Evidence map›Paper›PMID 42584456›Full record

ArticleBioMed research international2026

Risk Factors for Sepsis and Pulmonary Embolism Mortality in Burn Patients by Using a Competing Risk Model: A Machine Learning Approach.

Fatemeh Javanmardi, Zahra Shayan, Amir Emami, Soheila Khodakarim

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Article in BioMed research international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fatemeh JavanmardiDepartment of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, sums.ac.ir.ORCID https://orcid.org/0000-0001-8841-0861
Zahra ShayanDepartment of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, sums.ac.ir.ORCID https://orcid.org/0000-0002-3172-6862
Amir EmamiBurn and Wound Healing Research Center, Microbiology Department, Shiraz University of Medical Sciences, Shiraz, Iran, sums.ac.ir.ORCID https://orcid.org/0000-0002-4510-1820
Soheila KhodakarimDepartment of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran, sums.ac.ir.ORCID https://orcid.org/0009-0005-0713-2713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSevere burn injury remains a prevalent cause of morbidity and mortality over the last several decades. Various potential complications significantly contribute to mortality in burn patients. Sepsis and pulmonary embolism (PE) are among the leading causes of death following burn injury.

methodsThis retrospective study was conducted at a burn center in southwest Iran. In the current study, competing risk analysis was performed. Two events were considered death due to PE, which is the event of interest, and the competing event defined as death due to sepsis. Discharge was considered as a censor. Hazard ratios (HR) and standard errors (SE) were used to estimate the risk of death.

resultsThe study included 623 patients, with a total of 458 deaths (73.5%). Among them, 17 (2.7%) were due to PE, and 441 (70.8%) were attributed to sepsis-related mortality. Lower limb burns were the most frequent injury site among survivors (77.0%) and PE cases (82.3%). Flame burns were the most common etiology in all groups. The need for mechanical ventilation is also associated within increasing hazard of mortality in both events. Patients with burns in the lower limbs are more likely to die from PE (HR = 3.15) and sepsis (HR = 2.10). A higher RBC count was associated with a decreased risk of mortality from both PE (HR: 0.66) and sepsis (HR: 0.53). Similarly, hemoglobin levels had a modest protective effect against both causes of death.

conclusionThese results highlight the complex relationship between burn characteristics, laboratory indicators, and demographic factors in determining mortality risk. Both clinical and laboratory parameters, as well as burn site and severity, play important roles in predicting outcomes in burn patients.

Indexed as

BurnsMachine LearningPulmonary EmbolismSepsisAdultFemaleHumansIranMaleMiddle AgedRetrospective StudiesRisk Factorsburncompeting riskpenalized methodspulmonary embolismsepsis

Identifiers

PMID42584456
PMCPMC13464429

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