• Logo
  • SBMUJournals

A Retrospective Analysis of the Burn Injury Patients Records in the Emergency Department, an Epidemiologic Study

Nilgün Aksoy, Senay Arli, Ozlem Yigit



Introduction: Burns can be very destructive, and severely endanger the health and lives of humans. It maybe cause disability and even psychological trauma in individuals. . Such an event can also lead to economic burden on victim’s families and society. The aim of our study is to evaluate epidemiology and outcome of burn patients referring to emergency department. Methods: This is a cross-sectional study was conducted by evaluation of patients’ files and forensic reports of burned patients’ referred to the emergency department (ED) of Akdeniz hospital, Turkey, 2008. Demographic data, the season, place, reason, anatomical sites, total body surface area, degrees, proceeding treatment, and admission time were recorded. Multinomial logistic regression was used to compare frequencies’ differences among single categorized variables. Stepwise logistic regression was applied to develop a predictive model for hospitalization. P<0.05 was defined as a significant level. Results: Two hundred thirty patients were enrolled (53.9% female). The mean of patients' ages was 25.3 ± 22.3 years. The most prevalence of burn were in the 0-6 age group and most of which was hot liquid scalding (71.3%). The most affected parts of the body were the left and right upper extremities. With increasing the severity of triage level (OR=2.2; 95% CI: 1.02-4.66; p=0.046), intentional burn (OR=4.7; 95% CI: 1.03-21.8; p=0.047), referring from other hospitals or clinics (OR=3.4; 95% CI: 1.7-6.6; p=0.001), and percentage of burn (OR=18.1; 95% CI: 5.42-62.6; p<0.001) were independent predictive factor for hospitalization. In addition, odds of hospitalization was lower in patients older than 15 years (OR=0.7; 95% CI: 0.5-0.91; p=0.035). Conclusion: This study revealed the most frequent burns are encountered in the age group of 0-6 years, percentage of <10%, second degree, upper extremities, indoor, and scalding from hot liquids. Increasing ESI severity, intentional burn, referring from other hospitals or clinics, and the percentage of burn were independent predictive factors for hospitalization.


Emergency service; emergency room nursing; burns; hospital records


Edelman LS. Social and economic factors associated with the risk of burn injury. Burns. 2007;33(8):958-65.

Peck M, Molnar J, Swart D. A global plan for burn prevention and care. Bull World Health Organ. 2009;87(10):802-3.

Simsek ME, Özgenel GY, Kahveci R, Akin S, Özbek S, Tufan F. Outcomes of elderly burn patients requiring hospitalization. Aging Male. 2014 (0):1-3.

Zayakova Y, Vajarov I, Stanev A, Nenkova N, Hristov H. Epidemiological analysis of burn patients in East Bulgaria. Burns. 2014;40(4):683-8.

Liao C-C, Rossignol AM. Landmarks in burn prevention. Burns. 2000;26(5):422-34.

Kutlu L, Turasoy S, Koşar N, Ökdemir P. A Retrospective Evaluation of the Medical Records of Burn Patients Presenting at the Emergency Polyclinic of a University Hospital. J Edu Res Nursing. 2006;3(2):40-4. [Turkish].

Sakallıoğlu A, Başaran Ö, Tarım A, Türk E, Kut A, Haberal M. Burns in Turkish children and adolescents: nine years of experience. Burns. 2007;33(1):46-51.

Dibildox M, Jeschke MG, Herndon DN. Burn Injury, Rule of Nines. Encyclopedia of Intensive Care Medicine: Springer; 2012. p. 417-9.

Panjeshahin M-R, Lari AR, Talei A-R, Shamsnia J, Alaghehbandan R. Epidemiology and mortality of burns in the South West of Iran. Burns. 2001;27(3):219-26.

Saadat M. Epidemiology and mortality of hospitalized burn patients in Kohkiluye va Boyerahmad province (Iran): 2002–2004. Burns. 2005;31(3):306-9.

Aghakhani N, Rahbar N, Feizi A. Epidemiology of burn injuries in west Azerbaijan province, western Iran. Iran Red Crescent Med J. 2009;11(1):85-9.

Düzgün AP, Senel E, Ozmen MM, Kulaçoğlu H, Işik Y, Coşkun F. The evaluation of the patients admitted to a burn center in Turkey. Ulusal travma ve acil cerrahi dergisi= Turkish journal of trauma & emergency surgery: TJTES. 2003;9(4):250-6.

Kocaturk BK, Teyin M, Balcı Y, Esiyok B. Evaluation of burn cases presenting in the Osmangazi University Hospital emergency room Turkiye Klinikleri J Med Sci. 2005;25(3):400-6.

Gunay K, Taviloglu K, Eskioglu E, Ertekin C. A study of epidemiology and mortality in burn patients. Ulus Travma Acil Cerrahi Derg 1995;2(1):205-8. [Turkish].

Anlatici R, Ozerdem OR, Dalay C, Kesiktas E, Acarturk S, Seydaoglu G. A retrospective analysis of 1083 Turkish patients with serious burns. Burns. 2002;28(3):231-7.

Haberal M, Oner Z, Bayraktar U, Bilgin N. Epidemiology of adults' and childrens' burns in a Turkish burn center. Burns. 1987;13(2):136-40.

Chien W-C, Pai L, Lin C-C, Chen H-C. Epidemiology of hospitalized burns patients in Taiwan. Burns. 2003;29(6):582-8.

Dĕdovic Z, Brychta P, Koupilova I, Suchanek I. Epidemiology of childhood burns at the Burn Centre in Brno, Czech Republic. Burns. 1996;22(2):125-9.

Sarıtas A, Cıkman M, Candar M, Kandıs H, Baltacı D. Retrospective Analysis of Judicial Burn Cases Admitted to Our Clinic: 4-Year Experience. Duzce Med J. 2011;13(3):29-33. [Turkish].

Demirel Y, Col C, Ozen M. Evaluation of the patients treated in the Ankara Numune Hospital burn centre in one year. Cumhuriyet Med J. 2001;23 (1):15-20.

Guzel A, Soyoral L, Oncu MR, Cakır C. Analysis of Patients who were Admitted to Burn Unit and Operated. Van Med J. 2012;19 (1):1-7.

Çol M, Çol C, Afsar ZO, D Ç. An Epidemiological Analysis of Burned Cases Admitted by Ankara Numune Hospital. Health Soc Assist Found J. 1994;4(2):22-3.

Wasiak J, Spinks A, Ashby K, Clapperton A, Cleland H, Gabbe B. The epidemiology of burn injuries in an Australian setting, 2000–2006. Burns. 2009;35(8):1124-32.

Song C, Chua A. Epidemiology of burn injuries in Singapore from 1997 to 2003. Burns. 2005;31(1):S18-S26.

Ansari-Lari M, Askarian M. Epidemiology of burns presenting to an emergency department in Shiraz, South Iran. Burns. 2003;29(6):579-81.

Kurtoŭlu M, Alimoğlu O, Ertekin C, Güloğlu R, Taviloğlu K. Evaluation of severe burns managed in intensive care unit. Ulusal travma ve acil cerrahi dergisi= Turkish journal of trauma & emergency surgery: TJTES. 2003;9(1):34-6. [Turkish].

Han TH, Kim JH, Yang MS, et al. A retrospective analysis of 19,157 burns patients: 18-year experience from Hallym Burn Center in Seoul, Korea. Burns. 2005;31(4):465-70.

Erkuran MK, Ceylan A, Düzenli E, Büyükcam F. Burn cases that are hospitalized in Sanlıurfa Education & Research Hospital. Abant Med J. 2013;2(2):123-9.

Al B, Gullu MN, Okur H, Ozturk H, Kara İH, Aldemir M. The epidemiology of scald and flame burns in east and South anatolia regions. J Med Invest. 2005;3(1):14-21.

Grobmyer S, Maniscalco S, Purdue G, Hunt J. Alcohol, drug intoxication, or both at the time of burn injury as a predictor of complications and mortality in hospitalized patients with burns. J Burn Care Res. 1996;17(6):532-9.

Burd A. Outcome analysis of 286 severely burned patients: retrospective study. Hong Kong Med J. 2002;8(4):235-9.

DOI: https://doi.org/10.22037/emergency.v2i3.6365


  • There are currently no refbacks.