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ISSN 2063-5346
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Assessment of treatment profile and covariates of outcome of burn injury in a Tertiary care centre

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Dr. Tanmay Mehta, Dr. Pratik Ajagekar, Dr. Aniket Survase
» doi: 10.31838/ecb/2023.12.si4.019

Abstract

The present study was conducted for assessing treatment profile and covariates of outcome of burn injury. Materials & methods: A total of 100 patients of recent burn injuries whose admission and outcome (in terms of discharge or death) both occurred. After studying the questionnaires used in related prior studies and several literature relating to burn injuries, a pre-designed, pre-tested, semi-structured programme was created. The ideas were used to modify the questionnaire. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis. Multivariate analysis was used for evaluation of results. Results: Out of 200 subjects enrolled in the present study, death occurred in 75 patients while improvement (discharge) occurred in 125 patients. Treatment done was debridement in 64.5 percent of the patients. Split-thickness skin graft was done in 34.5 percent of the patients. Involvement of head and/or neck region, history of non cotton clothing at the time of injury and presence of associated inhalational injury found to be major predictors of adverse outcome (mortality) of burn injury. Greater involvement of TBSA on admission was also found to increase the risk of mortality significantly. Duration of hospital stay was in inversely related with the mortality. Conclusion: The current study discovered that burn injuries have a very poor prognosis in terms of survival which is not only due to the severity of the injury but also to other factors like delayed hospitalisation and inadequate pre-hospital burn care

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