Abstract

EPIDEMIOLOGY AND MORTALITY OF BURNS IN IMAM ALI AND AL-KINDI TEACHING HOSPITAL IN BAGHDAD/ IRAQ

Dr. Ahmed Alaa Jalil*, Dr. Firas Faeq Jameel and Dr. Asmaa Ali Rifaat

Abstract

Background: Despite the progress of the health system, burns remained a problem that cannot be solved or find a way to reduce the complications. All these obstacles are caused by poor health management and lack of financial allocations. Aims: to identify the epidemiology and aetiology among mortality cases and comparison between them. Method: A retrospective reviewed the records of 559 patients with burn injuries admitted to burns centre of Al-Kindi teaching hospital and Imam Ali hospital in Baghdad during two years (2016-2017). Information was taken from the records admission for each patient, include age, gender, total body surface area, season, cause, and hospital stay. Burned TBSA was classified into four groups: less than 25%, 25.1-50%, 50.1% to 75% and over 75%. In addition, include all the patient was suffering from a 2nd and 3rd degree of burns. All analysis was performed with the Stata version 20. Results were presented as the frequency and percentage and chi-square test. Statistical significance was considered if p value less than 0.05. Results: - the majority of mortality cases 470 (84.1%) falls in the age groups less than or equal 37 years old. 489/559 (87.4%) due to a flame agent, followed by 61/559(10.9%) due to hot water, 7/559(1.3%) by electricity and only 2/559(0.4%) by the chemical agent. all cases had a higher percentage in the percentage of burn more than 75.1%, 75. There is a statistically significant relationship between gender and percentage of burn with Chi square2 =16.2295 and p-value is .001017. Conclusions: The mortality among female was more than male. The spring season was the most common of the burn. Flame and hot water are a predisposing factor with higher mortality of burns. The highest frequency of length stayed in hospital recorded during September, November, October, and June respectively. Regarding the percentage of burn, more than 75% was recorded among the majority of cases. Recommendation: Further research in this field to identify the causes and factors that increase the mortality and which could help us in future to put a plans to reduce this mortality.

Keywords: Mortality, Burn, Men, Imam Ali, Flame, Length stay, season, Al-Kindi.