Early graft in patients with burn wounds: A two-year retrospective study of ۵۸۲ patients at a referral burn center in northern Iran

Skin graft is the main treatment for burn wounds, which provides a favorable functional and aesthetic scar outcome. This study aimed to assess early graft in patients with burn wounds admitted to a referral burn center in northern Iran. This retrospective research was conducted on ۵۸۲ patients with burn wounds with an early graft between May ۲۰۱۹ to ۲۰۲۱ at a referral burn center in northern Iran. Data gathering was conducted from May ۲۰۱۹ to ۲۰۲۱. A total of ۵۸۲ patients with burn wounds with early graft were enrolled in this research. Of the patients, ۹۱.۴۱% were treated with one graft and ۶۰.۱۴% were treated with grafts less than ۱۰% in size. The average graft/burn ratio in patients with burn wounds was ۰.۷۵ (SD=۰.۵۲). Also, ۵۵.۱۵% of patients with burn wounds had graft/burn ratio less than ۰.۷۵ (P=۰.۰۳). The mean length of stay in hospital in patients with burn wounds was ۷.۲۰ (SD=۶.۱۰). ۶۱.۳۴% of patients with burn wounds had stayed less than seven days in the hospital after early grafting. ۴.۱۲% of patients with burn wounds died due to early grafts (P<۰.۰۰۱). Although in the past decades, progress had been made in skin grafts for burns in Iran, however, prevention of complications and negative outcomes of burns and timely treatment of patients is still weak in Iran. Overall, the present study showed that patients with burn wounds with early grafts in Iran have had better clinical outcomes compared with low- and middle-income countries.

Keywords:

Burns , Early Graft , mortality , Burn injury , Iran