Schweizer et al reported risk factors for prolonged hospitalization and mortality in a patient with a significant electric burn. This can help to identify a patient who may require more aggressive management. The authors are from UniversitätsSpital Zürich in Switzerland.
Patent selection: electric burn resulting in hospitalization (74% high-voltage injuries)
Predictors of mortality:
(1) burn involvement over a high total body surface area
(2) renal failure
(3) cardiovascular complications
(4) multi-organ failure
Predictors for prolonged hospital stay and ICU stay:
(1) burn involvement over a high total body surface area
(2) sepsis
Additional risk factors for prolonged ICU stay:
(1) limb loss (amputation rate almost 14% in study)
(2) abdominal complications
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