The burn unit experience at Grady Memorial Hospital: 844 cases

J Burn Care Rehabil. 1992 Jul-Aug;13(4):426-36. doi: 10.1097/00004630-199207000-00008.

Abstract

Between February 20, 1987 and July 13, 1990, 844 patients were admitted to the Grady Memorial Hospital Burn Unit. Mean age was 25.5 years, mean burn size 16.5% total body surface area, mean survivor hospital length of stay 15.9 days, and an overall survival 90.5%. Seventy-three percent were male. One half of the burns were less than 10% total body surface area. Almost half (48.5%) of the patients had flame burns, which accounted for 88.8% of the 80 deaths. The peak burn incidence occurred in infants and children as a result of scalds. If those with toxic epidermal necrolysis (n = 5), those without skin injury (n = 13), and those who were allowed to die (n = 16) are excluded, survival was 92.2%. Survival in 62 patients with inhalation injury (55.23%) was significantly less than that in 474 patients without inhalation injury (98.10%) (p less than 0.0001). The three variables--age, burn size, and inhalation injury--each influenced survival significantly but appeared to be dependent on each other; all three tended to increase or decrease together. Logistic regression equations to predict survival were developed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Burn Units / statistics & numerical data*
  • Burns / epidemiology*
  • Burns / mortality
  • Burns, Inhalation / epidemiology
  • Burns, Inhalation / mortality
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Female
  • Georgia / epidemiology
  • Hospital Bed Capacity, 500 and over
  • Hospitals, Urban / statistics & numerical data
  • Humans
  • Incidence
  • Infant
  • Length of Stay / statistics & numerical data
  • Logistic Models
  • Male
  • Middle Aged
  • Patient Admission / statistics & numerical data
  • Treatment Outcome