1.Inhalational injury: The Philippine General Hospital experience (2008-2013).
Jose Joven V. Cruz ; Pinky Dirain-Beran ; Alexandra Monica L. Tan-Gayos
Philippine Journal of Surgical Specialties 2018;73(2):45-51
OBJECTIVE:
Profiling of burn patients with inhalational injury will
lead to better practices in the immediate and supportive management
of their injuries. The goal of this study was to determine demographic
and clinical factors associated with mortality in burn patients with
inhalational injury admitted at Philippine General Hospital - Alfredo
T. Ramirez (PGH - ATR) Burn Center from 2008 to 2013.
METHODS:
All patients who were admitted from 2008 to 2013 were
included in the study. The patient database was searched for cases
of burn patients with inhalation injury. Medical records were
reviewed for further analysis. This study was exempted from review
by the University of the Philippines Manila Research Ethics Board.
RESULTS:
Out of 1900 burn patients included in the study, 134
presented with concomitant inhalation injury with a prevalence rate
of 7.0% and with a mortality rate of 38.06%. The study showed that
the following variables: 1) percent total body surface area (%TBSA),
2) length of time from injury to resuscitation, 3) nebulization with
N-acetylcysteine, 4) development of pneumonia, 5) administration
of systemic antibiotics, and 6) performance of bronchoscopy
correlated significantly with patient outcomes (p<0.05). Other
variables did not show significant correlations with outcomes. The
study also revealed that most of the patients were males with a mean
age of 30.62, who sustained severe burns usually greater than 39%
TBSA.
CONCLUSION
Poorer prognostic indicators include: 1) larger burnt
body surface area, 2) delayed intubation, 3) delayed resuscitation,
and 4) development of pneumonia.
Burns