Annals of burns and fire disasters最新文献_第10页

Clinical Outcomes Among Elderly People With Burns. 烧伤老人的临床疗效。

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

A Almeida, V Alvarenga, P Egipto, A Costa-Ferreira, R Horta, F Martins de Carvalho

{"title":"Clinical Outcomes Among Elderly People With Burns.","authors":"A Almeida, V Alvarenga, P Egipto, A Costa-Ferreira, R Horta, F Martins de Carvalho","doi":"","DOIUrl":"","url":null,"abstract":"Burns in the elderly are a public health concern. This study aimed to analyze etiology, clinical characteristics, and independent risk factors for outcomes of burns in elderly patients. This retrospective study included elderly patients (65 years and over) admitted to a major burn unit between 2006 and 2016. Demographic data, clinical characteristics and outcomes were analyzed. One hundred and thirty patients were included. Most were female (56.2%) and the highest incidence was among those aged 75-84 years. The median burn area was 10.5%. The incidence in winter (50%) was higher (p<0.001) and flame burns predominated (p<0.001). The mortality rate was 32.3%. Independent risk factors for death were older age, larger extent burns, need for escharotomy, and cardiac disease as comorbidity. Amongst the survivors, the median length of stay was 36 days. Development of pressure sores, need for skin grafts, larger extent burns, presence of full-thickness burns, and cardiac disease were shown to be significantly associated with increased length of stay amongst survivors. Preventive measures should target women aged between 75-84 years. Flame burns occurred more frequently in winter. Prognosis is related to age, extent of burns, need for escharotomy at admission, and cardiac disease.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 3","pages":"191-201"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Severe Burn Injury to the Oropharynx Caused by a Flare Gun. 照明弹枪导致口咽严重烧伤的罕见病例。

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

S Sljivic, C Zdanski, F Williams, R Nizamani, B King

引用次数: 0

Challenges in Treating COVID-19 Patients With Severe Burn Injuries. 治疗 COVID-19 重度烧伤患者的挑战。

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

B Ćertić, M Jovanović, M Karamarković, M Živković

{"title":"Challenges in Treating COVID-19 Patients With Severe Burn Injuries.","authors":"B Ćertić, M Jovanović, M Karamarković, M Živković","doi":"","DOIUrl":"","url":null,"abstract":"Here we present a case report of a young female patient with severe burn injury inflicting 27% of total body surface area (TBSA) associated with COVID-19 infection. Upon admission, Acinetobacter spp. (sensitive only to Colistin) was isolated from the wound swabs of the right arm, hand and thorax. On the fifth day after admission, a surgical excision was performed and 12% of TBSA was covered with homotransplants. The following day the patient had a sudden drop in oxygen saturation with hypotension (85/45 mmHg). Additionally, agitation, visual and auditory hallucinations were noticed. We found a massive pleural effusion on the left side and pneumonic foci on the right side. On the thirteenth day after admission the final surgical excision and homotransplantation of the skin were performed. In the following days, debridement of all necrotic tissue and covering of all the burned areas with homotransplants were done. Hemodynamic instability of the patient progressed along with the finding on the chest radiography, despite the local finding including adherent homotransplants with no signs of lysis or local infection at the wound beds. Due to low oxygen saturation, the patient was intubated on the fourteenth day after admission. Despite the measures taken, the lethal outcome occurred on the twenty-fifth day after admission to our Clinic. A decision on the right timing for surgical treatment in severely burned COVID-19 patients needs to be investigated in order to enable surgeons to make evidence-based decisions during the pandemic.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 3","pages":"209-213"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment Challenges in a Pregnant Patient With Severe Burn Injury and Wound Care Using Amniotic Membrane: A Case Report. 重度烧伤孕妇的治疗难题与羊膜伤口护理：病例报告。

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

M Rosadi Seswandhana, A N Prawoto, I T Rachman, S I Wahdini, N Vityadewi, R N Ramli, I Dachlan

{"title":"Treatment Challenges in a Pregnant Patient With Severe Burn Injury and Wound Care Using Amniotic Membrane: A Case Report.","authors":"M Rosadi Seswandhana, A N Prawoto, I T Rachman, S I Wahdini, N Vityadewi, R N Ramli, I Dachlan","doi":"","DOIUrl":"","url":null,"abstract":"We report a case of severe burn injury in a 42-year-old pregnant patient referred to our hospital's burn unit after experiencing a scald burn injury that burned her neck, chest, trunk, abdomen and limbs. The patient had burn wounds distributed on her neck, all four extremities, the chest and abdomen, with a total burn area of 46.5%. The burn wounds were treated with surgical debridement and then covered with silver sulfadiazine and damp gauze. The patient's wounds were treated every three days. The patient delivered a healthy baby full-term through a spontaneous, vaginal delivery. After delivery, the amniotic membrane from the patient was used as an amniotic membrane graft and was planted on the patient's chest, right arm and right thigh. The amniotic membrane in this patient helped to accelerate the preparation of the wound bed for skin grafting. Split-thickness skin grafts were then used on the wounds and the patient was discharged from the hospital one week later. Patients that present with burn injuries during pregnancy require intense monitoring and careful management from a multidisciplinary team. A collaborative effort needs to be made in order to plan the best outcome for the mother and fetus. Precise and early resuscitation is the first step to treating such cases. The administration of fluids should be titered based on the patient's hemodynamic condition and urine output. Wound management can also be optimized using the amniotic membrane as a temporary dressing before skin grafting.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 3","pages":"229-233"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Gastrocnemius Muscle Flap in Post-Burn Flexion Knee Contracture. 评估腓肠肌瓣在烧伤后膝关节屈曲挛缩中的作用

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

S Saurabh, S Khushboo, D Gouranga, B Rupnarayan

引用次数: 0

The Combination of Stromal Vascular Fraction Cells and Platelet-Rich Plasma Increases Fibroblast Growth Factor 7 and Promotes Angiogenesis in Full Thickness Burn Injury: Rat Experimental Study. 基质血管馏分细胞与富血小板血浆的结合可增加成纤维细胞生长因子 7 并促进全厚烧伤的血管生成：大鼠实验研究。

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

F Josh, T H Soekamto, C A Windura

{"title":"The Combination of Stromal Vascular Fraction Cells and Platelet-Rich Plasma Increases Fibroblast Growth Factor 7 and Promotes Angiogenesis in Full Thickness Burn Injury: Rat Experimental Study.","authors":"F Josh, T H Soekamto, C A Windura","doi":"","DOIUrl":"","url":null,"abstract":"Our previous study on how the combination of stromal vascular fraction cells (SVFs) and platelet-rich plasma (PRP) affect deep dermal burn healing showed promising results. In this study, we assessed the effect on full-thickness burns by evaluating FGF7 serum level and capillary count. Forty-eight Wistar rats were divided into four major groups: (1) locally injected with combined SVFs and PRP; (2) topically applied Vaseline; (3) locally injected with placebo; (4) and rats without burns. These groups were divided further into smaller groups based on the day of euthanasia (8th hour, 4th day, 7th day, 14th day, and 21st day). FGF7 serum level was measured using ELISA, and capillaries were counted using a microscope. A one-way ANOVA test, post hoc, and regression tests were used. On day 4, both FGF7 and capillary counts showed significant differences between groups (p=0.000 and 0.048, respectively). On day 7, only FGF7 result showed a significant difference (p=0.000). On day 14, FGF7 and capillary counts showed significant differences (p=0.000, 0.018 respectively). The SVFs and PRP-treated groups showed superior results compared to other groups. The injection of combined SVFs and PRP increased FGF7 and capillary counts.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 3","pages":"234-242"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational Health Services Have a Relevant Role in Protecting the Health and Safety of Paramedics. 职业健康服务在保护辅助医务人员的健康和安全方面发挥着重要作用。

Annals of burns and fire disasters Pub Date : 2023-09-30 eCollection Date: 2023-09-01

F Chirico, G Nucera, L Szarpak, B Nowrouzi-Kia

引用次数: 0

[Procalcitonin: The Ideal Biomarker To Guide Initiation, Change and Withdrawal of Antibiotics in Septic Burn Patients?] [降钙素原：指导化脓性烧伤患者开始、更换和停用抗生素的理想生物标志物？］

Annals of burns and fire disasters Pub Date : 2023-06-30 eCollection Date: 2023-06-01

A Mokline, S Sboui, H Fredj, M Ben Saad, I Eljemi, B Gasri, L Thabet, A A Messadi

{"title":"[Procalcitonin: The Ideal Biomarker To Guide Initiation, Change and Withdrawal of Antibiotics in Septic Burn Patients?]","authors":"A Mokline, S Sboui, H Fredj, M Ben Saad, I Eljemi, B Gasri, L Thabet, A A Messadi","doi":"","DOIUrl":"","url":null,"abstract":"The goal of this study was to assess plasma procalcitonin (PCT) concentrations during infectious events of burns in the ICU. We conducted a prospective, observational study in a 20-bed Burn Intensive Care Unit in Tunisia. A total of 120 septic patients admitted to the Burn ICU were included in our study. Sepsis was assumed according to the French Burn Association criteria for the presence of infection. Serum PCT was measured over the entire septic episode every 48 hours until resolution of infection, based on clinical signs and decrease of PCT of about 80% compared to its initial value. Patients were assigned to two groups depending on clinical course and outcome: Group A = patients with favourable evolution; Group B = patients with unfavourable evolution. Monitoring of kinetics of PCT allowed us to judge the effectiveness of the initial antibiotic therapy, with a threshold of 43.5% decrease at day 3 of treatment, with a better sensitivity and specificity of 79.6% and 87.7% respectively. In addition, PCT monitoring allowed a reduction in the duration of antibiotic therapy of 5±2.8 days versus 8 to 10 days before the use of PCT.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 2","pages":"125-131"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Annals of burns and fire disasters Pub Date : 2023-06-30 eCollection Date: 2023-06-01

G B Murhula, F T A Zeng, P M Bugeme, N Cibogo, F G Cikomola, E Miranda, L Pompermaier

{"title":"Sex-Related Mortality After Burns: A Scoping Review in the Sadc-Region.","authors":"G B Murhula, F T A Zeng, P M Bugeme, N Cibogo, F G Cikomola, E Miranda, L Pompermaier","doi":"","DOIUrl":"","url":null,"abstract":"Findings on mortality by sex after burns in low- and middle-income countries (LMICs) are contradictory and, where differences have been described, the reasons are often based on speculation and not on the analysis of factors that could have affected the outcome, such as patient or injury characteristics or provided care. Since the paucity of studies on burns from single LMICs is notorious, merging data from neighboring countries with similar socio-economic backgrounds might provide a larger dataset, contributing to identifying recurrent causes. This scoping review aimed therefore to analyze differences in mortality after burns between the sexes, as well as to identify aspects that could explain possible differences, in countries belonging to the South African Development Community (SADC) region. Studies in English published between 2010 and 2020 were identified according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines by searching PubMed and/or Medline, Clinical Trials and Cochrane Library, and using the screening tool \"Covidence\". The 13 included studies could not consistently show association between sex and mortality after burns, but contradictory findings. In the case of differences in outcome between the sexes, explanations were mainly based on speculation (e.g., hormonal differences, self-harm intention), while rarely burn specific factors were reported and included in the analysis of the mortality risk. This study indicates the need for prospective burn specific data collection in LMICs that would contribute to identifying factors associated with death.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 2","pages":"111-119"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Review of Electrocardiography Changes in Electrical Burn Injury: Is It Time To Revise Protocol? 回顾电烧伤的心电图变化：是时候修改治疗方案了吗？

Annals of burns and fire disasters Pub Date : 2023-06-30 eCollection Date: 2023-06-01

R Farzan, S M Z Ziabari, Z Jafaryparvar, E Homaierad, E Ismaili Shoja, M Tolouei

{"title":"A Review of Electrocardiography Changes in Electrical Burn Injury: Is It Time To Revise Protocol?","authors":"R Farzan, S M Z Ziabari, Z Jafaryparvar, E Homaierad, E Ismaili Shoja, M Tolouei","doi":"","DOIUrl":"","url":null,"abstract":"This descriptive cross-sectional study aimed to evaluate electrocardiography (ECG) changes in patients with electrical burn injury and determine their predictive extent during hospitalization. The study population consisted of all patients with electrical injury admitted to Velayat Hospital, Rasht, Iran, during 2007-2019. The ECG information of all patients assessed by a cardiologist in terms of dysrhythmic and ischemic changes at the time of admission, demographic information including age, gender, voltage, the severity and path of the current, and degree of burn were recorded in the relevant checklist. The data were analyzed using the SPSS software version 18 (IBM, USA). Out of 192 studied patients, 183 (95%) were male, and the mean age of patients was 32 years. The ECGs of 167 patients were normal (86%), 13 cases had arrhythmia (6.7%), and 12 individuals had ischemia (6.2%). Arrhythmic and ischemic abnormalities in the ECGs of patients had no predictive value during hospitalization (P<0.05). Heart injury caused by electrical injury may be deadly in some cases, and it can be complicated to save the patient. Moreover, the predictive value of ECG in predicting the consequences and duration of hospitalization is weak.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 2","pages":"132-138"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0