Mortality in above 40% thermal burns patients

ABSTRACT

To find out the frequency of mortality of thermal burns in different ages and gender. Descriptive study. The study was conducted in Burn Unit, Khyber Teaching Hospital Peshawar, from October 2007 to 31[st] March 2008. One hundred patients with TBSA more than 40%, any degree of depth and any thermal cause were included in the study. The interpretation and analysis of data were done with the help of SPSS 10.0. There were 52 [52%] males and 48 [48%] females. The mean age was 17.90 year + 14.5 year. The maximum number of patients [30%] were less than 10 year of age, followed by 18 [18%] of 21-30 year and 15 [15%] of 31- 40 year age group. According to TBSA burns, 47 [47%] patients had 51-60% burns, followed by 40 patients [40%] having 40-50% burns. Fifty five patients died, including 28 males [50.90%] and 27 females [49.10%]. Mortality was 100% in patients who were above 80 year of age having more than 80% TBSA burns. Thirty three patients [60%] died of septicemia, followed by 11 [20%] and 10 [18.19%] patients with acute renal failure and irreversible shock respectively. The mortality in this study was high due to large TBSA burns, deep burns, referral from peripheral areas without proper treatment, failure to avail medical treatment in time and septicemia