Profile of Moderate and Severe Burns: Turkish Experience In A Tertiary Care Burn Unit

Yıl 2018, Cilt: 4 Sayı: 1, 25 - 31, 01.01.2018

Yücel Yüce , Oguzhan Kilavuz

https://doi.org/10.5455/umj.20180221074628

Öz

Introduction: We aimed to analyze the demographic and treatment outcomes of severe burn patients admitted to the burn intensive care unit and moderate burn patients admitted to the burn service and to contribute to the national statistical burn accumulation. Method: We retrospectively reviewed the information of 4745 patients hospitalized in our burn center between 2009-2017 from a prospectively maintained database. Results: 3583 75.51% moderate burn patients admitted to the burn service and 1162 24.49% severe burn patients admitted to the burn intensive care unit BICU . The ratio of female to male in burn service group was 33.4/66.6, while it was 25.1 / 74.9 in burn intensive care group. When we examined the causes of burn traumas, the first order received scalding burns with 52.65% n=1886 in moderate burns while it was flame burns with 54.22% n=630 in severe burns. Acinetobacter species were the most common pathogen in our burn intensive care unit, and Pseudomonas species were in burn service. The average hospitalization length was 10.09 days in the burn service and 11.82 days in the burn intensive care unit. Our mortality rate was 7.64% n=350 . Conclusion: This is one of the most extensive series presented in our country. In the developed countries, death rates in burn series have been reported below 5% in recent years, while our mortality rate was found to be 7,37%.

Anahtar Kelimeler

Burn injury, burn intensive care unit, scalding burns, flame burns, burn epidemiology

Kaynakça

• 1. Sanchez-Sanchez JL, Pere Perez SB, Bastida JL, Martinez MM: Cost-utility analysis applied to the treatment of burn patients in a specialized center. ArchSurg 2007, 142:50-57, discussion 57.
• 2. Gullick JG, Taggart SB, Johnston RA, Ko N. The trauma bubble: patient and family experience of severe burn injury. J Burn Care Res. 2014;35(6): e413–27.
• 3. Chipp E, Walton J, Gorman D, Moiemen NS: Adherence to referral criteria for burns in the emergency department. Eplasty 2008, 8: e26.
• 4. Anwar U, Majumder S, Austin O, Phipps AR: Changing pattern of adult burn referrals to a regional burns center. J Burn Care Res 2007, 28:299-305.
• 5. Taghavi M, Rasouli MR, Boddouhi N, Zarei MR, Khaji A, Abdollahi M: Epidemiology of outpatient burns in Tehran: an analysis of 4813 cases. Burns 2010, 36:109-113.
• 6. Sadeghi-Bazargani H, Mohammadi R: Epidemiology of burns in Iran during the last decade (2000-2010): a review of the literature and methodological considerations. Burns 2012, 38:319-329.
• 7. Tyson AF, Boschini LP, Kiser MM, Samuel JC, Mjuweni SN, Cairns BA, et al. Survival after burn in a sub-Saharan burn unit: challenges and opportunities.Burns. 2013;39(8):1619–25.
• 8. Ayaz M, Bahadoran H, Arasteh P, Keshavarzi A. Early Excision and Grafting versus Delayed Skin Grafting in Burns Covering Less than 15% of Total Body Surface Area; A NonRandomized ClinicalTrial.Bull Emerg Trauma.2014;2(4):141-5.
• 9. Rybarczyk MM, Schafer JM, Elm CM, Sarvepalli S, Vaswani PA, Balhara KS, et al. A systematic review of burn injuries in low-and-middle-income countries: Epidemiology in the WHO-defined African Region. African Journal of Emergency Medicine. 2017
• 10. Charles AG, Gallaher J, Cairns BA. Burn Care in Low- and Middle-Income Countries.Clin Plast Surg. 2017;44(3):479–83.
• 11. Gupta S, Wong EG, Mahmood U, Charles AG, Nwomeh BC, Kushner AL. Burn management capacity in low and middleincome countries: a systematic review of 458 hospitals across 14 countries. Int J Surg. 2014;12(10):1070–3.
• 12. Desouches C. Influence des pathologies associees et de l’age sur la mortalité des patients brûlés ages de plus de 65 ans. Brûlures 2000. Ann Burns Fire Disasters 1996, 9:131-138.
• 13. Anlatici R, Ozerdem OR, Dalay C, Kesiktas E, Acarturk S, Seydaoglu G: A retrospective analysis of 1083 Turkish patients with serious burns. Burns 2002, 28:231-237.
• 14. Gibran NS; Committee on Organization and Delivery of Burn Care, American Burn Association: Practice Guidelines for burn care, 2006. J Burn Care Res 2006, 27:437-438.
• 15. Al B, Coban S, Güloğlu C. Tandir burns in and around Diyarbakir, Turkey. Ulus Travma Acil Cerrahi Derg 2010, 16: 59-62.
• 16. Al B, Yildirim C, Coban S, Aldemir M, Güloğlu C: Mortality factors in flame and scalds burns: our experience in 816 patients. Ulus Travma Acil Cerrahi Derg 2009, 15:599-606.
• 17. Albayrak Y, Temiz A, Albayrak A, Peksoz R, Albayrak F, Yusuf Tanrıkulu Y. A retrospective analysis of 2713 hospitalized burn patients in a burns center in Turkey. Ulus Travma Acil Cerrahi Derg, 2018, 24;1:25-30.
• 18. Chien WC, Pai L, Lin CC, Chen HC. Epidemiology of hospitalized burns patients in Taiwan. Burns 2003,29:582-88.
• 19. Jie X, Baoren C: Mortality rates among 5321 patients with burns admitted to a burn unit in China: 1980-1998. Burns 2003, 29:239-245.
• 20.Morita S, Higami S, Yamagiwa T, Iizuka S, Nakagawa Y, Yamamoto I, Inokuchi S: Characteristics of elderly Japanese patients with severe burns. Burns 2010, 36:1116- 1121.
• 21. Agbenorku P, Edusei A, Ankomah J: Epidemiological study of burns in Komfo Anokye Teaching Hospital, 2006-2009. Burns 2011; 37:1259-1264.
• 22.Alaghehbandan R, MacKay Rossignol A, Rastegar Lari A: Pediatric burn injuries in Tehran, Iran. Burns 2001; 27:115-118.
• 23.Zhou B, Zhou X, Ouyang LZ, Huang XY, Zhang PH, Zhang MH, Ren LC, Liang PF: An epidemiological analysis of pediatric burns in urban and rural areas in south-central China. Burns. 2014 Feb;40(1):150-6.
• 24.Xie B, Xiao SC, Peng XD, Zhu SH, Lv KY, Li HY, Xia ZF: Epidemiology and outcome analysis of severe, extensive burns: a 12-year summary of 103 cases in a burn center in China. J Burn Care Res 2012, 33: e127-132.
• 25.Koç Z, Sağlam Z. Burn epidemiology and cost of medication in pediatric burn patients. Burns 2012, 38:813-819.
• 26.Brusselaers N, Monstrey S, Vogelaers D, Hoste E, Blot S. Severe burn injury in Europe: a systematic review of the incidence, etiology, morbidity, and mortality. Critical Care 2010, 14: R188.
• 27.Dokter J, Vloemans AF, Beerthuizen GI, Van der Viels CH, Boxma H et al. Epidemiology of burn injuries in Netherlands. Burns. 2014 Nov;40(7):1406-14.
• 28.Lancerotto L, Sferrazza R, Amabile A, Azzena B. Burn care in relation to burn epidemiology in Italy. Burns. 2011 Aug;37(5): 835-41.
• 29.Akçay MN, Oztürk G, Aydinli B, Ozoğul B. Tandir burns: a severe cause of burns in rural Turkey. Burns 2008;34:268–70.
• 30.Ramakrishnan KM, Sankar J, Venkatraman J. Profile of pediatric burns Indian experience in a tertiary care burn unit. Burns 2005; 31:351–3.