@article {599756, title = {Long term mortality in critically ill burn survivors}, journal = {Burns}, volume = {43}, number = {6}, year = {2017}, month = {2017 Sep}, pages = {1155-1162}, abstract = {INTRODUCTION: Little is known about long term survival risk factors in critically ill burn patients who survive hospitalization. We hypothesized that patients with major burns who survive hospitalization would have favorable long term outcomes. METHODS: We performed a two center observational cohort study in 365 critically ill adult burn patients who survived to hospital discharge. The exposure of interest was major burn defined a priori as >20\% total body surface area burned [TBSA]. The modified Baux score was determined by age + \%TBSA+ 17(inhalational injury). The primary outcome was all-cause 5year mortality based on the US Social Security Administration Death Master File. Adjusted associations were estimated through fitting of multivariable logistic regression models. Our final model included adjustment for inhalational injury, presence of 3rd degree burn, gender and the acute organ failure score, a validated ICU risk-prediction score derived from age, ethnicity, surgery vs. medical patient type, comorbidity, sepsis and acute organ failure covariates. Time-to-event analysis was performed using Cox proportional hazard regression. RESULTS: Of the cohort patients studied, 76\% were male, 29\% were non white, 14\% were over 65, 32\% had TBSA >20\%, and 45\% had inhalational injury. The mean age was 45, 92\% had 2nd degree burns, 60\% had 3rd degree burns, 21\% received vasopressors, and 26\% had sepsis. The mean TBSA was 20.1\%. The mean modified Baux score was 72.8. Post hospital discharge 5year mortality rate was 9.0\%. The 30day hospital readmission rate was 4\%. Patients with major burns were significantly younger (41 vs. 47 years) had a significantly higher modified Baux score (89 vs. 62), and had significantly higher comorbidity, acute organ failure, inhalational injury and sepsis (all P, issn = {1879-1409}, doi = {10.1016/j.burns.2017.05.010}, author = {Nitzschke, Stephanie and Offodile, Anaeze C and Cauley, Ryan P and Frankel, Jason E and Beam, Andrew and Elias, Kevin M and Gibbons, Fiona K and Salim, Ali and Christopher, Kenneth B} }