Epidemiology, initial handling and analysis of morbimortality of the big burnt in a hospital of third level of attention from the municipality of La Paz

Abstract

The present research work is aimed at describing the epidemiological characteristics of severely burned patients and analyzing the factors related to morbidity and mortality in the Clinics Hospital of the municipality of La Paz.

Retrospective observational study of patients admitted to the hospital service for severe burns, between July and December 2017.

Nine patients were registered with “large burn” criteria, in which epidemiological variables of this type of patients were studied, diagnosis and initial management, early complications and indicators of morbidity and mortality.

The results showed that the burned body surface area was 42 ± 25% and age 51 ± 19 years. The patients remained hospitalized for a median of 4 days (interquartile range: 2-19). 68% of patients required mechanical ventilation, 57% had some infection during admission, and 26% developed acute renal failure during the first week. The mortality in the hospital service was 42%. The variables associated independently with a significant increase in mortality were the burned body surface area greater than 35% (OR 1.08, 95% CI 1.03-1.12) and the development of renal failure (OR 5, 47; 95% CI: 2.02-8.93).

The mortality of these patients is very high, and is conditioned, in large part, by the initial assistance, the percentage of body surface burned and the renal failure that entails the absence of preventive health policies at the population level.