WORLD JOURNAL OF PLASTIC SURGERY
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Volume 15, Issue 2 (2026)
WJPS 2026, 15(2): 83-89 |
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Keshavarzi A, Arekhloo A Q, Bahadornia F, Mansouri M, Keshavarzi I, Zardosht M, et al . Factors Influencing Hospitalization Duration and Mortality in Burn Patients: A 2-Year Analysis of Causes, Age, and Total Body Surface Area. WJPS 2026; 15 (2) :83-89
URL: http://wjps.ir/article-1-1641-en.html
URL: http://wjps.ir/article-1-1641-en.html
Abdolkhalegh Keshavarzi *1 
, Ali Qahremani Arekhloo2 , Faezeh Bahadornia2 , Marzieh Mansouri1 , Ilia Keshavarzi2 , Mitra Zardosht1 , Mohammad Dehbozorgi3 , Mohammad Kashkooli4
, Ali Qahremani Arekhloo2 , Faezeh Bahadornia2 , Marzieh Mansouri1 , Ilia Keshavarzi2 , Mitra Zardosht1 , Mohammad Dehbozorgi3 , Mohammad Kashkooli4
1- Burn & Wound Healing Research Center, Amir-al-Momenin Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
2- Medical School, Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Plastic and Reconstructive Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
4- Visiting Student, Harvard-MIT Health Sciences and Technology, Boston, MA, USA
2- Medical School, Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Plastic and Reconstructive Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
4- Visiting Student, Harvard-MIT Health Sciences and Technology, Boston, MA, USA
Abstract: (1011 Views)
Background: We aimed to establish the relationship between hospital stay duration, factors causing burns, total body surface area (TBSA), and patients' age for all individuals admitted to Amir al-Momenin Hospital in Shiraz, Iran.
Methods: This descriptive-analytical investigation was conducted on 1,960 hospitalized patients. The data were evaluated through One-way ANOVA and Tukey HSD tests in addition to a chi-squared test for categorical variables utilizing SPSS version 26 software.
Results: Explosions and fires were the primary causes of burn hospitalizations (n = 635; 32.4% and n = 622; 31.7%). The average hospitalization duration was 12.66 days, with electrical burns leading to the longest stay at 19.91 days. Hospitalized patients had an average total body surface area (TBSA) of around 28%, with burns from fire and explosions resulting in the highest TBSA at 36.59% and 35.74%, respectively. The mean age of admitted patients was 31.51 years, while burns from hot liquids and vapor occurred at an average age of 19.73 years, making this group the youngest.
Conclusion: Burns from explosions and flames are the primary causes of injury, highlighting the need for prevention strategies. Patients with electrical burns experienced longer hospital stays due to specific complications. The severity of burn injuries is closely related to hospitalization duration. Those burned by hot liquids and vapor tend to be younger than those injured by other causes. This risk can be reduced by establishing a designated play area for children away from the kitchen.
Methods: This descriptive-analytical investigation was conducted on 1,960 hospitalized patients. The data were evaluated through One-way ANOVA and Tukey HSD tests in addition to a chi-squared test for categorical variables utilizing SPSS version 26 software.
Results: Explosions and fires were the primary causes of burn hospitalizations (n = 635; 32.4% and n = 622; 31.7%). The average hospitalization duration was 12.66 days, with electrical burns leading to the longest stay at 19.91 days. Hospitalized patients had an average total body surface area (TBSA) of around 28%, with burns from fire and explosions resulting in the highest TBSA at 36.59% and 35.74%, respectively. The mean age of admitted patients was 31.51 years, while burns from hot liquids and vapor occurred at an average age of 19.73 years, making this group the youngest.
Conclusion: Burns from explosions and flames are the primary causes of injury, highlighting the need for prevention strategies. Patients with electrical burns experienced longer hospital stays due to specific complications. The severity of burn injuries is closely related to hospitalization duration. Those burned by hot liquids and vapor tend to be younger than those injured by other causes. This risk can be reduced by establishing a designated play area for children away from the kitchen.
Keywords: Burn injuries, Hospitalization duration, Total Body Surface Area (TBSA), Burn causes, Mortality rate, Electrical burns
References
1. Zuraik C, Sampalis J, Brierre A. The economic and social burden of traumatic injuries: evidence from a trauma hospital in Port-au-Prince, Haiti. World J Surg 2018;42:1639-46. doi:10.1007/s00268-017-4360-5 [DOI:10.1007/s00268-017-4360-5]
2. Sengoelge M, El-Khatib Z, Laflamme L. The global burden of child burn injuries in light of country level economic development and income inequality. Prevent Med Rep 2017;6:115-20. doi:10.1016/j.pmedr.2017.02.024 [DOI:10.1016/j.pmedr.2017.02.024]
3. Latifi N-A, Karimi H, Motevalian SA, Momeni M. Economical burden of burn injuries in a developing country. J Burn Care Res 2017;38(6):e900-e5. doi:10.1097/BCR.0000000000000515 [DOI:10.1097/BCR.0000000000000515]
4. Hop MJ, Wijnen BF, Nieuwenhuis MK, et al. Economic burden of burn injuries in the Netherlands: A 3 months follow-up study. Injury 2016;47(1):203-10. doi: 10.1016/j.injury.2015.09.009 [DOI:10.1016/j.injury.2015.09.009]
5. Wang T, Nie C, Zhang H, et al. Epidemiological characteristics and factors affecting length of hospital stay for children and adults with burns in Zunyi, China: a retrospective study. PeerJ 2018;6:e5740. doi:10.7717/peerj.5740 [DOI:10.7717/peerj.5740]
6. Sadeghi-Bazargani H, Mohammadi R. Epidemiology of burns in Iran during the last decade (2000-2010): review of literature and methodological considerations. Burns 2012;38(3):319-29. doi:10.1016/j.burns.2011.09.025 [DOI:10.1016/j.burns.2011.09.025]
7. Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns 2011;37(7):1087-100. doi:10.1016/j.burns.2011.06.005 [DOI:10.1016/j.burns.2011.06.005]
8. Smolle C, Cambiaso-Daniel J, Forbes AA, et al. Recent trends in burn epidemiology worldwide: A systematic review. Burns 2017 2017/03/01/;43(2):249-57. doi:10.1016/j.burns.2016.08.013 [DOI:10.1016/j.burns.2016.08.013]
9. Mock C, Peck M, Peden M, Krug E, Organization WH. A WHO plan for burn prevention and care. Geneva: World Health Organization 2008;3.
10. McKibben JB, Ekselius L, Girasek DC, et al. Epidemiology of burn injuries II: psychiatric and behavioural perspectives. Inte Rev Psychiatry 2009;21(6):512-21. doi:10.3109/09540260903343794 [DOI:10.3109/09540260903343794]
11. Snell JA, Loh N-HW, Mahambrey T, Shokrollahi K. Clinical review: the critical care management of the burn patient. Critical Care 2013;17:1-10. doi:10.1186/cc12706 [DOI:10.1186/cc12706]
12. Rencken CA, Allorto N, Harrison AD, McGarvey ST, Aluisio AR. Factors associated with adherence to follow-up care after burn injuries. Burns 2021;47(1):240-8. doi:10.1016/j.burns.2020.06.029 [DOI:10.1016/j.burns.2020.06.029]
13. Chen YY, Chen IH, Chen CS, Sun SM. Incidence and mortality of healthcare-associated infections in hospitalized patients with moderate to severe burns. J Critical Care 2019;54:185-90. doi:10.1016/j.jcrc.2019.08.024 [DOI:10.1016/j.jcrc.2019.08.024]
14. Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska I. Burns: classification, pathophysiology, and treatment: a review. Int J Mol Sci 2023;24(4):3749. doi:10.3390/ijms24043749 [DOI:10.3390/ijms24043749]
15. Vivó C, Galeiras R, del Caz MD. Initial evaluation and management of the critical burn patient. Medicina Intensiva (English Edition) 2016;40(1):49-59. doi:10.1016/j.medin.2015.11.010 [DOI:10.1016/j.medin.2015.11.010]
16. D'cunha A, Rebekah G, Mathai J, Jehangir S. Understanding burn injuries in children-A step toward prevention and prompt first aid. Burns 2022;48(4):762-6. doi:10.1016/j.burns.2021.07.010 [DOI:10.1016/j.burns.2021.07.010]
17. Taylor SL, Sen S, Greenhalgh DG, Lawless M, Curri T, Palmieri TL. Real-time prediction for burn length of stay via median residual hospital length of stay methodology. J Burn Care Res 2016;37(5):e476-e82. doi:10.1097/BCR.0000000000000332 [DOI:10.1097/BCR.0000000000000332]
18. Ford CG, Manegold EM, Randall CL, Aballay AM, Duncan CL. Assessing the feasibility of implementing low-cost virtual reality therapy during routine burn care. Burns 2018;44(4):886-95. doi:10.1016/j.burns.2017.11.020 [DOI:10.1016/j.burns.2017.11.020]
19. Lundgren RS, Kramer CB, Rivara FP, et al. Influence of comorbidities and age on outcome following burn injury in older adults. J Burn Care Res 2009;30(2):307-14. doi:10.1097/BCR.0b013e318198a416 [DOI:10.1097/BCR.0b013e318198a416]
20. Chukamei ZG, Mobayen M, Toolaroud PB, Ghalandari M, Delavari S. The length of stay and cost of burn patients and the affecting factors. Int J Burns Trauma 2021;11(5):397.
21. Bloemsma G, Dokter J, Boxma H, Oen I. Mortality and causes of death in a burn centre. Burns 2008;34(8):1103-7. doi:10.1016/j.burns.2008.02.010 [DOI:10.1016/j.burns.2008.02.010]
22. Dolp R, Rehou S, McCann MR, Jeschke MG. Contributors to the length-of-stay trajectory in burn-injured patients. Burns 2018;44(8):2011-7. doi:10.1016/j.burns.2018.07.004 [DOI:10.1016/j.burns.2018.07.004]
23. Khaliq MF, Noorani MM, Siddiqui UA, Al Ibran E, Rao MH. Factors associated with duration of hospitalization and outcome in burns patients: A cross sectional study from Government Tertiary Care Hospital in Karachi, Pakistan. Burns 2013;39(1):150-4.doi: 10.1016/j.burns.2012.04.002 [DOI:10.1016/j.burns.2012.04.002]
24. Tolouei M, Bagheri Toolaroud P, Letafatkar N, et al. An 11‐year retrospective study on the epidemiology of paediatric burns in the north of Iran. Int Wound J 2023;20(9):3523-30.doi: 10.1111/iwj.14225 [DOI:10.1111/iwj.14225]
25. Libber SM, Stayton DJ. Childhood burns reconsidered: the child, the family, and the burn injury. Journal of Trauma and Acute Care Surgery 1984;24(3):245-52.doi: 10.1097/00005373-198403000-00011 [DOI:10.1097/00005373-198403000-00011]
26. Drago DA. Kitchen scalds and thermal burns in children five years and younger. Pediatrics 2005;115(1):10-6.doi: 10.1542/peds.2004-0249 [DOI:10.1542/peds.2004-0249]
27. Elsous A, Ouda M, Mohsen S, et al. Epidemiology and outcomes of hospitalized burn patients in Gaza Strip: a descriptive study. Ethiopian J Health Sci 2016;26(1):9-16. doi:10.4314/ejhs.v26i1.4 [DOI:10.4314/ejhs.v26i1.4]
28. Simon PA, Baron RC. Age as a risk factor for burn injury requiring hospitalization during early childhood. Arch Pediatr Adoles Med 1994;148(4):394-7. doi:10.1001/archpedi.1994.02170040060010 [DOI:10.1001/archpedi.1994.02170040060010]
29. Iqbal T, Saaiq M. The burnt child: an epidemiological profile and outcome. J Coll Physicians Surg Pak 2011;21(11):691-4.
30. Lixia W, Weimin W, Yunbo J, et al. Flame Burn Injury in Yichang of China: the trends, complications, and risk factor analysis. Chinese Journal of Plastic and Reconstructive Surgery 2021;3(1):17-26.doi: 10.1016/S2096-6911(21)00074-1 [DOI:10.1016/S2096-6911(21)00074-1]
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