Characteristics and outcomes of myocardial infarction among burn patients: A nationwide analysis

Document Type

Article

Publication Date

2-1-2025

Publication Title

Burns

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

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