Characteristics and outcomes of myocardial infarction among burn patients: A nationwide analysis
Recommended Citation
Sedhom R, Khedr M, Beshai R, Brilakis ES, Basir MB, Alaswad K, Stoletniy L, Abramov D, Bharadwaj A, and Megaly M. Characteristics and outcomes of myocardial infarction among burn patients: A nationwide analysis. Burns 2024; 51(1):107313.
Document Type
Article
Publication Date
2-1-2025
Publication Title
Burns
Keywords
Humans, Male, Myocardial Infarction, Female, Middle Aged, Burns, Hospital Mortality, Aged, Adult, Risk Factors, United States, Body Surface Area, Shock, Cardiogenic, Incidence, Databases, Factual, Stroke, Hospitalization
Abstract
PURPOSE: To examine the characteristics and outcomes of myocardial infarction (MI) among burn patients.
MATERIALS AND METHODS: The Nationwide Readmissions Database was utilized to identify hospitalizations of patients with burns from 2016 to 2020. The main outcome was the difference in all-cause in-hospital mortality between burn patients with and without MI.
RESULTS: Of 200,130 hospitalizations with burns, 1997 (1 %) developed acute MI. Burn patients with MI were older, more likely to be men, and had a higher prevalence of cardiovascular risk factors. Only burns affecting the trunk and respiratory tract, and those affecting > 20 % of body surface area (BSA), were associated with an increased risk of MI. All-cause in-hospital mortality was higher among patients with MI (18.7 % vs. 3 %, adjusted odds ratio (aOR) 4.59, 95 % confidence interval (CI) 3.66, 5.76). Cardiogenic shock, ventricular tachycardia, and stroke rates were higher among patients with MI. Revascularization was associated with lower in-hospital mortality (aOR 0.33, 95 % CI 0.17, 0.64).
CONCLUSIONS: The incidence of MI in burn patients is low but is associated with high mortality and morbidity. Burns involving the trunk and respiratory tract, and those affecting > 20 % BSA, were associated with an increased risk of MI. Revascularization was associated with lower in-hospital mortality.
Medical Subject Headings
Humans; Male; Myocardial Infarction; Female; Middle Aged; Burns; Hospital Mortality; Aged; Adult; Risk Factors; United States; Body Surface Area; Shock, Cardiogenic; Incidence; Databases, Factual; Stroke; Hospitalization
PubMed ID
39561551
Volume
51
Issue
1
First Page
107313
Last Page
107313
