Factors affecting mortality among victims of electrical burns.

ABSTRACT

BACKGROUND: The aim of this study was to determine the factors affecting mortality rate among patients with an electrical burn. METHODS: A total of 115 patients admitted to the emergency department and hospitalized in the Burn Treatment Center or Intensive Care Unit (ICU) due to the electrical burn, were included in the study. RESULTS: A total of 115 patients (4 female and 111 male) with a mean age of 32.88±12.87 years were included in the study. The mean hospitalization period was 25.03±20.50 days, and the mean total body surface area burned (% TBSA) was 22.83±15.54%. Among those patients, 9 (8.5%) expired, and the remaining 106 were discharged after treatment. In a logistic regression analysis, TBSA >20% (p=0.02, OR 11.7, CI 1.38-99.16); ICU requirement (p=0.005, OR 1.28, CI 1.08-1.58); erythrocyte transfusion requirement (p=0.02, OR 12.48, CI 1.44-107.83); fresh frozen plasma (FFP) requirement (p=0.03, OR 10.23, CI 1.18-88.17); albumin requirement (p=0.02, OR 12.60, CI 1.44-109.85); admission serum albumin level <3.5 mg/dl (p=0.04, OR 7.25, CI 0.82-63.64); and admission hemoglobin level <12 mg/dl (p=0.01, OR 8.29, CI 1.57-43.61) were determined as risk factors for mortality in patients with electrical burns. CONCLUSION: In clinical practice, defining a mortality risk analyzer using these factors may be helpful in the management of patients with electrical burns. Additional, more comprehensive studies are required to define the risk factors for mortality and long-term morbidities in patients with electrical burns.