Preventive Care in Nursing and Midwifery Journal
Volume 16, Issue 3 (7-2026)
Prev Care Nurs Midwifery J 2026, 16(3): 0-0 |
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Ethics code: (IR.SSU.REC.1402.058)
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Bayat M, Taheri Soodejani M, Keshaverzi A, Nasiriani K. Five-Year Trends and Predictors of In-Hospital Mortality in Burn Patients in Southern Iran, 2019–2023. Prev Care Nurs Midwifery J 2026; 16 (3)
URL: http://nmcjournal.zums.ac.ir/article-1-1030-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-1030-en.html
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 , nasiriani@gmail.com
Abstract: (6 Views)
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.
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.
Type of Study: Orginal research |
Subject:
Nursing
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