Publications Scientifiques

[ Article ] Factors related to mortality in patients with severe burns treated in the severe burn unit at Hubert Koutoukou MAGA national university hospital of Cotonou

Date de soumission: 10-02-2020
Année de Publication: 2019
Entité/Laboratoire Unité de Dermatologie(UD)
Document type : Article
Discipline(s) : Dermatologie
Titre Factors related to mortality in patients with severe burns treated in the severe burn unit at Hubert Koutoukou MAGA national university hospital of Cotonou
Auteurs HOUNKPE PIERRE-CLAVER [1], Boukari BM [2], Akpadjan Fabrice [3], AHOUNOU Ernest [4], Whannou P [5], ADEGBIDI Hugues [6], Atadokpèdé Félix [1],
Journal: Journal of Medicine and Medical Sciences
Catégorie Journal: Internationale
Impact factor: 0.45
Volume Journal: 10
DOI: DOI: http:/dx.doi.org/10.14303/jmms.2019.12
Resume ABSTRACT Burn injuries are a global scourge, responsible for more than 265,000 deaths per year, especially in low-income countries that account for 95% of all burned patients; among them, children are 70%. Burned patients in African countries are a real public health problem; however, they are not yet among the health priorities of these countries. In Benin, they represent a real public health concern. Goal: Determine the predictive factors most significantly associated with the mortality in burned patients in the severe burn unit at CNHU-HKM in Cotonou. Methods: This is a retrospective study between half, 2011 and 1st half, 2017. The study population included all the deceased severe burned patients during the study period. The variables studied are: the intrinsic data of the patients, anamnestic data, physical examination data at admission and the care data of the care. The data collected was entered into a database and the statistical analysis was carried out using Epi info software. Results: Overall, 81 patients deceased among 246 hospitalizations. So the mortality rate was 32.9%. 10 patients (12.3% of deaths) died within 48 hours of the accident. 34 patients (42%) died between the third and seventh days and 37 patients (45.7% of deaths) died after the seventh day following the accident. The average delay of death is 15.9 days. Mortality rates are in the extreme age groups: respectively 36.40% and 72.73% in age groups less than or equal to 4 years and greater than or equal to 60 years. 50.6% of the deaths are female and 49.4% are male. The predictive factors significantly associated with the mortality were: Age ≥ 60 years, the pathology history; a mechanical ventilation procedure, a stay in intensive care unit; a BBS>50%; the attainment of functional areas; a fuel inflammation burn; an index of leases>75; hypovolemic shock; hypoprotidemia; Ionic disorders and Sepsis. Conclusion: Burning accidents are very common in Benin. Mortality is high. The many factors associated with this mortality include: Age>60 years, comorbidity, gasoline inflammation, burned body surface area greater than 50%, ionic disorders and sepsis.
Mots clés Severe burn patients, Mortality, Relative risk, Associated factors, CNHU-HKM in Cotonou
Pages 130 - 134
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