• Miguel Ángel Ibarra Estrada, Quetzalcóatl Chávez Peña, Dante Ismael García Guardado, José Arnulfo López Pulgarín, Guadalupe Aguirre Avalos, and Federico Corona Jiménez.
• Intensive Care Unit, Hospital Civil de Guadalajara "Fray Antonio Alcalde", Guadalajara, Jalisco, Mexico, Universidad de Guadalajara. Electronic address: drmiguelibarra@hotmail.com.
• Burns. 2014 Sep 1;40(6):1225-31.

ObjectiveThe aim of this study was to review clinical data and outcomes of patients with burns in a Mexican non-burn intensive care unit (ICU).MethodsWe did a retrospective analysis of our single-centre database of burn patients admitted to the ICU in the Hospital Civil Fray Antonio Alcalde (University Hospital). The sample was divided for analysis into two groups according to the outcome 'death' or 'discharge' from ICU.ResultsOverall mortality was 58.2%, without a decreasing trend in mortality rates through the years. We identified the presence of third-degree burns (odds ratio (OR) 1.5, p=0.003), and >49% total burned surface area (TBSA; OR 3.3, p≤0.001) was associated with mortality. Mean age was higher in deceased patients (38.2 years vs. 31.3 years, p=0.003) as was the TBSA (62.8% vs. 36.4%, p≤0.001). At multivariate analysis, inhalation injury was not associated with increased mortality, but it was with more mechanical ventilation days. Early surgical debridement/cleansing was performed in most patients; however, the mean of the procedures was 1.7 per patient in both groups.ConclusionWe identified significant factors associated with mortality. These variables and prognosis from non-burn ICUs differ broadly compared with burn intensive care units (BICUs); thus, more structured, multidisciplinary and specialised treatment strategies are still needed.Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

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