Case fatality rate, determination and causes of death in Al Nassiriay burn center at 2015 and 2016

Abstract EN

A cross sectional study had been extended through 2 years to envolve 611 burn patients from whom 103has been diedfrom they were admitted in AL-Hussain teaching hospital burn center through 2 years February 2015- January 2017which representcase fatality of (16.85%), in different age group between less than one year to more than 67 years old with different percentage of total body surface area burn,we were found that increase rate of death with increasing total body surface area regardless the age of the patients.

about 63% of patients were die who had burn of more than 60%of total body surface area in all different ages.while only 3.4% were died with burn of 10—15% and about 30.3% were die who had between 46—59% of burn.

about 23% if patients were died who had 36 to 45% of TBSA burn while 7% died who had 26 to 35 % of burn of TBSA .there were increase rate of death in ALNassiryia burn center in young age group between less than 1 year to 5 years were have the same percentage of burn compare with older age group between 40—45 years old in percentage of 22.6% vs 10.2 % respectively , while 20.2% of cases were die in age between less than 1 and 2 years.

And 19.04% patients died who have age more 60 years old.

The main cause of death was septicemia in AL-Hussen burn center in 61.1% then electrolyte disturbance26.2% and renal failure in 12.62%.the main organism that cause septicemia is mixed bacteria in 35.92% then pseudomonas in 28.15% then proteus 22.33%.researcher were found that the main type of electrolyte disturbance were companied electrolyte in 42.71% then hyponateremia in 28.15%.researcher found that in this study that the most common death patients occur in 2rd degree burn in 47.57% while in 4th degree about 18.4% that is because most of cases with 4th degree burn reach dead or at end stage to the burn unit .and death occur even with first degree burn if there were large percentage of burn with bad managements