Mortality from burns at the “Arnaldo Milian Castro” University Hospital Provincial de Villa Clara
Keywords:
burns, accidents, mortalityAbstract
Introduction: burns are a major cause of morbidity and mortality in most countries. Objetive: to characterize mortality in patients hospitalized for burns. Method: a retrospective longitudinal descriptive study was conducted at the Burn Unit of "Arnaldo Milián Castro" Hospital from 2009 to 2014. The sample consisted of 68 cases. The variables were: age group, sex, previous illnesses, life prognosis, complications, medicolegal etiology, direct cause of death and hospital stay. Results: 44.1% of those who died were over 60 years, dominated women sex (60.3%), medicolegal etiology in 73.6% of cases was suicide predominated death among those with chronic diseases such as cardiovascular (41.2%) and psychiatric (29.6%), 52.9% had inhaled syndrome, 51.3% anemia and 45.6% local sepsis, direct causes of death more frequent were hypovolemic shock (39.7%) in the first 72 hours of evolution, septic shock (19.1%) among the quarter and 12 day of stay, pulmonary embolism and septic schok among those with more than 15 days (8.8%), the 61.8% of death presented forecast of extreme critic and 27.9% of critic and most of the deaths occurred between the fourth and the fifteenth day of stay. Conclusions: the complications and the most frequent causes of death were similar to international reports and the medicolegal etiology most frequent was suicide, which differed from the reported internationally, because accident was predominant in burn patients.Downloads
References
1. Viñas Díaz JA, Rodríguez JJ, González Rodríguez M. Epidemiología de las lesiones por quemaduras. Rev Cienc Méd Pinar Río [Internet]. 2009 [citado 15 Mar 2015];13(4) [aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942009000400006
2. Quemaduras. Ecured. Enciclopedia cubana [Internet]. 2015 [aprox. 12 p.] [citado 7 May 2015]. Disponible en: http://www.ecured.cu/index.php/Quemadura
3. Montero González T, Hurtado de Mendoza Amat J, Iglesias Duquesne MM, Beato Canfux A, Pedroso Garriga TM, Palacios Alfonso IR. Alteraciones morfológicas en la enfermedad por quemaduras: experiencias en 156 autopsias. Rev Cub Med Mil [Internet]. 2008 [citado 15 Mar 2015];37(3):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572008000300004&Ing=es&nrm=iso
4. Del Sol Sánchez A. Ensayo histórico de las quemaduras en Cuba. La Habana: Científico Técnica; 2009. p. 23-38.
5. García Ramos R. Quemaduras. En: Pardo Gómez G, García Gutiérrez A. Temas de Cirugía. t I. La Habana: Ciencias Médicas; 2010. p. 338.
6. Morán Calvet MA. Características clinicoepidemiológicas de los accidentes por quemaduras en el municipio de Contramaestre. MEDISAN [Internet]. 2008 [citado 15 Mar 2015];14(3):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192010000300005&lng=es&nrm=iso
7. Moya Rosa EJ, Faces Sánchez M. Lesión por quemaduras en el adulto mayor. Arch Méd Camagüey [Internet]. 2011 [citado 15 Mar 2015];15(5):[aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552011000500007&Ing=es&nrm=iso&ting=es
8. Shaha KK, Mohanthy S. Allegad dowry death: a study of homicidal burns. Med Sci Law [Internet]. 2006 [citado 10 Abr 2014];46(2): 105-10. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/16683464
9. Ponce Zerquera F. Medicina legal. 2da ed. La Habana: Ciencias Médicas; 2009.
10. Rodríguez Maroto O, Llorente Álvarez S, Casanueva Gutierrez M, Álvarez Álvarez B, Menéndez Somoano P, De la Riva Miranda G. Mortalidad en un servicio de urgencias hospitalarias. Características clínico-epidemiológicas. Emergencias [Internet]. 2004 [citado 18 Mar 2015];16(1):17-22. Disponible en: http://emergencias.portalsemes.org/descargar/mortalidad-en-un-servicio-de-urgencias-hospitalarias-caracteristicas-clinico-epidemiologicas/force_download/
11. De los Santos CE. Guía Básica para el tratamiento del paciente quemado [Internet]. Republica Dominicana:[s.n]; 2010 [actualizado 20 Abr 2012; citado 12 May 2014]. Disponible en: http://www.indexer.net/quemados/index.htm
12. Sastoque Melani C, Maya LC. Inmunomodulación e infección en quemaduras. En: Coiffman. Cirugía plástica, reconstructiva y estética. t I. 3ra ed. Bogotá: Amolca; 2008. p. 664-69.
13. Dryden MS. Complicated skin and soft tissue infection. J Antimicrob Chemother. [Internet]. 2010 [citado 3 Abr 2011] ;65 Suppl 3:iii35-44]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20876627
14. D'Avignon LC, Hogan BK, Murray CK, Loo FL, Hospenthal DR, Cancio LC, et al. Contribution of bacterial and viral infections to attributable mortality in patients with severe burns: an autopsy series. Burns [Internet]. 2010 [citado 15 May 2011] 36(6):773-9. Epub 2010 Jan 13. [aprox. 4p] Disponible en: http://www.sciencedirect.com/science/article/pii/S0305417909005592
15. Nagoba BS, Gandhi RC, Hartalkar AR, Wadher BJ, Selkar SP. Simple, effective and affordable approach for the treatment of burns infections. Burns [Internet]. 2010 [citado 15 Mar 2015];36(8):1242-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20554394
16. Pérez Boluda M, Lara Montenegro J, Ibáñez Mata J, Cagigal González L, León Llerena CM. El gran quemado: complicaciones precoses y tardías [Internet]. En: Guía de actuación ante el paciente quemado. Málaga; 2006 [citado 13 Feb 2015]. Disponible en: http://es.slideshare.net/azanero33/paciente-quemado-3091216
17. García Urquijo A, Rodríguez Rodríguez J, Rodríguez Pérez R, Lorenzo Manzanas R, Hernández González G. Staphylococcus aureus en quemaduras: estudio de incidencia, tendencia y pronóstico. Cir Plast Iberolatinoam [Internet]. 2015 [citado 19 Agos 2015]; 41(2):[aprox. 14 p.]. Disponible en: http://scielo.isciii.es/scielo.php?pid=S0376-78922015000200002&script=sci_arttext
18. Pedreros CP, Longton CB, Whittle SV, Villegas JC. Injuria inhalatoria en pacientes quemados: Revisión. Rev Chil Enf Respir [Internet]. 2007 [citado 19 Sept 2015]; 23:117-124. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-73482007000200006
19. Caballero López A, Santos Pérez LA. Síndrome de distrés respiratorio agudo o síndrome de insuficiencia respiratoria pulmonar aguda [Internet]. En: Caballero López A, Bécquer García EA, Domínguez Perera MA, Acosta Armas F, Castro Expósito A, Martínez Peralta MR, et al. Terapia intensiva. 2. ed. La Habana: Ciencias Médicas; 2009. p. 577-603 [citado 5 Abr 2015]. Disponible en: http://www.bvs.sld.cu/libros_texto/terapia_intensiva02/capitulo40.pdf
20. Gil Cebrián J, Díaz-Alersi Roseta R, Coma MJ, Gil Bello D. El paciente quemado grave. Insuficiencia respiratoria en pacientes quemados. Lesion por inhalación [Internet]. En: Principios de urgencias, emergencias y cuidados críticos. Burgos: Universidad de Burgos - FBIS (NET); 2005 [citado 23 Nov 2015]. Disponible en: http://tratado.uninet.edu/c090806.html
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).
15 junio 2025
