Annals of burns and fire disasters最新文献_第3页

[FEET BURNS AND DIABETES MELLITUS : A 34-CASE SERIES]. [足部烧伤与糖尿病：34 例系列]。

Annals of burns and fire disasters Pub Date : 2024-06-30 eCollection Date: 2024-06-01

I Blagui, A Mokline, H Fraj, A A Messad

引用次数: 0

ECONOMIC ANALYSIS OF ENZYMATIC DEBRIDEMENT VERSUS STANDARD BURN CARE: A RETROSPECTIVE ANALYSIS. 酶法清创与标准烧伤护理的经济分析：回顾性分析。

Annals of burns and fire disasters Pub Date : 2024-06-30 eCollection Date: 2024-06-01

J Minic, M Vestita, E Vigato, E Dallapozza, Y Shoham, U Lavagnolo, F P Bianchi, A Fratucello, M Governa

引用次数: 0

CARDIOGENIC SHOCK AND GLOBUS PALLIDUS INJURY AS A PRESENTATION OF CARBON MONOXIDE POISONING. 心源性休克和苍白球损伤是一氧化碳中毒的一种表现形式。

Annals of burns and fire disasters Pub Date : 2024-06-30 eCollection Date: 2024-06-01

M Palma Anselmo, R Maia, P Telles de Freitas

{"title":"CARDIOGENIC SHOCK AND GLOBUS PALLIDUS INJURY AS A PRESENTATION OF CARBON MONOXIDE POISONING.","authors":"M Palma Anselmo, R Maia, P Telles de Freitas","doi":"","DOIUrl":"","url":null,"abstract":"Carbon monoxide poisoning is one of the leading causes of mortality and morbidity by poisoning in the world. Signs and symptoms are nonspecific and related to impaired oxygen delivery to tissues, with the brain being the most affected organ due to its high oxygen demand. CO-Hb is a poor indicator of severity and long-term outcome, with clinicians relying more on clinical features such as level of consciousness and need for intubation, organ dysfunction and shock and also pH level. A 45-year-old female was found unconscious in her home with the fireplace lit and smoke all over the house. She was last seen well 18 hours before. She was brought to the emergency department and was admitted to the ICU in coma and cardiogenic shock, with a metabolic acidosis with hyperlactacidemia and a CO-Hb level of 15.5%. Laboratorial investigation revealed hepatic cytolysis, acute renal failure, rhabdomyolysis and a troponin I level of 338 ng/L. ECG showed no acute myocardial ischemia. Echocardiogram revealed diffuse hypokinesia with an ejection fraction of 25%. Head CT scan showed bilateral and symmetrical hypodensities of the globus pallidus. The patient underwent hyperbaric oxygen treatment with full neurological and cardiac recovery, allowing extubation 48 hours after admission. This rare severe case of coma due to carbon monoxide intoxication with globus pallidus injury and cardiogenic shock was successfully treated with hyperbaric oxygen, showing that it can be the right treatment choice in these cases, with an excellent impact on neurological and cardiac outcome.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 2","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556196","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

WORK AND QUALITY OF LIFE AFTER BURNS: SMALL BURNS, BIG CONSEQUENCES. 烧伤后的工作和生活质量：小烧伤，大后果。

Annals of burns and fire disasters Pub Date : 2024-06-30 eCollection Date: 2024-06-01

M Fontaine, J Latarjet

{"title":"WORK AND QUALITY OF LIFE AFTER BURNS: SMALL BURNS, BIG CONSEQUENCES.","authors":"M Fontaine, J Latarjet","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this study is to assess the quality of life and how to return to work after burns in adults. We conducted a monocentric, observational, prospective and open study in an intensive care burn unit. Patients aged between 18 and 65 years old were enrolled. Quality of life was assessed with Burn Specific Health Scale-Brief (BSHS-B). A total 118 patients were included with one delayed death. There were 55 flame burns. Median age was 39 years, median total burn surface area (TBSA) was 5% and median length of stay was 11 days. After management in the intensive care burn unit, 84 patients were discharged home and 33 to a rehabilitation care department. We sent 117 queries and got 56 answers. Median BSHS-B score ratio was 142/160. The most impacted items were heat sensitivity, body image, treatment regimens and work. Simple abilities were also affected with up to 28% of patients having difficulties with everyday actions such as cleaning oneself. Regarding return to work, 32% of workers lost their full-time job and 18% were downgraded as disabled. The outcome was worse for those patients who had to go to rehabilitation. Our data suggest that even small burns may strongly impact quality of life and limit the ability to return to work. Our results are consistent with previous published studies, which found greater alteration of quality of life with larger TBSA. These results call for care in specialized centers even for limited burns, especially in the case of functional area involvement.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 2","pages":"143-147"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556201","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

Enzymatic Debridement Compared To Surgical Debridement: A Cost Analysis in a Burn Unit in Spain. 酶法清创与手术清创的比较：西班牙烧伤科的成本分析。

Annals of burns and fire disasters Pub Date : 2024-03-31 eCollection Date: 2024-03-01

I Ustarroz-Aguirre, B García-Lorenzo, M T Acaiturri-Ayesta, E Gómez-Inhiesto, P Martin-Playa

引用次数: 0

Acute Management of Deep Periorbital Burns: A 10-Year Review of Experience. 眶周深度烧伤的急性处理：十年经验回顾

Annals of burns and fire disasters Pub Date : 2024-03-31 eCollection Date: 2024-03-01

K Kalinova, R Raycheva, N Petrova, P Uchikov

{"title":"Acute Management of Deep Periorbital Burns: A 10-Year Review of Experience.","authors":"K Kalinova, R Raycheva, N Petrova, P Uchikov","doi":"","DOIUrl":"","url":null,"abstract":"Deep periorbital burns are an important issue mainly due to the presence of the eyes in the region, and the crucial importance of preservation of vision. There is no consensus regarding their treatment. A retrospective analysis of the treatment and outcome of 446 patients with deep burns of the periorbital region admitted to the Department of Burns and Plastic Surgery of St George's University Hospital in Plovdiv, Bulgaria over 10 years was conducted. The study covers 446 patients, 162 female (36.5%) and 284 male (63.5%) aged from 5 months to 92 years. Deep periorbital burns accounted for 74.8% of hospitalized deep facial burns. Most frequent burn agents were hot liquids and flames. The mean total body surface area affected was 19.6% (min 0.5%, max 80.0%). Concomitant ocular pathology was diagnosed in 14% (n=63) of the patients. An early, staged and precise surgical approach was preferred, aimed at fast wound closure without sacrificing survived tissues. Follow up time ranged from 3 months to 5 years, median 37 months. Late ocular sequelae occurred in 7.4% (n=33) of the patients. There was no incidence of secondary corneal perforation or definitive loss of vision. Timely and adequate treatment during the acute period can minimize initial damage and late sequelae. Favor is given to the early, balanced surgical approach aimed at rapid wound closure between day 2 and 10 post burn. Preservation of vision is a determining factor for the significance of trauma and the effectiveness of treatment.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 1","pages":"53-63"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861272","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

[Burns and Diabetes Mellitus: Epidemiology, Clinical Presentation and Prognosis]. [烧伤与糖尿病：流行病学、临床表现和预后]。

Annals of burns and fire disasters Pub Date : 2024-03-31 eCollection Date: 2024-03-01

S Hachicha, A Mokline, S Ghedira, M Rahmouni, H Fraj, M Ben Saad, A-A Messadi

{"title":"[Burns and Diabetes Mellitus: Epidemiology, Clinical Presentation and Prognosis].","authors":"S Hachicha, A Mokline, S Ghedira, M Rahmouni, H Fraj, M Ben Saad, A-A Messadi","doi":"","DOIUrl":"","url":null,"abstract":"Burns in diabetics are quite frequent and serious in relation to diabetic neuropathy, which is common in this population, delaying healing and predisposing to the risk of infection. The objective of this study was to describe the characteristics of burns in diabetics hospitalized at the CTB of Tunis over 18 months. During the study period, 891 patients were hospitalized, including 43 diabetics (5%). The average age of our patients was 57 years old with a male predominance (65%). Type 2 diabetes was present in 86% of cases and type 1 diabetes in 14% of cases. Degenerative complications were reported in 10 cases (23%), such as diabetic retinopathy (n=6), diabetic nephropathy (n=4) and diabetic neuropathy (n=6). The circumstances of burns were related to a domestic accident in 2/3 of the cases (76.7%). Thermal burns were involved in 83.7% of cases. 86% of the patients had decompensated their diabetes during their hospitalization. Sepsis marked the evolution of the patients in 55.8% of cases. In our study, poor prognostic factors were: a glycosylated haemoglobin > 13%, an extent of burns greater than 20%, and a delay in consultation greater than 6 hours. The mortality rate was 18.6%.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 1","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861144","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

The Combination of Stromal Vascular Fraction Cells and Platelet-Rich Plasma Increases Fibroblast Growth Factor 2 and Insulin-Like Growth Factor 1 in Full-Thickness Burns in Animal Model. 基质血管馏分细胞与富血小板血浆相结合可增加全厚烧伤动物模型的成纤维细胞生长因子 2 和胰岛素样生长因子 1。

Annals of burns and fire disasters Pub Date : 2024-03-31 eCollection Date: 2024-03-01

F Josh, T H Soekamto, C A Windura, D G Lumalessil

{"title":"The Combination of Stromal Vascular Fraction Cells and Platelet-Rich Plasma Increases Fibroblast Growth Factor 2 and Insulin-Like Growth Factor 1 in Full-Thickness Burns in Animal Model.","authors":"F Josh, T H Soekamto, C A Windura, D G Lumalessil","doi":"","DOIUrl":"","url":null,"abstract":"The previous study on the injection of SVFs in combination with PRP showed positive effect on the healing of deep dermal burns. We now seek to understand the effect on full thickness burns, as assessed by changes in serum FGF2, IGF1, epithelialization, and fibroblast count. Forty-eight Wistar rats were randomly divided into four groups: (1) rats with full thickness burns given a local injection of combined SVFs and PRP; (2) rats with burns given topical Vaseline; (3) rats with burns given a local injection of placebo; and (4) rats without burns. Primary data were measured according to the time of euthanasia (at the 8th hour, 4th day, 7th day, 14th day or 21st day). One-way ANOVA test followed by post hoc test were used. Epithelialization in rats who received SVFs and PRP was superior on days 7, 14 and 21 when compared to the other groups. The fibroblast count in rats who received SVFs and PRP showed significant difference on days 7 (p=0.022). Significant differences in serum FGF2 were observed on days 4, 7, 14 and 21 (p=0.003, p=0.001, p=0.024, p=0.038, respectively). A significant difference was also observed in serum IGF1 levels on days 7, 14 and 21 (p=0.043, p=0.003, p=0.045, respectively), and the combination of SVFs and PRP showed superior results compared to other groups. Injection of combined SVFs and PRP increases FGF2, IGF1, fibroblast count, and epithelialization.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 1","pages":"35-44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873816","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

Triple Barrel Free Fibula Flap for Sternal Stabilization: A Case Report. 用于稳定胸骨的三管游离腓骨瓣：病例报告

Annals of burns and fire disasters Pub Date : 2024-03-31 eCollection Date: 2024-03-01

T Cordoba, C Awaida, É Delisle, C Cordoba, A Odobescu

引用次数: 0

An Assessment of the Fire Safety Standards in Iranian Homes and Equipment As They Relate to Fire Accidents. 与火灾事故有关的伊朗住宅和设备消防安全标准评估。

Annals of burns and fire disasters Pub Date : 2024-03-31 eCollection Date: 2024-03-01

T Bagheri, S F Forghani, S Hoveidamanesh, M Asgari, O Mahboubi, M Momeni

{"title":"An Assessment of the Fire Safety Standards in Iranian Homes and Equipment As They Relate to Fire Accidents.","authors":"T Bagheri, S F Forghani, S Hoveidamanesh, M Asgari, O Mahboubi, M Momeni","doi":"","DOIUrl":"","url":null,"abstract":"Fire accidents and burns are one of the leading causes of death and disability worldwide. This study was conducted with the aim of studying the etiology of fire accidents as well as investigating the fire safety standards of both homes and equipment in Iran. Samples included patients with flame burns who consented to answer the questions. Questions covered five areas: patient demographics, epidemiological characteristics of burns, the fire safety status of the home, the fire safety status of the equipment, and the mechanism of the accident. In this study, the mean extent of the burns was 18.07 ± 14.29% of body surface area and was significantly related to the age grouping of the patients. The highest total body surface area (TBSA) was observed in patients between 19 to 39 years. The most common cause of flame injuries was gas explosions (36.81%). The interviews revealed that most of the houses were not equipped with smoke detectors or fire extinguishers. The extent of burns was significantly higher in patients living in unequipped homes (P = 0.047). Cooking equipment was often involved in the accidents (38.1%). Considering the low home fire safety and the role of equipment misuse and damaged equipment use in the occurrence of accidents, it seems that installing fire alarms and firefighting equipment, proper training on how to work with and maintain the equipment, using cooking and heating equipment correctly along with discontinuing use if damaged would all be effective and are highly suggestive to reduce fire injuries.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 1","pages":"10-16"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11042041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869649","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