Intensive Care Medicine

, Volume 31, Issue 12, pp 1648–1653

Outcome and changes over time in survival following severe burns from 1985 to 2004

  • Nele Brusselaers
  • Eric A. J. Hoste
  • Stan Monstrey
  • Kirsten E. Colpaert
  • Jan J. De Waele
  • Koenraad H. Vandewoude
  • Stijn I. Blot
Original

DOI: 10.1007/s00134-005-2819-6

Cite this article as:
Brusselaers, N., Hoste, E.A.J., Monstrey, S. et al. Intensive Care Med (2005) 31: 1648. doi:10.1007/s00134-005-2819-6

Abstract

Objective

To investigate outcome in severely burned patients over a 20-year period and to evaluate survival over time.

Design and setting

Historical cohort in a six-bed burn unit of a 1060-bed university hospital.

Patients

1385 patients admitted to the burn unit over a 20-year period.

Measurements and results

Outcome was evaluated in relation to the presence of three major risk factors for death: age 60 years or over, total burned surface area 40% or more, and the presence of inhalation injury. Overall mortality was 7.1%. When zero, one, two, or three risk factors were present, mortality was respectively 0.5%, 9.9%, 48.0%, and 90.5%. Over the study period the average proportional total burned surface area decreased as did mortality. The survival benefit was significant among patient groups with one or two risk factors present. Multivariate regression analysis adjusting for risk factors for death confirmed that survival improved over time (odds ratio 0.73 per 5-year period).

Conclusions

Global mortality following burns is low, and nearly all patients who die had at least one risk factor present. In the presence of three risk factors the prognosis following burns is particularly compromised. Taking into account that our patients over the past 20 years have been progressively less extensively burned and hence have a lesser at risk for death, survival following severe burns has continued to improve.

Keywords

OutcomeBurnsMortalityScoring system

Supplementary material

Mortality rate in burn patients proportionate to specific risk factors for death and distributed per time period

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Nele Brusselaers
    • 1
  • Eric A. J. Hoste
    • 1
    • 2
  • Stan Monstrey
    • 3
  • Kirsten E. Colpaert
    • 1
  • Jan J. De Waele
    • 1
  • Koenraad H. Vandewoude
    • 1
    • 2
  • Stijn I. Blot
    • 1
    • 2
  1. 1.Intensive Care DepartmentGhent University HospitalGhentBelgium
  2. 2.Hogeschool GentGhentBelgium
  3. 3.Department of Plastic Surgery and Burn UnitGhent University HospitalGhentBelgium