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Multi-variate analysis of burns patients in the Singapore General Hospital Burns Centre (2003-2005).
- Source :
-
Burns : journal of the International Society for Burn Injuries [Burns] 2009 Mar; Vol. 35 (2), pp. 215-20. Date of Electronic Publication: 2008 Oct 23. - Publication Year :
- 2009
-
Abstract
- The Burns Centre at the Singapore General Hospital (SGH) serves as a tertiary referral centre for burns management for Singapore's 4 million residents as well as the Southeast Asia region. Our study is a multivariate analysis of all burns patients admitted between 2003 and 2005. A total of 482 patients were admitted during this period with an average annual admission of 161. This represents a low incidence of 0.04 per 1000 admissions for the Singapore population. 13.3% of the study population were children, which is lower than previous studies. The mean age at admission was 35 years old and the male:female ratio was 1.9:1. We found a significant difference in age between the local and foreign patients, with the latter being younger. Our study demonstrated a 7.3% increase in cases of occupational burns. The bulk of our patients (57.3%) were directly admitted from SGH's Accident and Emergency Department. The patient characteristics of the various referral sources were found to be very different. GP referrals had significantly lower TBSA while overseas patients had significantly higher TBSA and longer length of stay. The mean and median time to admission was 3.05 days (+/-6.26) and 0 (0-60) day, respectively and the mean and median time to surgery was 7.33 days (+/-8.18) and 5 (0-22) days, respectively. The most common cause of burns was due to scalding. The mean extent of burn (TBSA) was 13.5% (+/-18.0), with significant correlation with the social background. Length of stay was dependent on the need for surgery. The overall mortality rate in this study population was 4.5%, with inhalation injury the main aetiological factor. In addition, the mean duration of the first surgery that patients undergo was significantly longer than that of the second one. This information will be useful for estimating operation times in the future. Finally, Acinetobacter baumannii was the most common bacteria in wound cultures. There is a need for periodic reviews of wound cultures in burns patients in order to modify the preventive and therapeutic strategies against these bacteria.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Burn Units
Burns etiology
Burns microbiology
Burns mortality
Child
Child, Preschool
Female
Humans
Incidence
Infant
Length of Stay statistics & numerical data
Male
Middle Aged
Multivariate Analysis
Retrospective Studies
Singapore epidemiology
Young Adult
Burns epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1409
- Volume :
- 35
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Burns : journal of the International Society for Burn Injuries
- Publication Type :
- Academic Journal
- Accession number :
- 18950948
- Full Text :
- https://doi.org/10.1016/j.burns.2008.06.014