Investigating the factors affecting the death rate of patients in the burn ward of Rasht city hospital in 2019-2020

Mohammadreza Mobayen, Shayan Pourmirbabaei, Erfan Ghanbarzadeh, Armin Soleymanpour, Amir Rigi, Saghar Samimi Sadeh, Fatemeh Taslimi, Ali Shabbak


Introduction: Burn is the fourth cause of trauma worldwide (1-3) and as a major health challenges, it is one of the most common health related accidents in different societies (4). Burn is one of the important causes of injury in Iran and it is responsible for 6 percent of deaths in Iran, among all deaths caused by accidents (5).

Method: Data was obtained by reviewing the hospital documents of patients attending to Velayat Burn Hospital of Rasht from March 2019 till 2020, regarding the possible factors affecting death among burn patients. Data were then entered in SPSS 26 and the variants were analysed by one sample t test and chi-square (p<0.05).

Results: There were 231 females (58.5%) and 326 males (41.5%) in our patients. The most common cause of burn was flame (49.4%). The most common area of burn was the upper limp (59.5%). The average percent of burn in patients was 23.41±19.17 %. Most of the patients (45.8%) were admitted between 5 to 10 days and most burns were in the winter (28.7%).  The average blood glucose in patients was 113 mg/dl, average pH was 4.4, average BUN[1] was 19.6 mg/dl and average creatinine was 1.2±0.7 mg/dl. A significant relationship was found between self-immolation and neuropsychiatric diseases. Most common cause of death in patients was respiratory failure (54.1%). Inhalation burn injury was seen in 40 patients (7.2%) and self-immolation was 11 (1.97%) of patients. In the case of place of burn 459 patients were in home, 61 in work and 37 patients in other places. In all the patients, 47 (8.43%) were expired and 510 (91.75%) were rescued.

Conclusion: According to current results, the most common cause of burn was flame and most common area was the upper limb. Most of the burns were in winter and a significant relationship exists between self-immolation and neuropsychiatric diseases. Most common cause of death in patients was respiratory failure. Lower pH and higher BUN had a significant relationship with death. Therefore, focusing on burn by hot liquids should be a priority in any of the high risk groups and prevention of burn and education of true usage of incendiary and hot devices and safety precautions, should be noted more than ever.


Burn, Mortality, Cause of Death, Nursing

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