn.1673-291X.2021.16.015
[2]	吴文瑶,张谨,郑华. 世界医学协会《赫尔辛基宣言》: 涉及人类受试者的医学研究伦理原则[J]. 中华疼痛学杂志,2020,(2):92-93. doi: 10.3760/cma.j.cn101658-20191025-1910-149
[3]	殷磊. 老年护理学[J]. 护士进修杂志,2001,16(10):726-727. doi: 10.3969/j.issn.1002-6975.2001.10.002
[4]	黎鳌杨宗城. 烧伤学[M]. 上海: 科学技术出版社, 2001.
[5]	江丽姣,于倩倩,尹文强,等. 我国居民慢性病变化趋势分析——基于国家五次卫生服务调查报告[J]. 中国卫生事业管理,2018,35(11):874-876.
[6]	刘萌,张勤,刘健,等. 2005年至2016年上海交通大学医学院附属瑞金医院老年严重烧伤特点分析[J]. 中华损伤与修复杂志(电子版),2018,13(3):195-202. doi: 10.3877/cma.j.issn.1673-9450.2018.03.008
[7]	陈习琼. 基于六次人口普查数据的云南省人口老龄化分析[J]. 中国老年学杂志,2018,38(12):3054-3057. doi: 10.3969/j.issn.1005-9202.2018.12.090
[8]	耳玉亮,段蕾蕾,叶鹏鹏,等. 2014年全国伤害监测系统老年人非故意伤害病例特征分析[J]. 中国健康教育,2016,32(4):312-317. doi: 10.16168/j.cnki.issn.1002-9982.2016.04.005
[9]	龚慧云,张庆军,张岚,等. 2008-2015年湖北省老年人伤害死亡流行现状及趋势[J]. 公共卫生与预防医学,2017,28(4):77-80.
[10]	徐薇,吕渊,庞国防,等. 影响老年人健康的主要疾病[J]. 中国老年保健医学,2021,19(4):13-15. doi: 10.3969/j.issn.1672-2671.2021.04.004
[11]	赵瑾,叶怡,庄园,等. 老年烧伤患者心理状况多维度调查及影响因素分析[J]. 国际老年医学杂志,2022,43(1):31-35. doi: 10.3969/j.issn.1674-7593.2022.01.008
[12]	吴直惠,黄建琼,周敏,等. 老年烧伤原因的调查与分析[J]. West China Medical Journal,2010,25(7):1235-1237.
[13]	尚新志,唐乾利,张力,等. 280例老年烧伤住院患者流行病学调查[J]. 中华烧伤杂志,2008,(2):128.
[14]	张建明王玉莲邓诗琳高志刚魏琴. 1960例老年人烧伤流行病学调查[J]. 解放军预防医学杂志,2001,(4):258-260. doi: 10.3969/j.issn.1001-5248.2001.04.008
[15]	Liu Y,Chen J,Crook N,et al. Epidemiologic investigation of burns in the elderly in Sichuan Province[J]. Burns,2013,39(3):389-394. doi: 10.1016/j.burns.2012.04.012
[16]	付倩倩,张苗苗,杨晓宇,等. 甘肃省某地区老年烧伤患者流行病学调查及分析[J]. 感染、炎症、修复,2021,22(4):195-198. doi: 10.3969/j.issn.1672-8521.2021.04.001
[17]	苏青青. 中国高原和日本平原老年人身体素质的比较研究[J]. 山东体育科技,2018,40(6):89-94. doi: 10.14105/j.cnki.1009-9840.2018.06.017
[18]	Ji S Z,Luo P F,Kong Z D,et al. Pre-hospital emergency burn management in Shanghai: analysis of 1868 burn patients[J]. Burns,2012,38(8):1174-1180. doi: 10.1016/j.burns.2012.03.010
[19]	Klein M B,Hayden D,Elson C,et al. The association between fluid administration and outcome following major burn: a multicenter study[J]. Ann Surg,2007,245(4):622-628. doi: 10.1097/01.sla.0000252572.50684.49
[20]	曹胜军,王凌峰,巴特,等. 严重烧伤事故批量患者的救治[J]. 中华卫生应急电子杂志,2017,3(3):143-146. doi: 10.3877/cma.j.issn.2095-9133.2017.03.004
[21]	杨宗城. 加强对烧伤休克综合防治的研究[J]. 中华烧伤杂志,2006,(5):331-332.
[22]	张元海,田鹏飞,张惟,等. 急救网络建设在危重氢氟酸烧伤患者早期救治中的作用[J]. 中华烧伤杂志,2021,37(10):921-928.
[23]	Savetamal A. Infection in Elderly Burn Patients: What Do We Know?[J]. Surg Infect (Larchmt),2021,22(1):65-68. doi: 10.1089/sur.2020.322
[24]	王国军. 烧伤患者住院期间生存质量评估[J]. 中国医药导报,2015,12(10):94-97.
[25]	胡利娟,王霞,王艳霞,等. 烧伤患者心理应激反应与社会支持相关性研究[J]. 中国护理管理,2012,12(2):35-38. doi: 10.3969/j.issn.1672-1756.2012.02.011
[26]	黄艳. 老年烧伤病人的护理体会[J]. 航空航天医学杂志,2012,23(4):458-459. doi: 10.3969/j.issn.2095-1434.2012.04.044
[27]	Yin Z,Qin Z,Xin W,et al. The characteristics of elderly burns in Shanghai[J]. Burns,2010,36(3):430-435. doi: 10.1016/j.burns.2009.06.204
[28]	张中原. 老年烧伤原因与治疗探讨[J]. 医药论坛杂志,2008,29(21):107-108.
[29]	杨义,郝岱峰,褚万立,等. 2017年度北京市某三甲医院创面修复专科住院病例回顾分析[J]. 中华损伤与修复杂志(电子版),2019,14(5):344-349. doi: 10.3877/cma.j.issn.1673-9450.2019.05.005
[30]	Reddy M. Skin and wound care: important considerations in the older adult[J]. Adv Skin Wound Care,2008,21(9):424-436,437-438. doi: 10.1097/01.ASW.0000323547.12358.b8
[31]	Thombs B D,Singh V A,Halonen J,et al. The effects of preexisting medical comorbidities on mortality and length of hospital stay in acute burn injury: evidence from a national sample of 31,338 adult patients[J]. Ann Surg,2007,245(4):629-634. doi: 10.1097/01.sla.0000250422.36168.67
[32]	曹志,程杨杨,王媛,等. 高发慢性病对老年人全因死亡影响的前瞻性研究[J]. 中国慢性病预防与控制,2020,28(1):20-23. doi: 10.16386/j.cjpccd.issn.1004-6194.2020.01.005
[33]	Youngmin K, Dohern K, Jun H, et al. Does inhalation injury predict mortality in burns patients or require redefinition?[J]. PLoS ONE, 2017, 12（9）: 185195.
[34]	张慧君,赵筱卓,王成,等. 223例成人严重烧伤住院患者的流行病学调查[J]. 中国医刊,2022,57(2):184-190. doi: 10.3969/j.issn.1008-1070.2022.02.019
[35]	雷高峰. 院前急救对烧伤患者的近期预后影响[J]. 航空航天医学杂志,2019,30(8):934-935. doi: 10.3969/j.issn.2095-1434.2019.08.017
[36]	崔亚,杨轶男,赵美韬,等. 2017年甘肃省0~6岁儿童伤害住院患者直接经济负担分析[J]. 伤害医学(电子版),2019,8(2):12-16.
[37]	张勤, 张寅, 廖镇江. 老年烧伤预防和治疗的现状和问题: 中华医学会烧伤外科学分会2009年学术年会[C], 中国江西南昌, 2009.
[38]	唐钧,冯凌. 长期照护的全球共识和概念框架[J]. 社会政策研究,2021,1:18-38. doi: 10.19506/j.cnki.cn10-1428/d.2021.01.003

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