TY - JOUR
T1 - Outcomes of Patients with Burns Associated with Home Oxygen Therapy
T2 - An Institutional Retrospective Review
AU - Yoon, Joshua S.
AU - Khoo, Kimberly H.
AU - Puthumana, Joseph S.
AU - Perez Rivera, Lucas R.
AU - Keller, Patrick R.
AU - Lagziel, Tomer
AU - Cox, Carrie A.
AU - Caffrey, Julie
AU - Galiatsatos, Panagis
AU - Hultman, C. Scott
N1 - Publisher Copyright:
© 2022 The Author(s). Published by Oxford University Press on behalf of the American Burn Association. All rights reserved.
PY - 2022/9/1
Y1 - 2022/9/1
N2 - Home oxygen therapy (HOT) burns carry high morbidity and mortality. Many patients are active smokers, which is the most frequent cause of oxygen ignition. We conducted a retrospective review at our institution to characterize demographics and outcomes in this patient population. An IRB-approved single-institution retrospective review was conducted for home oxygen therapy burn patients between July 2016 and January 2021. Demographic and clinical outcome data were compared between groups. We identified 100 patients with oxygen therapy burns. Mean age was 66.6 years with a male to female ratio of 1.3:1 and median burn surface area of 1%. In these patients, 97% were on oxygen for COPD and smoking caused 83% of burns. Thirteen were discharged from the emergency department, 35 observed for less than 24 hours, and 52 admitted. For admitted patients, 69.2% were admitted to the ICU, 37% required intubation, and 11.5% required debridement and grafting. Inhalational injury was found in 26.9% of patients, 3.9% underwent tracheostomy, and 17.3% experienced hospital complications. In-hospital mortality was 9.6% and 7.7% were discharged to hospice. 13.5% required readmission within 30 days. Admitted patients had significantly higher rates of admission to the ICU, intubation, and inhalational injury compared to those that were not admitted (P <. 01). Most HOT-related burns are caused by smoking and can result in significant morbidity and mortality. Efforts to educate and encourage smoking cessation with more judicious HOT allocation would assist in preventing these unnecessary highly morbid injuries.
AB - Home oxygen therapy (HOT) burns carry high morbidity and mortality. Many patients are active smokers, which is the most frequent cause of oxygen ignition. We conducted a retrospective review at our institution to characterize demographics and outcomes in this patient population. An IRB-approved single-institution retrospective review was conducted for home oxygen therapy burn patients between July 2016 and January 2021. Demographic and clinical outcome data were compared between groups. We identified 100 patients with oxygen therapy burns. Mean age was 66.6 years with a male to female ratio of 1.3:1 and median burn surface area of 1%. In these patients, 97% were on oxygen for COPD and smoking caused 83% of burns. Thirteen were discharged from the emergency department, 35 observed for less than 24 hours, and 52 admitted. For admitted patients, 69.2% were admitted to the ICU, 37% required intubation, and 11.5% required debridement and grafting. Inhalational injury was found in 26.9% of patients, 3.9% underwent tracheostomy, and 17.3% experienced hospital complications. In-hospital mortality was 9.6% and 7.7% were discharged to hospice. 13.5% required readmission within 30 days. Admitted patients had significantly higher rates of admission to the ICU, intubation, and inhalational injury compared to those that were not admitted (P <. 01). Most HOT-related burns are caused by smoking and can result in significant morbidity and mortality. Efforts to educate and encourage smoking cessation with more judicious HOT allocation would assist in preventing these unnecessary highly morbid injuries.
KW - Burns
KW - Cigarettes
KW - Home oxygen
KW - Inhalational injury
UR - http://www.scopus.com/inward/record.url?scp=85137139041&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85137139041&partnerID=8YFLogxK
U2 - 10.1093/jbcr/irac090
DO - 10.1093/jbcr/irac090
M3 - Article
C2 - 35815812
AN - SCOPUS:85137139041
SN - 1559-047X
VL - 43
SP - 1024
EP - 1031
JO - Journal of Burn Care and Research
JF - Journal of Burn Care and Research
IS - 5
ER -