Abstract:

Objective

To analyse the clinical characteristics of inpatients with extensive burns， and provide the relevant evidence for the prevention and treatment of extensive burns.

Methods

A retrospective analysis was conducted on the clinical data of 259 inpatients with extensive burns who met the inclusion and exclusion criteria and were admitted to the Institute for Burn，Frostbite and Tissue Function Reconstruction at the Characteristic Medical Center of Chinese People's Armed Police Force from January 1，2014 to December 31，2023，including gender，age，cause of injury，month and season of injury，area of full-thickness burn，treatment method，clinical outcome， days of special care，medical payment method，etc.Analyzed the clinical characteristics and factors influencing mortality in inpatients with extensive burns.

Results

There were 220 males and 39 females，with a ratio of 5.64 ∶1，and males were significantly more than females.The injured population was mainly concentrated among middle-aged and young people.The main cause of injury was thermal burns （236 cases， 91.12%）， with flame burns constituting the majority （151 cases， 58.30%）.The month with the highest number of hospitalized patients was August， with a total of 53 cases （20.46%）， and the season with the highest number was summer （June to August）， with a total of 119 cases （45.95%）.The main burn sites were 253 cases （97.68%） in the upper limbs，233 cases （89.96%） in the lower limbs，229 cases （88.42%） in the trunk， and 225 cases （86.87%） in the head， face， and neck.Totally 208 cases（80.31%） were treated with surgery， and 51 cases （19.69%） were treated conservatively.A total of 193 cases （74.52%） were cured and improved， 53 cases （20.46%） were automatically discharged， and 13 cases （5.02%） died.Out of 231 cases （89.19%）， self payment was the main medical payment method.Age， shock， area of full-thickness burn， and special care duration were the influencing factors for the death of patients with extensive burns（P＜0.05）.

Conclusion

Extensive burns are more common in summer， the injured population is mainly concentrated amony middle-aged and young people， there are more males than females，thermal burns are the main cause of injury，the medical payment method is mainly self funded.

Key words: Extensive burns, Inpatients, Clinical characteristics