The influence of individual clinical and organizational factors on the duration of hospitalization for burn injuries
https://doi.org/10.52485/19986173_2026_1_15
Abstract
The aim of the research: to evaluate the influence of individual clinical and organizational factors on the length of hospitalization in adult patients with burn injuries.
Materials and methods. The inpatient medical records of 150 adult patients at the Burn Center of Tyumen Regional Clinical Hospital No. 1 were analyzed. Nonparametric statistics were used to present the results and perform statistical analysis.
Results. The etiology of the burn has the greatest impact on the length of hospitalization: the longest hospitalization was observed for flame burns (28,5 hospital days), while the shortest was observed for water and steam burns (10 hospital days). Thermal inhalation injury significantly prolonged hospitalization (40 hospital days versus 13 hospital days). A direct correlation was found between patient age and the length of hospitalization (p < 0,001). Patients with HIV infection and viral hepatitis have increased hospitalization duration (49,5 and 54 bed days, respectively). The peak incidence of complicated burns occurs in October, while the lowest incidence occurs in June.
Conclusion. The burn etiology, the presence of thermal inhalation injury, comorbidities, patient age, and seasonality determine the duration of inpatient treatment. These results allow us to optimize hospital bed utilization, improve the effectiveness of surgical interventions, and plan the distribution of material and technical resources in specialized institutions.
Keywords
Supporting agencies: The authors declare that there was no sponsorship for the study
About the Authors
A. A. Guseynova
Tyumen State Medical University
Russian Federation
Russian Federation
student
625023; 54 Odesskaya St.; Tyumen
A. A. Kurmangulov
Tyumen State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Associate Professor, Professor
Department of Public Health and Health Care
625023; 54 Odesskaya St.; Tyumen
AuthorID (RSCI): 769148, ResearcherID: AAT-3573-2020, AuthorID (Scopus):
57190403989
M. G. Karailanov
Military Medical Academy named after S.M.Kirov
Russian Federation
Russian Federation
Doctor of Medical Sciences, Associate Professor, Head of the Department
Department of Healthcare Organization and Public Health
194044; 6 Academician Lebedev St.; St. Petersburg
AuthorID (RSCI): 872968, ResearcherID: J-1471-2016
M. V. Zhaburina
Ivanovo State Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences, Associate Professor, Vice Rector for Research and International Affairs
Department of Otorhinolaryngology and Ophthalmology
153012; 8 Sheremetevsky Prospekt; Ivanovo
AuthorID (RSCI): 1071289, AuthorID (Scopus): 57615540300
D. I. Lebedeva
Tyumen State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Associate Professor, Professor
Department of Medical Prevention and Rehabilitation of Public Health and Public Health
625023; 54 Odesskaya St.; Tyumen
AuthorID (RSCI): 790964, ResearcherID: ABX-4091-2022, AuthorID (Scopus): 57200695139
References
1. Ahn C.S., Maitz P.K.M. Surviving burn injury: drivers of length of hospital stay. International Journal of Environmental Research and Public Health. 2021. Vol. 18 (2). DOI: 10.3390/ijerph18020761.
2. Kılıç Y., Tatar Z., Durmus K., et al. The length of stay and cost of burn patients and the affecting factors. Burns. 2021. 47 (7): 1660–1667. DOI: 10.1016/j.burns.2021.04.013.
3. James D.L., van der Merwe A.E., Jovic T. H., et al. Effect of COVID-19 on length of stay in hospital and patient population following burn injury. Journal of Burn Care & Research. 2024. 45 (1): 123–131. DOI: 10.1093/jbcr/iraf192.
4. Dokter J., Vloemans A.F.P.M., Beerthuizen G.I.J.M., et al. Epidemiology of burn patients admitted in the Netherlands: incidence, length of stay and mortality trends // European Journal of Trauma and Emergency Surgery. 2022. 48 (3): 1879–1888. DOI: 10.1007/s00068-021-01777-y.
5. Bazhukhina A.D., Kurmangulov A.A. Practice of applying improvement tools in the conditions of modern admissions departments. Medical Science and Education of the Urals. 2023. 24 (116): 196–203. DOI: 10.36361/18148999_2023_24_4_196. EDN GMVRCO.
6. Kroshka D.V., Trefilov R.N., Minigulov S.R., et al. Results of implementing a new model for organizing medical care in primary health care. Saratov Medical Scientific Journal. 2024. 20 (4): 484–489. DOI: 10.15275/ssmj484. EDN: UJEQFJ.
7. Sari H., Akkoc M.F., Kilinc Z., et al. Investigation of morbidity, length of stay, and healthcare costs of inpatient paediatric burns. International Wound Journal. 2024. 21 (1): e14385. DOI: 10.1111/iwj.14385.
8. Jeschke M.G., van Baar M.E., Choudhry M.A., et al. Burn injury. Nature Reviews Disease Primers. 2020. 6 (1): 11–27. DOI: 10.1038/s41572-020-0145-6.
9. Jones S.W., Caputo N.D., McCunn M. Inhalation injury: pathophysiology, diagnosis, and treatment. Journal of Burn Care & Research. 2017. 38 (3): e605–e614. PMID: 28448716.
10. Polozova E.V., Shilov V.V., Shlyk I.V. Dynamics of morphological changes in the tracheobronchial tree in patients with acute carbon monoxide poisoning complicated by thermochemical damage to the respiratory tract. Occupational medicine and industrial ecology. 2015. 2: 12–15. EDN: TRLLFB.
11. Salehi S.H., As'adi K., Tabatabaeenezhad S.A., et al. Prevalence of HIV infection among burn patients: is there a relationship with patients' outcomes? Int Wound J. 2017. 14 (1): 85–88. DOI: 10.1111/iwj.12555.
12. James J., Hofland H.W., Borgstein E.S., et al. The prevalence of HIV infection among burn patients in a burns unit in Malawi and its influence on outcome. Burns. 2003. 29 (1): 55–60. DOI: 10.1016/S0305-4179(02)00236-X.
13. Kolpakova N.V., Kurmangulov A.A., Melnikov A.A., et al. Clinical, amnestic, and immunological parameters in HIV-infected patients with gastrointestinal pathology. HIV infection and immunosuppression. 2018. 10 (1): 78–83. DOI: 10.22328/2077-9828-2018-10-1-78-83. EDN: YUUIXL.
14. Pokrovsky V.V. At the forefront of the fight against the spread of human immunodeficiency virus. Epidemiology and infectious diseases. Current issues. 2023. 13 (2): 88–96. DOI: 10.18565/epidem.2023.13.2.88-92. EDN: HHHDES.
15. Price L.A., Thombs B., Chen C.L., Milner S.M. Liver disease in burn injury: evidence from a national sample of 31 338 adult patients. J Burns Wounds. 2007. (7). PMID: 17625613. PMCID: PMC1892842.
16. Ahn C.S., Maitz P.K.M. The true cost of burn. Burns. 2012. 38 (7): 967–974. DOI: 10.1016/j.burns.2012.05.016.
17. Duke J.M., Boyd J.H., Rea S., Randall S. Time to definitive care and burn outcomes: A population-based study. Injury. 2018. 49 (3): 590–595. DOI: 10.1016/j.injury.2018.01.012.
18. Forjuoh S.N. Burns in low- and middle-income countries : A review of epidemiology and outcomes. Burns. 2015. 41 (4): 647–658. DOI: 10.1016/j.burns.2015.01.013.
19. Mock C., Peck M., Peden M., Krug E. A WHO plan for burn prevention and care. Burns. 2018. 44 (5): 1017–1025. DOI: 10.1016/j.burns.2018.02.012.
Review
For citations:
Guseynova A.A., Kurmangulov A.A., Karailanov M.G., Zhaburina M.V., Lebedeva D.I. The influence of individual clinical and organizational factors on the duration of hospitalization for burn injuries. Transbaikalian Medical Bulletin. 2026;(1):15-24. (In Russ.) https://doi.org/10.52485/19986173_2026_1_15
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