Preventive Care In Nursing and Midwifery Journal

en Five-Year Trends and Predictors of In-Hospital Mortality in Burn Patients in Southern Iran, 2019–2023 Nursing Orginal research <div style="text-align: justify;">Background: Burn injuries cause death and disability, particularly in low‑ and middle-income countries. Understanding local mortality patterns can inform prevention strategies and clinical care. Objectives: This study examined five-year trends in in-hospital mortality and factors associated with mortality among hospitalized burn patients in southern Iran from 2019 to 2023. Methods: This retrospective study used records from a referral burn center in southern Iran. Data on age, sex, education, residence, burn characteristics, underlying medical conditions, length of stay, and outcome were extracted. Factors associated with mortality were identified using multivariable logistic regression, and mortality trends were assessed using Poisson regression. Analyses were performed using IBM SPSS Statistics version 26. Results: Among 2,873 patients, mean age was 33.68 (SD = 21.06) years and mean total body surface area (TBSA) burned was 30.53 (SD = 27.17)%. Most patients were male (71.05%), had education below diploma level (31.90%), were urban residents (62.35%), and had no underlying conditions (75.36%). Flame was the most common burn agent (43.95%). Overall in‑hospital mortality was 24.95% (95% CI: 23.37–26.57%), declining from 50.00% in 2019 to 15.06% in 2023. Higher mortality odds were associated with older age (AOR = 1.05 per year, 95% CI: 1.00–1.07), greater TBSA burned (AOR = 1.05 per 1%, 95% CI: 1.03–1.09), female sex (AOR = 1.97, 95% CI: 1.21–3.20), university education (AOR = 5.84, 95% CI: 1.92–17.74), hot‑object burns (AOR = 6.48, 95% CI: 1.30–32.36), and electrical burns (AOR = 4.90, 95% CI: 1.06–22.61). Conclusion: Burn admissions increased, whereas in‑hospital mortality declined substantially. Identifying high‑risk patients and implementing targeted prevention strategies may improve outcomes in southern Iran.  </div> Burn Injury, Hospital Mortality, Epidemiology, Risk Factors, Trends 0 0 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-287-4&slc_lang=en&sid=1 Mohsen Bayat bayat.mm@gmail.com 100319475328460015785 100319475328460015785 No Nursing Department, Research Center for Nursing and Midwifery Care, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Moslem Taheri Soodejani moslem.taheri2009@yahoo.com 100319475328460015786 100319475328460015786 No Biostatistics and EpidemiologyDepartment ,Public Health School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Abdolkhalegh Keshaverzi fdo@sums.ac.ir 100319475328460015787 100319475328460015787 No Surgery Department, Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Khadijeh Nasiriani nasiriani@gmail.com 100319475328460015788 100319475328460015788 Yes Nursing Department, Research Center for Nursing and Midwifery Care, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran