Annals of burns and fire disasters最新文献_第6页

[EXTUBATION FAILURE IN BURNS: INCIDENCE, RISK FACTORS AND PROGNOSIS]. [烧伤患者拔管失败：发生率、风险因素和预后]。

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

M Cheikhrouhou, H Fredj, A Mokline, M Ben Saad, B Gasri, I Jami, A-A Messadi

{"title":"[EXTUBATION FAILURE IN BURNS: INCIDENCE, RISK FACTORS AND PROGNOSIS].","authors":"M Cheikhrouhou, H Fredj, A Mokline, M Ben Saad, B Gasri, I Jami, A-A Messadi","doi":"","DOIUrl":"","url":null,"abstract":"The incidence of extubation failure varies between 2 and 25% depending on the studied population. Few studies have been conducted in burn victims. To determine the incidence, causes, risk factors and outcome of burned patients after a failed extubation, a retrospective single-center case-control study was conducted over a period of 3 years (January 2018-December 2021). All burned patients aged over 16, ventilated for at least 24 hours and having had at least one extubation attempt were included. Extubation failure was defined as the need for re-intubation within 48 hours. Eighty-eight patients had planned extubation. These patients were divided into 2 groups comparable in terms of age and sex. Failure group: including patients with failed extubation (N= 34) and a success group (N= 64) including patients who succeeded. The incidence of extubation failure was 36.6%. Hypophosphatemia, anemia <8g/dl, duration of mechanical ventilation of 8,5 days and abundant secretions during extubation were identified as risk factors for extubation failure (p<0.05). The main cause of failure was retention of secretion (50%). Extubation failure was associated with prolonged length of stay (34 vs. 19 days, P= 0.005), increased infectious complications (P=0.007) and mortality rate (79.4%, 1.5%, P<0.001).","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 2","pages":"112-117"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556193","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 EFFECT OF MULTIDRUG-RESISTANT ORGANISM INFECTION ON MORTALITY OF BURN PATIENTS AT RSUPN DR. CIPTO MANGUNKUSUMO. 耐多药生物体感染对 RSUPN 烧伤病人死亡率的影响 Cipto mangunkusumo.CIPTO MANGUNKUSUMO.

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

R M Veronica, E J Nelwan, J Kumalawati, C M Rumende, K Chen, M Simadibrata, H Shatri, E Yunir

{"title":"THE EFFECT OF MULTIDRUG-RESISTANT ORGANISM INFECTION ON MORTALITY OF BURN PATIENTS AT RSUPN DR. CIPTO MANGUNKUSUMO.","authors":"R M Veronica, E J Nelwan, J Kumalawati, C M Rumende, K Chen, M Simadibrata, H Shatri, E Yunir","doi":"","DOIUrl":"","url":null,"abstract":"Susceptibility to infection and increased antibiotic resistance place burn patients at risk of infection caused by multidrug-resistant organisms (MDRO). This condition can progress to sepsis, which can increase morbidity and mortality. A retrospective cohort study using medical record data of patients treated at RSUPN dr. Cipto Mangunkusumo in the period January 2020 to June 2022 was conducted. Of a total 160 subjects in the study period, 82.5% were aged <60 years, 16.88% had comorbidities, the most common cause of burns was fire (86.25%), the use of medical devices was 90.63%, with a median length of stay of 14 days. The most common Gram-negative MDRO pathogens were K. pneumoniae (29.91%), Enterobacter sp (22.32%) and Acinetobacter (20.54%): 45% of MDRO infected patients died. Bivariate analysis was conducted to find the effect of MDRO infection on burn patient mortality (RR 1,103; 95% CI 1,004-1,211, p=0.046). After adjusting for the role variables, namely: age, comorbidities, TBSA, use of medical devices, length of stay and multivariate analysis, it was found that the variables that had an effect on MDRO infection mortality were length of stay and age. MDRO infection has an effect on the mortality rate of burn patients. Mortality of burn patients due to MDRO infection is greater (45%) compared to non MDRO (21.43%). The most common Gram-negative MDRO pathogen is K. pneumoniae.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"37 2","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556200","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

PROGNOSTIC VALUES OF NEUTROPHIL/LYMPHOCYTE RATIO IN SEVERE BURN PATIENTS. 严重烧伤患者中性粒细胞/淋巴细胞比率的预后价值。

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

T D Hung, N N Lam, N T Hung

引用次数: 0

[HIGH VOLTAGE ELECTRICAL INJURIES IN CHILDREN: A TUNISIAN SERIES]. [儿童高压电伤：突尼斯系列]。

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

M Bounasri, A Mokline, M Houichi, H Fraj, A-A Messadi

引用次数: 0

[CONTACT BURNS WITH A HOT WATER BOTTLE FOLLOWING AN ABDOMINOPLASTY. CASE REPORTS AND LITERATURE REVIEW]. [腹部整形术后热水瓶接触烫伤。病例报告和文献综述]。

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

C Syras, G Lacroix, P Guerreschi, A Dumont, L Pasquesoone

引用次数: 0

[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