The Necessity of Burn Treatment Units

Abstract

Aim of study to identify, describe the patterns first 950 burn patients treated in Konya Education and Research Hospital Burn Unit. First consecutive 950 patients with burn injury hospitalized included in this study. The patient\'s records reviewed for this study.Patient\'s ratio male to female is 1.64. The mean age was 30.52±22.54 years; range was 0-94 years. Scald was the most frequent caused burn (51.2%). Electrical burns were the most common cause of full-thickness burns(%82.8). The patients 77.2% treated conservatively with burn dressing and them 22.8% treated surgically. The mean hospitalization time is 13.48±6.48 days and the mean burned TBSA 14.02±6.2%. The mortality rate was 2% for the study period and lastly cost of treatment burns injury Turkish Liras 1.345 per patient. Burn unit should be established in developing countries. Because the burn unit do not have in hospitals, burn patients are forced to be treated, other clinics and unsuitable conditions for burn wounds and the staff have not been received training in burn wounds and treatment of burn injury. The most of the burned patients can be treated with advanced burn dressing conservatively and lastly treatments of patients with burns injury are very expensive according to the treatments other diseases.

Keywords

• Burn unit, burn injury, treatment of burn injury

The Necessity of Burn Treatment Units

Öz

Bu çalışmanın amacı yeni kurulanKonya Eğitim ve Araştırma Hastanesi Yanık Ünitesine yatırılaran ilk 950 yanık hastasını tanımlamaktır. Yanık yaralanması teşhisiyle Ağustos 2008 ile Eylül 2011 tarihleri arasında ünitemize yatırılarak tedavi edilen hastalar çalışmaya alındı. Hastaların bilgileri retrospektif incelendi. Cinsiyet, yaş, etyoloji, derece, hastanede yatış süresi, uygulanan konservatif, cerrahi tedavi ve tedavi maliyetleri incelendi. Toplam 38 ayda 950 hasta tedavi edildi. Erkek / kadın oranı 1,64, ortalama yaş 30,52±22,54 idi. En sık haşlama (%51,2) yanıkları ile karşılaşıldı. Elektrik yanıkları en fazla (%82.8) tam kat yanık nedeniydi. Yanık pansumanı ve yanık örtüleri ile tedavi edilenlerin oranı % 77,2 ve cerrahi tedavi uygulanan hastaların oranı ise % 22,8’di. Hastane yatış gün sayısı ortalama 13,48±6,48 ve toplam vücut yüzey yanık alanı ortalama % 14,02±6,2 idi. Çalışma süresince mortalite % 2 ve son olarak tedavi maliyeti her hasta için 1.345 Türk Lirası idi. Gelişmekte olan ülkelerde yanık tedavi birimleri kurulmalıdır. Yanık tedavi birimi olmayan hastanelerde yanık hastaları Genel Cerrahi ve Plastik Cerrahi gibi diğer kliniklerde, yanık tedavisi için uygun olmayan şartlarda, yanık tedavisi için eğitim almamış personel tarafından tedavi edilmeye zorlanmaktadır. Yanık hastalarının çoğu yanık pansumanı ve gelişmiş yanık örtüleri ile tedavi edilebilmektedir. Son olarak yanık hastalarının tedavisi diğer hastalıklara göre oldukça pahalıdır

Anahtar Kelimeler

• Yanık ünitesi, yanık hasarı, yanık hasar tedavisi

References

1. Yılmaz S, Sezer RE, Karagöz N, et al. A Population-Based Survey on the Incidence of Burn Injuries in Sivas-Turkey. Turkiye Klinikleri J Med Sci 2010;30(5):1552-60.
2. Gürdal SÖ, Yücel T. Burn, Introduction, Epidemiology, Etiology. Turkiye Klinikleri J Surg Med Sci 2007;3(1):1-3.
3. Şahin İ, Öztürk S. Burn Trauma: Etiology, Incidence and Prevention. Turkiye Klinikleri J Plast Surg 2010;2(1):1-7
4. Kara IG, Gok S, Horsanli O, Zencir M. A population-based questionnaire study on the prevalence and epidemiology of burn patients in Denizli, Turkey. J Burn Care Res 2008; 29(3):446-50.
5. Akdağ R, Yastı AC, Senel E. Turkey with health issues that require planning 2011-2023. Ministry of Health General Directorate of Treatment Services Ministry of Health Publication No: 836 Ankara 2011; p: 242-58.
6. Herndon DN, Spies M. Modern burn care. Semin Pediatr Surg 2001; 10(1): 28-31.
7. Burd A, Yuen C. A global study of hospitalized paediatric burn patients. Burns 2005;31(4):432–8.
8. Albertyn R, Bickler S, Rode H. Paediatric burn injuries in Sub Saharan Africa—an overview. Burns 2006;32(5): 605–12.

9. Elisdottir R. Paediatric burns in Iceland. Hospital admis- sions 1982–1995, a populations based study. Burns 1999; 25(2):149–51.
10. Ho W. An epidemiological study of 1063 hospitalized burn patients in a tertiary burns centre in Hong Kong. Burns 2001; 27(2):119–23.
11. Mukerji G. Epidemiology of paediatric burns in Indore,India. Burns 2001;27(1):33–8.
12. Fukunishi K. Epidemiology of childhood burns in the Critical Care Medical Center of Kinki University Hospital in Osaka, Japan. Burns 2000;26(5):465–9.
13. Lin T, Wang K, Lai C, Lin S. Epidemiology of pediatric burn in southern Taiwan. Burns 2005;31(2):182–7.
14. Ly K-Y, Xia Z-F, Zhang L-M, et al. Epidemiology of pe- diatric burns requiring hospitalization in China: a lit- erature review of retrospective studies. Paediatrics 2008;122(1):132–42.
15. Mercier CMH, Blond M. Epidemiological survey of child- hood burn injuries in France. Burns 1996;22(1):29–34.
16. Bradsaw C, Hawkins J, Leach M, Robins J, Vallance K, Verboom K. A study of chidhood scalds. Burns Incl Therm Inj 1988;14(1):21-4.
17. Bessey PQ, Arons RR, Dimaggio CJ, Yurt RW. The vulnera- bilities of age: burns in children and older adults. Surgery 2006;140(4):705-1.
18. Alden NE, Rabbitts A, Yurt RW. Burn injury in patients with dementia: an impetus for prevention. J Burn Care Rehabil 2005;26(3):267-71.
19. McCampbell B, Wasif N, Rabbitts A, Staiano-Coico L, Yurt RW, Schwartz S. Diabetes and burns: retrospective cohort study. J Burn Care Rehabil 2002;23(3):157-66.
20. Günay K,Taviloglu K, Eskioglu E, Ertekin C. A study of Epidemiology and Mortality In Burn Patients. (Turkish) Ulusal Travma Derg 1995;1(2):205-89.
21. Liao CC, Rossignol AM. Landmarks in burn prevention. Burns 2000;26(5):422-34.
22. Warda L, Tenenbein M, Moffatt ME.. House fire injury pre- vention update. Part II. A review of the effectiveness of preventive interventions. Inj Prev 1999;5(3):217-25.
23. Erdmann TC, Feldman KW, Rivara FP, Heimbach DM, Wall HA. Tap water burn prevention: the effect of legislation. Pediatrics 1991;88(3):572-7.
24. Weaver NL, Williams J, Jacobsen HA, Glasheen C, Botello- Harbaum M, Nansel TR. Translation of an evidence-based tailored childhood injury prevention program. Journal of Public Health Management and Practice 2008;14(2): 177–84.
25. Towner E, Carter Y, Hayes M. Implementation of in- jury prevention for children and young people. Injury Prevention 1998;4(4):26–33.
26. Towner E, Downhill T. Community-based childhood injury prevention interventions: what works? Health Promotion International 2002;17(3):273–83.
27. Tse T, Poon C, Tse K, Tsui T, Ayyappan T, Burd A. Paediatric burn prevention: an epidemiological approach. Burns 2006;32(2):229–34.
28. Glik DC, Greaves PE, Kronenfeld JJ, Jackson KL. Safety hazards in households with young children. J Pediatr Psychol 1993;18(1):115-31.
29. Al-Qattan MM, Al-Zahrani K. A review of burns related to traditions, social habits, religious activities, festivals and traditional medical practices. Burns 2009;35(4):476-81.
30. Atiyeh BS, Costagliola M, Hayek SN, Dibo SA. Effect of sil- ver on burn wound infection control and healing: review of the literature. Burns 2007;33/2):139-48.
31. Queen D, Evans JH, Gaylor JD, Courtney JM, Reid WH. Burn wound dressings-a review. Burns Incl Therm Inj. 1987;13(3):218-28.
32. Barnea Y, Weiss J, Gur E. A review of the applications of the hydrofiber dressing with silver (Aquacel Ag) in wound care. Ther Clin Risk Manag 2010;2(6):21-7.
33. Wasiak J, Cleland H, Campbell F. Dressings for superficial and partial thickness burns. Cochrane Database Syst Rev 2008:8;(4): CD002106.
34. Barret JP, Dziewulski P, Ramzy PI, Wolf SE, Desai MH, Herndon DN. Biobrane versus 1% silver sulfadiazine in second-degree pediatric burns. Plast Reconstr Surg 2000; 105(1):62-5.
35. Luz DP, Millan LS, Alessi MS, Uguetto WF, Paggiaro A, Gomez DS et al. Electrical burns: a retrospective analysis across a 5-year period. Burns 2009;35(7):1015-9.
36. Ryan CM, Schoenfeld DA, Thorpe WP, Sheridan RL, Cassem EH, Tompkins RG. Objective estimates of the probability of death from burn injuries. N Engl J Med 1998;338(6): 362-6.
37. Wheeler JRC, Harrison R, Wolfe RA, Payne BC. The ef- fects of burn severity and institutional differences on the costs of care. Medical Care 1983;21(12):1192–203.
38. Dimick AR, Potts LH, Charles ED, Wayne J, Reed M. The cost of burn care and implications for the future on qual- ity of care. The Journal of Trauma 1986;26(3):260–5.
39. Griffiths HR, Thornton KL, Clements CM, Burge TS, Kay AR, Young AER. The cost of a hot drinks scald. Burns 2006;32(3):372–4.