Epidemiological characteristics and predictive factors of burns among Iranian elderlies (2008-2012): A retrospective study

Majideh Heravi-Karimooi; Hamid Sharif Nia; Yiong Huak Chan; Amir Hossein Goudarzian; Zahra Pishnamazi; Omolhoda Kaveh Savadkooh; Bit-Lian Yee; Nahid Rejeh

doi:10.4103/2345-5756.231741

Journal of Nursing and Midwifery Sciences

The Official Journal of Mazandaran University of Medical Sciences

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https://doi.org/10.4103/2345-5756.231741

Epidemiological characteristics and predictive factors of burns among Iranian elderlies (2008-2012): A retrospective study

Author(s):

Majideh Heravi-Karimooi¹,

Hamid Sharif Nia^2,*,

Yiong Huak Chan³,

Amir Hossein Goudarzian⁴,

Zahra Pishnamazi⁵,

Omolhoda Kaveh Savadkooh⁶,

Bit-Lian Yee⁷,

Nahid Rejeh¹

1Elderly Care Research Center, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran

2School of Nursing and Midwifery Amol, Mazandaran University of Medical Sciences, Sari, Iran

3Biostatistics Unit, Yong Loo Lin School of Medicine, National University Health System, Singapore, Malaysia

4Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran

5Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran

6School of Nursing and Midwifery Sari, Mazandaran University of Medical Sciences, Sari, Iran

7Faculty of Nursing and Allied Health Sciences, Open University Malaysia, Malaysia

Journal of Nursing and Midwifery Sciences:Vol. 4, issue 2; 19-25

Published online:Jun 01, 2017

Article type:Research Article

Received:Feb 19, 2017

Accepted:Jun 16, 2017

How to Cite:Majideh Heravi-KarimooiHamid Sharif NiaYiong Huak ChanAmir Hossein GoudarzianZahra PishnamaziOmolhoda Kaveh SavadkoohBit-Lian YeeNahid Rejehet al.Epidemiological characteristics and predictive factors of burns among Iranian elderlies (2008-2012): A retrospective study.J Nurs Midwifery Sci.4(2):e140542.https://doi.org/10.4103/2345-5756.231741.

Abstract

Background and Purpose: Burn injury is one of the most common accidents that leads to mortality and disability. The elderly are more vulnerable to burns, compared to the youth; accordingly, a higher percentage of the elderly are at the risk of death due to burn injuries. Regarding this, the present study was conducted to determine the prevalence of burns and its subsequent mortality among the elderly.

Methods: This retrospective study was conducted on the burn patients aged ≥ 60 years who were admitted to the specialized burn centers of the Shahid Motahari and Shohadaye Yaft Abad hospitals in Tehran, Iran, during 2008-2012. Data collection was performed using a form covering both demographic and burn-related data, such as burn percentage, cause and time of burn incidence, burn site, underlying diseases, and time of discharge or death. The data were collected from the medical records of the patients.

Results: According to the results, the incidence of burn injuries in the elderly men was two times higher than that in the elderly women. The total mortality rate was 21.9%, which was uniformly distributed across the two genders. The demographic variables affecting the mortality risk were older age (OR=1.1, 95% CI: 1.09-1.19) and no psychological burden or other diseases (OR=9.9, 95% CI: 3.9-24.0). Furthermore, the best therapeutic approach for burn injuries with the lowest mortality (3.2%) was grafting/flap/amputation, followed by fasciotomy/grafting (7.4%) (OR=2.0, 95% CI: 0.5-8.7).

Conclusion: Several factors, such as surgery, no history of disease, age, and burn percentage were identified as the predictive factors of survival rate of the elderly with burn injuries. Therefore, it seems necessary to develop prevention strategies for burn injuries among the elderly population.

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Author(s):

Majideh Heravi-Karimooi:[PubMed][Scholar]
Hamid Sharif Nia:[PubMed][Scholar]
Yiong Huak Chan:[PubMed][Scholar]
Amir Hossein Goudarzian:[PubMed][Scholar]
Zahra Pishnamazi:[PubMed][Scholar]
Omolhoda Kaveh Savadkooh:[PubMed][Scholar]
Bit-Lian Yee:[PubMed][Scholar]
Nahid Rejeh:[PubMed][Scholar]