The clinical study of incidence and role of co-morbid conditions in management and outcome of burns patients

Abstract

Background:The clinical study of incidence and role of co-morbid conditions in management and outcome of burns patients. The objective of this study was to determine the role of comorbid conditions in burns patient management and to understand the outcome the morbidity and mortality in burns patients with comorbid conditions.Methods: One hundred patients suffering burn injury with associated comorbid conditions had been selected randomly (every third burns patient with associated comorbidity). Co-morbidities associated were noted from history given by the patients. It is a prospective observational clinical study of 2 years of duration. Patients admitted in the department of burns and reconstructive surgery from the 2104 October up to twenty-four months were included in this prospective study.Results: It is a clinical observational prospective study. Study involve 100 burns patients with comorbidities: alcoholics (53%), smokers (15%), diabetic (12%), obesity (7%), psychiatric illness (6%), epilepsy (5%), bronchial asthma (2%). It was observed that morbidity and mortality were more in alcoholic (49%) and diabetic patients (33%) when compared to other co-morbid conditions. Wound infections and delayed wound healing was found more in diabetic patients. Incidence of higher percentage of burns was found in alcoholic patients.Conclusions: This study concluded that comorbid conditions increased the duration of hospital which also affected mortality, with longest stay of 102 days and average duration of stay of patients with co-morbid conditions was 45-65 days.