Çocuk Yanıklarında Mortaliteyi Etkileyen Temel Parametreler Ve Alınabilecek Önlemler

Abstract

Giriş: Yanıklar çocukluk yaş grubunda kazalara bağlı ölümlerin en önemli nedenlerindendirAmaç: Ülkemizdeki çocuk yanıkları ile ilgili sınırlı sayıdaki epidemiyolojik verilere katkı sağlamak, mortaliteyi etkileyen temel parametreleri ortaya koymak ve alınabilecek tedbirleri vurgulamaktırYöntem: Ocak 1998 ile Nisan 2001 tarihleri arasında hastanede yatırılarak tedavi edilen 509 çocuk yanığı olgusu, retrospektif olarak değerlendirildi. Olguların; yaş, cinsiyet, yanığın oluştuğu yıl, yandığı ay, yatış süresi, yanık nedeni, yanık etkeni, yanık alanı, kültür sonuçları, yapılan müdahaleler incelendi ve bu veriler ile mortalite arasındaki ilişki analiz edildi.Bulgular:0-16 yaş arası yatırılarak tedavi edilen 509 olguda; erkek / kız oranı 1.68, ortalama yanık alanı % 23.41 +/- 18.51 SD ( 1- 100 ) bulundu. Yanık etkeni 356 (% 70.2) olguda sıcak sıvı, 101 ( % 19.9 ) olguda alev ve 47 ( % 8.8 ) olguda elektrik olarak tespit edildi. Ortalama ölüm oranı % 21.4 olarak belirlendi. Yanık alanı % 30' dan daha fazla olan olgularda ve alev yanıklarında mortalitenin istatistiksel olarak anlamlı yüksek olduğu bulundu.Sonuç: Ülkemizde özellikle alev ve elektrik yanıkları yüksek oranda görülmektedir. Alev yanıklarının yüksek mortalite ile seyretmesi, elektrik yanıklarının ise organ kayıplarına yol açması nedeni ile kitle iletişim araçları vasıtası ile toplumun bilinçlendirilmesi ve modern yanık ünitelerinin planlanması önemlidir.

Keywords

• Çocuk yanıkları, ölüm oranı

IN CHILD BURNS, BASIC PARAMETERS THAT EFFECT MORTALITY AND THE PRECAUTIONS

Abstract

Objective: Burns are one of the most important cause of deaths in childhood age. The aim of this study; is to be additive to limited number of epidemiological data about child burns in our country, to put on basic parameters effecting mortality and the precautions .Methods: 509 cases of child burns treated by hospitalisation in between January 1998 and April 2001 are evaluated retrospectively. Patients age, sex, month of burn and year of burn, time of hospitalisation, cause of burn, causative agents of burn, burn area, culture results and the procedures interacted are inspected and with these data the relation with mortality is analysed.Results: 509 cases treated by hospitalisation between the ages 0-16 years; male /female ratio was 1.68, and average burn area was found % 23.41 + 18.51 sd . Causative agents were noted as hot liquids in 365 cases (% 70.2), flame in 101 cases (% 19.9) and electricity in 47 cases (% 8.8). Average mortality rate was clarified as % 21.4. Statistically higher mortalities were noted in cases with burn areas greater than % 30 and in flame burns.Conclusion: Especially flame and electricity burns are encountured in high rates at our country. High mortality in course of flame burns and electricity burns leading to organ deficiencies necessiates the enlightment of the community by media and planning of modern burn units gets important

Keywords

• child burns, mortality

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