Mohammad Javad Mohammadzade - MSc in Health Service management Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Mostafa Amini-Rarani - PhD in health policy, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Mahmoud Keyvanara - Associate Professor, Department of Health Services Management, School of Management and Medical Information Sciences AND Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Background and Aim : Burn injuries often lead to high mortality rate and adverse economic and social consequences. This study aimed to investigate the social and medical determinants of burn-related mortalities. Methods : The current cross-sectional study was conducted using data from all burn patients hospitalized in a specialized burn hospital from March 2014 to March 2017 in Iran, Isfahan. Using hospital information system, data were extracted, prepared, cleaned and analyzed from descriptive (frequency and percentage) and inferential (univariate and multiple logistic regressions) statistics applying STATA/SE version 14. Results : Out of 3290 burn patients, 740 cases (22.49%) were dead. The highest mortality percentage was observed in females (31.1%), ages higher than 60-years-old (35.8%), in patients with low financial status (27.4%), patients come from cities out of Isfahan province (35.4%) and in > 71 % total burn surface area (86.6%). The results of multiple logistic regression showed that male burn patients, burn patients aged under 40 and 41-60 years old, patients living in Isfahan city and those living in cities of Isfahan province, and burn patients with 30 % and 31-70 % total burn surface areas had lower odds to burn related mortality (Odds ratios <1). Also, patients with middle and low-income levels had higher odds to burn-related mortality (Odds ratios > 1). Conclusion : Burn-related mortality is associated with both healthcare as well as social factors. Consequently, social and medical factors as reasons for burn-related mortality can be simultaneously addressed in burn policies to reduce burn cases and related mortalities.

Burns, Social factors, Mortality, Hospital