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Demographic and Clinical Predictors of Decubitus Ulcers Development Following Burn Injury: A National Database Study
Hilary Y. Liu, BS2; Christopher Fiorina, DO; Rebecca Hohsfield, BS; Jos� Antonio Arellano, MD; Mare G. Kaulakis, BS; Christopher J. Fedor, MS; Daniel Najafali, BS; Alain C. Corcos, MD, FACS; Jenny A. Ziembicki, MD; J Peter Rubin, MD, MBA, FACS; Francesco M. Egro, MD, MSc, MRCS
University of Pittsburgh Medical Center
2025-01-09
Presenter: Hilary Y Liu, BS
Affidavit:
I agree
Director Name: Vu T Nguyen
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
Introduction: Burn patients are at increased risk of developing decubitus ulcers due to prolonged immobilization and systemic complications during extended hospital stays. These ulcers can lead to significant complications, such as delayed wound healing, increased morbidity, and prolonged hospitalizations. This national database study characterizes burn patients who developed decubitus ulcers and identifies associated risk factors.
Methods: A retrospective review was performed using data from the ABA National Registry from 2013 to 2016 on burn patients who developed decubitus ulcers. Patient demographics, burn characteristics, clinical course, and hospitalization data were extracted. Descriptive statistics were used to summarize the data, and a multiple logistic regression model was developed to identify potential risk factors.
Results: Of 106,956 patients, 257 developed decubitus ulcers during their hospital stay. Patients were 73.2% male, with a mean age of 51.8�21.2 years. The most common burn etiology was flame (47.5%), with a mean total body surface area (TBSA) of 25.2%�21.2%. Patients had a mean hospital stay of 49.7�39.3 days, including 32.2�32.3 days in the intensive care unit. Logistic regression analysis revealed significant risk factors, including older age (OR: 1.01 per year), increased TBSA (OR: 1.04 per % increase), inhalation injury (OR: 3.53), prolonged hospital stay (OR: 1.02 per day), and number of operations (OR: 1.17 per surgery).
Conclusion: This study provides comprehensive insights into the risk factors associated with decubitus ulcer development in burn patients. The findings highlight the complexity of ulcer formation and underscore the importance of targeted prevention strategies, particularly for patients with multiple risk factors.
