Baseline Characteristics and Outcomes of Patients with Head and Neck Burn Injuries; a Cross-Sectional Study of 2181 Cases
Archives of Academic Emergency Medicine,
Vol. 9 No. 1 (2021),
1 January 2021
Introduction: Despite recent progress in treatment of burn injuries, head and neck burn and its complications is still considered a challenge. This study aimed to evaluate the baseline characteristics and outcomes of patients with head and neck burn.
Methods: In this retrospective cross-sectional study, the medical profiles of patients with head and neck burn referring to a burn care center during 2 years were reviewed and analyzed regarding the baseline characteristics and outcomes of participants.
Results: 392 (17.97%) cases suffered from head and neck burns. The mean burn percentage of participants was 29.31 ± 24.78, and 126 (32.14%) cases required tracheal intubation. There was a direct correlation between length of hospital stay and the degree of burn (p < 0.001). The length of hospitalization for patients burned by electricity was longer than those burned by other mechanisms (p = 0.003). There was a significant correlation between degree of burn and abnormal laryngoscopy findings (p = 0.036), developing acute respiratory distress syndrome (ARDS) (p < 0.001) and pneumonia (p < 0.001), need for mechanical ventilation (p < 0.001), and mortality rate (p < 0.001).
Conclusion: Based on the findings of the present study, the prevalence of head and neck burn injuries was about 18% and 32.14% of these cases required airway management. 19 (4.85%) cases developed ARDS, 41 (10.46%) developed pneumonia, and 50 (12.76%) cases died. There was a significant correlation between degree of burn and abnormal laryngoscopy findings, developing ARDS and pneumonia, need for mechanical ventilation, and mortality rate.
- Burns; Patient outcome assessment; Intubation, intratracheal; Head; Neck; Respiration, artificial
How to Cite
Organization WH. Burns Fact sheet 6 March 2018 [26 August 2020]. Available from: https://www.who.int/news-room/fact-sheets/detail/burns.
Hoogewerf CJ, van Baar ME, Hop MJ, Bloemen MC, Middelkoop E, Nieuwenhuis MK. Burns to the head and neck: epidemiology and predictors of surgery. Burns. 2013;39(6):1184-92.
Burd A, editor Burns: treatment and outcomes. Seminars in plastic surgery; 2010: Thieme Medical Publishers.
Sabri A, Dabbous H, Dowli A, Barazi R. The airway in inhalational injury: diagnosis and management. Annals of burns and fire disasters. 2017;30(1):24.
Haddadi S, Marzban S, Parvizi A, Dadashi A, Roshan ZA, Kiyarash SSM. Congruency of nasal alar pulse oximetry and arterial blood analysis in patients with burns hospitalized in ICU. of. 2017;4:2.
Herndon DN. Total burn care E-book: Expert consult-online: Elsevier Health Sciences; 2012.
Tian H, Wang L, Xie W, Shen C, Guo G, Liu J, et al. Epidemiology and outcome analysis of facial burns: A retrospective multicentre study 2011–2015. Burns. 2020;46(3):718-26.
Hamilton TJ, Patterson J, Williams RY, Ingram WL, Hodge JS, Abramowicz S. Management of head and neck burns—a 15-year review. Journal of Oral and Maxillofacial Surgery. 2018;76(2):375-9.
Santos DC, Barros F, Gomes N, Guedes T, Maia M. Face and/or neck burns: a risk factor for respiratory infection? Annals of Burns and Fire Disasters. 2016;29(2):97.
Belba G, Gedeshi I, Isaraj S, Filaj V, Kola N, Belba M. Head and neck burns: acute and late reconstruction. data of burn injury management in 2007. Annals of Burns and Fire Disasters. 2008;21(4):203.
Miller AC, Rivero A, Ziad S, Smith DJ, Elamin EM. Influence of nebulized unfractionated heparin and N-acetylcysteine in acute lung injury after smoke inhalation injury. Journal of burn care & research. 2009;30(2):249-56.
Madnani DD, Steele NP, de Vries E. Factors that predict the need for intubation in patients with smoke inhalation injury. Ear, nose & throat journal. 2006;85(4):278-80.
Bai C, Huang H, Yao X, Zhu S, Li B, Hang J, et al. Application of flexible bronchoscopy in inhalation lung injury. Diagnostic pathology. 2013;8(1):174.
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