UTILIZATION OF CLINICAL AND MEDICAL LABORATORY PARAMETERS AS INDICATORS OF MORTALITY IN INPATIENT BURNT CASES IN SULAIMANIYAH HOSPITAL FOR BURN AND PLASTIC SURGERY
Volume 14 , Issue 1 , March 2024 , Pages 47-53
Authors
1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
10.17656/jsmc.10450
Keywords
Abstract
Background
Burn injury is a complex traumatic event with a variety of local and systemic consequences that can be
challenging to manage.
Objectives
To utilize clinical and laboratory parameter changes in the prediction of mortality of burn inpatients.
Patients and Methods
A retrospective study was conducted to assess clinical and laboratory parameter changes among children and
adult burnt patients admitted to Burn & Plastic Surgery Hospital/Emergency. The study included two hundred
fi fty-fi ve (255) deceased patients from December 2020 through February 2023.
Result
The female to male ratio was (3:1), more than half (58.7%) of cases had mixed 2nd and 3rd degree, and (31.1%) of
cases had 3rd degree burn, while 2nd degree burns account for (10.2%). Flame was the most common cause of
burns in most of the patients. The majority of the cases had an inhalational injury. The majority of the deceased
patients (69.9%) had TBSA greater than 60%. Most of the patients were married and lived in major urban
cities. Laboratory analysis of most of the dead had shown decreased total White Blood Cell count, red blood
cell count, lymphocyte count, hemoglobin level, hematocrit, potassium/sodium, and total protein/albumin
level. The platelet level was average. The majority of the cases the labratory results of Serum Chloride, Urea,
Creatinin, and Glucose were increased.
Conclusion and Recommendations
Directing attention to these clinical and laboratory parameters is required to reduce mortality and improve
patient survival.
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- Published at21 March 2024
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