Aditya Wardhana1,2, Lara Aristya2, Claudio Agustino2, Radhianie Djan1, Zainul Halim1
1 Burn Unit, Cipto Mangunkusumo National General Hospital, Jalan Pangeran Diponegoro No. 71, Jakarta, 10430
2 Faculty of Medicine, Universitas Indonesia, Jalan Salemba Raya No. 6, Jakarta, 10430
Background: Burn injuries are highly associated with disability and mortality worldwide. Although the current advancement of therapy had improved the outcome, there are still many death cases among burn patients.
Objectives: This study aims to investigate the cause of death among patients with burn injuries in order to evaluate our burn unit as the basis in improving standards through a greater depth of understanding the trends of mortality in our burn unit service.
Method: We conducted a retrospective study. The data of burn patients died between January 2016 and December 2017 in Burn Unit of Cipto Mangunkusumo Hospital were collected. Subsequently, several literatures were reviewed to compare the data collected with studies conducted in other burn units.
Result: Eighty-six patients (27,4%) were died during hospitalization, 54 of whom were male (62,8%). The average age was 38,8. Eighty-three patients (96,5%) had burn extent over 20% TBSA and the average length of stay was 11,4 days. The most common cause of death was flame (n=67; 78%). The majority cause of death was multiple organ failure (n=76; 88,4%). Pseudomonas aeruginosa was the most common organism isolated among the death patients (n=30; 27,8%).
Discussion: The major cause of death among patients with burn injuries in our unit was multiple organ failure, triggered primarily by sepsis, which accorded with the literatures reviewed.
Keywords: burn, cause of death, mortality
Lara Aristya is a medical student of Faculty of Medicine Universitas Indonesia. She has high interest in science and research field. She had participated several research competitions and conferences, both national and international. Lara has done a publication about fluid resuscitation and vasoactive usage for septic shock patient in Cipto Mangunkusumo National General Hospital Intensive Care Unit. She also has been actively participating in several national and international symposiums and workshops about medical field.