Clinical features and mortality-related factors of extensive burns among young adults: the Kunshan disaster experience

摘要: Background The aim of the study was to identify clinical features and factors associated with burn induced mortality among young adults after exposure indoor explosion fire. Methods This is an observational which included patients who were admitted eighteen ICUs a fire disaster. Epidemiologic characteristics, as well therapy recorded. primary outcome 90-day mortality. mortality-related also analyzed. Results There 167 enrolled in study, median age 38 years, 62 (37.1%) died within 90 days. Seventy-one percent had size ≥90% TBSA, 73.7% full-thickness area above 50% TBSA. survivors lower Baux scores, received earlier escharectomy autologous skin grafts. rates (LA50s) for 95.8% 88.6% respectively. multivariate analysis showed that over TBSA residual burned surface (RBSA)/TBSA at 28 days strong predictors (odds ratio 2.55; 95% CI, 1.01 6.44, P=0.047; odds 1.07; 1.04 1.09, P<0.001). ROC curve-based cut-off values RBSA/TBSA predicting 62.5%. Conclusions Burn main risk poor extensive burns. Earlier grafts may improve outcomes.