Evidence map›Paper›PMID 41931542›Full record

ArticleWorld journal of surgery2026

Epidemiological Characteristics and Prognostic Factors for Mortality in Severe Burns: A 32-Year Analysis (1993-2024) From a National Referral Center in the Dominican Republic.

José Enrique Cueva-Ramírez, Rosario Valdez, Rosy Tejada, Gregorio Gonzalez-Alcaide, Jose-Manuel Ramos-Rincon

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Article in World journal of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

José Enrique Cueva-RamírezSchool of Morphological Sciences, Faculty of Health Sciences, Autonomous University of Santo Domingo, Santo Domingo, Dominican Republic.ORCID https://orcid.org/0000-0003-1010-2388
Rosario ValdezPearl F. Ort Burn Unit, Santo Domingo, Dominican Republic.ORCID https://orcid.org/0009-0005-3336-4470
Rosy TejadaPearl F. Ort Burn Unit, Santo Domingo, Dominican Republic.ORCID https://orcid.org/0009-0001-8305-4658
Gregorio Gonzalez-AlcaideDepartment of History of Science and Documentation, University of Valencia, Valencia, Spain.ORCID https://orcid.org/0000-0003-3853-5222
Jose-Manuel Ramos-RinconClinical Medicine Department, University Miguel Hernández of Elche, Alicante, Spain.ORCID https://orcid.org/0000-0002-6501-9867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere burns represent a major public health burden in middle-income countries. This study describes the epidemiological profile and identifies independent prognostic factors for in-hospital mortality in patients with severe burns treated at the national referral center of the Dominican Republic over a 32-year period.

methodsA retrospective cohort study was conducted including 5941 adult patients with severe burns admitted between 1993 and 2024. Epidemiological, clinical, and outcome data were analyzed. Independent predictors of mortality were identified using multivariable logistic regression.

resultsThe cohort was predominantly male (73.5%) with a median age of 34 years. The most common etiology was flame burns (58.2%). The median total body surface area (TBSA) burned was 25%. The overall mortality rate was 28.2%, remaining stable across four eight-year periods. In the adjusted analysis, the strongest independent predictors of mortality were TBSA ≥ 40% (adjusted odds ratio [aOR] 12.00), age ≥ 65 years (aOR 6.18), the presence of a full-thickness (third-degree) component (aOR 2.69), and female sex (aOR 1.23).

conclusionMortality from severe burns remains high and stable over time, driven predominantly by burn extent, depth, and patient age. These findings underscore the critical need to strengthen prehospital care systems and target prevention strategies toward domestic flame and scald risks in similar settings.

Indexed as

BurnsAdolescentAdultAgedDominican RepublicFemaleHospital MortalityHumansMaleMiddle AgedPrognosisRetrospective StudiesYoung AdultburnsDominican Republicepidemiologymortalityprognosis

Identifiers

PMID41931542
PMCPMC13206501

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.