Abstract
Aim
This study’s objective was to describe the characteristics of burn injury patients
who were resuscitated after burn related out-of-hospital cardiac arrest (OHCA).
Method
We conducted a retrospective cohort study and examined characteristics of burn related
OHCA using data from a Japanese nationwide burn registry that was collected between
April 1, 2011 and March 31, 2020. First, we compared the characteristics of burn patients
with and without OHCA. Second, among burn patients with OHCA, we compared the characteristics
of survivors with non-survivors.
Results
In the database, there were 16,995 hospitalised burn patients and 256 burn related
OHCA. Thirty-two of the 256 burn patients (13%) survived after admission. Among patients
with burns who also had OHCA, flames were the most common injury mechanism (74%);
in comparison to all other injury mechanisms, the rate of flame burn was significantly
higher in burn patients with OHCA than in burn patients without OHCA. The most common
cause of death for burn related OHCA is carbon-monoxide poisoning (46%). Compared
with survivors, non-survivors had a larger burn area, greater age and more complications.
such as inhalation injuries and perineal burn injuries. Compared to other mechanisms
of burn injury, electrical burn injuries were more common among survivors. In twelve
patients with electrical burns, eight patients survived (67%) OHCA; of those eight
patients, six (50%) could be discharged home.
Conclusion
Patients with burn related OHCA have a poor prognosis; however, patients who sustain
electrical shock injuries may do better.
Keywords
Abbreviations:
CI (Confidence intervals), %TBSA (% total body surface area), JNBR (Japanese National Burn Registry), JSBI (Japan Society for Burn Injuries)To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ResuscitationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies.Resuscitation. 2010; 81: 1479-1487
- The profile of Japanese Association for Acute Medicine - out-of-hospital cardiac arrest registry in 2014–2015.Acute Med Surg. 2018; 5: 249-258
World Health Organization web site. Burns. (Accessed 8 September 2022, at https://www.who.int/news-room/fact-sheets/detail/burns).
- Determinants of death following burn injury.Br J Surg. 2001; 88: 583-587
- Recent outcomes in the treatment of burn injury in the united states: A report from the american burn association patient registry.J Burn Care Rehabil. 1995; 16: 219-232
- An evaluation of risk factors for mortality after burn trauma and the identification of gender-dependent differences in outcomes.J Am Coll Surg. 2001; 192: 153-160
- Burn related mortality in Greater Manchester: 11-year review of Regional Coronial Department Data.Burns. 2015; 41: 225-234
- Objective estimates of the probability of death from burn injuries.N Engl J Med. 1998; 338: 3262-3266
- Genital burns in the national burn repository: Incidence, etiology, and impact on morbidity and mortality.Urology. 2014; 83: 298-303
- Association between perineal burns injury and in-hospital mortality: A retrospective observational study from the nation-wide burn registry in Japan.J Burn Care Res. 2022; 43: 419-422
- Outcomes after cardiac arrest in an adult burn center.Burns. 2013; 39: 1541-1546
- Survival after out-of-hospital cardiac arrest in Europe-Results of the EuReCa TWO study.Resuscitation. 2020; 148: 218-226
- Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR).Resuscitation. 2020; 152: 39-49
- Regional variation in functional outcome after out-of-hospital cardiac arrest across 47 prefectures in Japan.Resuscitation. 2018; 124: 21-28
- Mortality and causes of death in a burn centre.Burns. 2008; 34: 1103-1107
- Mortality and causes of death of Dutch burn patients during the period 2006–2011.Burns. 2015; 41: 235-240
- Electrical shock and lightning strike.Ann Emerg Med. 1993; 22: 378-387
- Incidence of EMS-treated out-of-hospital cardiac arrest in the United States.Resuscitation. 2004; 63: 17-24
- Patient outcomes after electrical injury–a retrospective study.Scand J Trauma Resusc Emerg Med. 2021; 29: 1-6
Article info
Publication history
Published online: January 12, 2023
Accepted:
January 6,
2023
Received in revised form:
December 19,
2022
Received:
November 9,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier B.V. All rights reserved.
