TY - JOUR
PY - 2022//
TI - The epidemiology of in-hospital burn patients in a tertiary hospital in Damascus, Syria: a retrospective cohort study
JO - Injury
A1 - Torbey, André
A1 - Shibani, Mosa
A1 - Alzabibi, Mhd Amin
A1 - Eddin, Ahmad Saad
A1 - Mdawr, Elian
A1 - Mouhanna, Wajed
A1 - Sawaf, Bisher
A1 - Alakhrass, Dana
A1 - Asaad, Suja Al
A1 - Alhouri, Ahmad Nabil
A1 - Zahrawi, Hanaa
A1 - Bakdounes, Anan
A1 - Bakdounes, Duaa
A1 - Kahal, Fares
A1 - Safieh, Homam
A1 - Swed, Sarya
A1 - Ammar, Ali
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: Syria has been facing a dreadful crisis for the past 11 years, which has had a significant toll on the healthcare system of the country, and its ability to adequately manage acute injuries. In this research, we study the epidemiology and outcomes of burn patients admitted to the burn center of Al-Mouwasat Hospital in Damascus, Syria.
METHODS: A retrospective cohort research was conducted from January 2017 to December 2021. All accessible paper-based medical records of burn injury patients admitted to the hospital were evaluated. ABSI score was used to classify injury degrees. Chi-square test and logistic regression model were used to study the association between demographic variables and outcomes.
RESULTS: Of the 641 patients, 367 (57.3%) were males and 274 (42.7%) were females. Children represented more than half of our sample 377 (58.8%). The most common cause of burns was flame 393 (61.3%), followed by scalding 199 (31.0%). Most of the patients had a more than 10% TBSA of burns 511 (79.7%). 209 (32.6%) patients had a moderate ABSI score, followed by moderately severe in 149 (23.2%) patients. Children, patients who had high ABSI scores, and those who needed respiratory support were more likely to die than others 2.545 (1.079-6.004), 9.208 (4.061-20.879), respectively.
CONCLUSION: Death was the outcome of third of the hospitalized patients. Furthermore, Children made up more than half of the sample, and had the highest rates of leaving the hospital against medical advice. These results underline the importance of an updated nationally uniformed protocol for the management of burn patients.
Language: en
LA - en SN - 0020-1383 UR - http://dx.doi.org/10.1016/j.injury.2022.11.067 ID - ref1 ER -