TY - JOUR
A1 - Mansour, Osama
A1 - Megahed, Mohammed
A1 - El-Wahsh, Rabab
A1 - El-Helbawy, Rana
A1 - Abd El-Azeem, Noha
T1 - Pulmonary complications for predicting mortality among major burn victims
Y1 - 2017/1/1
JF - Menoufia Medical Journal
JO - Menoufia Med J
SP - 234
EP - 240
VL - 30
IS - 1
UR - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2017;volume=30;issue=1;spage=234;epage=240;aulast=Mansour
DO - 10.4103/1110-2098.211488
N2 -
Objective
The aim of this study was to assess the incidence of early and late pulmonary complications among major burn victims and to study their effects on patient's outcome.
Background
Respiratory complications associated with burn injury are responsible for significant morbidity and mortality.
Patients and methods
Forty-two patients with major burn with no past history of pulmonary diseases were enrolled in the study. All patients were subjected to medical history taking, general, local (respiratory and burn), and upper airway examination, laboratory investigations, plain chest radiograph, and serial arterial blood gases analysis (initially after admission and then after 48 and 72 h).
Results
Pulmonary complications developed in 29 of 42 (69%) burned patients. Eleven of 42 (26.2%) patients died; 10 (90.9%) of them died due to pulmonary complications and one (9.1%) patient died due to wound sepsis. Acute respiratory distress syndrome, inhalational injury, pneumonia, acute bronchitis, lung contusion, and hemothorax were early phase (within 48 h of admission) pulmonary complications, whereas pneumonia, lung collapse, and pulmonary embolism were late phase (after 48 h of admission) pulmonary complications. Lower serum albumin and more deep burn were independent risk factors for pulmonary complications, and pulmonary complications, decreased prothrombin time concentration, and lower serum albumin were independent risk factors for mortality in patients with major burns.
Conclusion
Lower serum albumin and more deep burns were independent risk factors for pulmonary complications, and pulmonary complications, decreased prothrombin time concentration, and lower serum albumin were independent risk factors for mortality in burned patients.
ER -