Annals of burns and fire disasters最新文献_第9页

Epidemiology and Etiology of Burns in Iran Through the Examination of the Economic, Social and Educational Situation. 通过对伊朗经济、社会和教育状况的考察，了解伊朗烧伤的流行病学和病因。

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

T Bagheri, M J Fatemi, S Hoveidamanesh, T Ghadimi, O Mahboubi, M Asgari, H Rahbar, M Momeni

{"title":"Epidemiology and Etiology of Burns in Iran Through the Examination of the Economic, Social and Educational Situation.","authors":"T Bagheri, M J Fatemi, S Hoveidamanesh, T Ghadimi, O Mahboubi, M Asgari, H Rahbar, M Momeni","doi":"","DOIUrl":"","url":null,"abstract":"Burn accidents continue to cause severe physical, psychological and economic damage to individuals and communities, especially in low- and middle-income countries. The present study was designed and conducted to investigate the epidemiology and identify the causes/mechanisms of burns in Iran, focusing on the economic, social and educational status of patients. This is a survey study that was performed from August 2016 to October 2017 on patients referred to Shahid Motahari University Hospital in Tehran. Samples included all patients whose parents or children were able to answer the questions. The data was extracted and analysed with SPSS Statistics v. 21. A total 1708 patients participated. Most of the patients were 19 to 39 years old. 70.6% had achieved a high school diploma or lower, and 11.5% patients were illiterate. Most of the patients lived in urban areas (91.7%) and in most cases, 4 people or less lived in a common space. Heat burns, chemical (acid) burns, and electrical burns account for the majority of cases. Most patients were unfamiliar with safety standards for burn prevention, safely stopping a fire, and fire safety equipment (alarms and extinguishers). The most common burn mechanisms were hot liquids inside the kitchen (12.6%) and gas explosion (11.9%). Based on these findings, the implementation of codified training programs, continuous control and monitoring of the safety standards in home and work environments, and the establishment of laws to standardize cooking and heating equipment will play an important role in reducing burn injuries in our country.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 2","pages":"91-99"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871704","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

Presentation and Management Outcome of Childhood Scald Burns Managed With Hydrocolloid Dressings Compared With Silver Sulphadiazine Dressings. 使用水胶体敷料和磺胺嘧啶银敷料治疗儿童烫伤的表现和治疗效果比较。

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

M Saaiq

{"title":"Presentation and Management Outcome of Childhood Scald Burns Managed With Hydrocolloid Dressings Compared With Silver Sulphadiazine Dressings.","authors":"M Saaiq","doi":"","DOIUrl":"","url":null,"abstract":"Scalds constitute the most common type of childhood burns. Given their potential for spontaneous healing, a variety of dressings are used to promote healing and prevent infection. This comparative study was carried out to document the clinical presentation of pediatric scald burns and evaluate their management outcome with hydrocolloid dressings versus silver sulphadiazine (SSD) in terms of complete healing, healing time, mean number of dressings required to achieve healing, and any need for split thickness skin grafting at three weeks. The study included all pediatric scald patients (aged ≤15 years) who presented with superficial partial-thickness and deep partial-thickness wounds during the study period. Exclusion criteria included children over the age of 15 years, facial scalds and full thickness scalds. Half of the patients were randomly assigned to the hydrocolloid group and half to the SSD group. Out of a total of 100 patients, 66% (n=66) were males whereas 34% (n=34) were females. Age ranged from 3 months to 15 years, with a mean of 2.88±2.86 years. Total body surface area (TBSA) affected ranged from 3% to 17% with a mean of 7.00±4.76%. The majority of the children (75%) were managed on an outpatient basis whereas 25% were hospitalized. Hydrocolloid dressings yielded superior results in terms of complete healing of the scalds, healing time, the mean number of dressings required to achieve healing, and less frequent need for split thickness skin grafting at three weeks. Given the observed benefits, hydrocolloid dressings should constitute the preferred choice of dressing for managing superficial and deep partial thickness scalds in the pediatric population.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 2","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875080","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

Flir One^® As A Predicting Factor for Burn Wound Conversion: A Preliminary Report. Flir One® 作为烧伤伤口转化的预测因素：初步报告

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

A Wardhana, C L Sukasah, A N Syarif, S F Tanjunga, G A Winarno, R P Apriza, L Aurora

{"title":"Flir One® As A Predicting Factor for Burn Wound Conversion: A Preliminary Report.","authors":"A Wardhana, C L Sukasah, A N Syarif, S F Tanjunga, G A Winarno, R P Apriza, L Aurora","doi":"","DOIUrl":"","url":null,"abstract":"Burn area may progress into a more profound wound, known as burn wound conversion. Early prediction of burn wound conversion guides clinicians in their treatment decision. This study aimed to assess the reliability of FLIR One® in predicting burn wound conversion. We conducted a prospective cohort study, including patients who were admitted to our tertiary hospital from December 2018 to December 2019. All adult patients with mid-dermal burn injury of less than 40% TBSA that occurred within 72 hours were included in our study. Thermal imaging FLIR One® was used to evaluate the difference between burn wound and healthy skin in the same area (DT1), and ImageJ software objectively measured the burn's extension. The examinations were done by a plastic surgeon on the 1st and the 3rd day of admission. Data were later compared and statistically analyzed. A total of 157 wound samples were collected from 40 patients - a slightly higher number were found in males (57.5%). The major cause of burn was gas explosion (50%), mostly with less than 20% TBSA (55%). The area under the curve (AUC) for DT1 was 0.884 (95% CI: 0.822 - 0.945) p<0.05 with a cut-off point at DT1 more than 1.25°C lower than unburned skin. However, there was no correlation between DT1 and extension of the wound area. Thermal difference (DT1), measured using thermal imaging FLIR One® could be considered as a predictor of burn wound conversion from mid-dermal to deep dermal, with the optimal cut-off point of 1.25°C lower than unburned skin.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 2","pages":"165-171"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11041954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873933","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

Analysis of Incidence, Risk Factors and Outcomes Associated With Abdominal Hypertension in Major Burn Patients. 分析重度烧伤患者腹部高血压的发病率、风险因素和相关结果。

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

M Tsuda, M T Tanita, T B Talizin, A L Mezzaroba, L T Q Cardoso, C M C Grion

{"title":"Analysis of Incidence, Risk Factors and Outcomes Associated With Abdominal Hypertension in Major Burn Patients.","authors":"M Tsuda, M T Tanita, T B Talizin, A L Mezzaroba, L T Q Cardoso, C M C Grion","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this study is to analyze incidence and risk factors for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in major burn patients. Aprospective cohort study was conducted at a Burns Treatment Center, including all patients with a burned body surface area ≥20% admitted from August 2015 to January 2018. Intra-abdominal pressure was measured periodically during the first week of ICU stay. Sixty-four patients were analyzed, with median age of 39 years (interquartile range ITQ: 28-53) and 66% were male. Median burned body surface area was 30% (ITQ: 20-46). Twenty-eight (56%) patients presented criteria for IAH and seven (14%) developed clinical signs compatible with ACS. Burn severity was greater in the group that developed IAH, represented by the ABSI score. This group also presented higher values of creatinine and positive fluid balance. The group of patients with ACS showed a higher frequency of alterations in renal and respiratory functions. The organ systems most frequently affected in groups with diagnostic criteria for IAH and ACS were renal, cardiovascular and respiratory. Mortality rate at hospital outcome was 56%. In conclusion, the incidence of IAH during the study period was high in patients with extensive burns. The occurrence of ACS was associated with organic dysfunctions of the respiratory, cardiovascular and renal systems. The factors associated with intra-abdominal hypertension were age, extension of burned body surface, inhalation injury, and need for mechanical ventilation.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 1","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867463","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

Estimation of Total Body Surface Area Burned: A Comparison Between Burn Unit and Referring Facilities. 烧伤体表总面积的估算：烧伤科与转诊机构之间的比较。

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

H L Ho, A S Halim, W A W Sulaiman, M J Fatimah

{"title":"Estimation of Total Body Surface Area Burned: A Comparison Between Burn Unit and Referring Facilities.","authors":"H L Ho, A S Halim, W A W Sulaiman, M J Fatimah","doi":"","DOIUrl":"","url":null,"abstract":"Accuracy of burn size estimation is critical in acute burn management because it directly affects the patient's outcome and prognosis. This study aims to quantify the discrepancies of total body surface area (TBSA) burned between the burn unit (TBSAb) and the referring facilities (TBSAr). Data of all referred adult and paediatric patients admitted to the Hospital Universiti Sains Malaysia Burn Unit within 24 hours post burn were retrospectively reviewed from 2015 to 2019. %TBSA discrepancies were calculated by the differences between TBSAb and TBSAr. A total of 208 patients (111 adults and 97 paediatric patients) were recruited in this study. Of these, the TBSA was overestimated in 60.58% cases, underestimated in 13.46% cases, accurate in 7.69% cases, and in 18.27% cases the referrals had no TBSAr stated. The %TBSA discrepancy was the highest in severe burns (mean 10.80% in adults and 7.59 in paediatric patients; P<0.001). The time interval between referral and reassessment and patients' body mass index (BMI) were not statistically significant for the magnitude of TBSA discrepancy. The number of burn areas involved correlated with the %TBSA discrepancies, with the highest recorded discrepancy being 21.50% in whole body involvement. There were significant discrepancies in TBSA estimations between the referring facilities and those of the Hospital Universiti Sains Malaysia (USM) burn unit, especially among the paediatric patients and those with severe burns. Implementation of educational programs by burn care experts and agreement on a universal method of TBSA assessment are necessary in reducing the discrepancies.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 1","pages":"19-28"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862407","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

Local Anaesthesia for Enzymatic Debridement of Cutaneous Burns: A Prospective Analysis of 27 Cases. 局部麻醉用于皮肤烧伤的酶清创：对 27 个病例的前瞻性分析。

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

D Berwick, L Young, A Lee, D Lancaster, B Dheansa

{"title":"Local Anaesthesia for Enzymatic Debridement of Cutaneous Burns: A Prospective Analysis of 27 Cases.","authors":"D Berwick, L Young, A Lee, D Lancaster, B Dheansa","doi":"","DOIUrl":"","url":null,"abstract":"Enzymatic debridement (ED) is increasingly used for cutaneous burns. Compared with surgical debridement, ED has better preservation of viable dermis, less blood loss and autografting, however ED is painful. Current recommendations suggest local anaesthesia (LA) is useful for minor burns, but the evidence base is minimal. In our centre, we routinely use LA with good analgesic effect. This study was a single-centre, prospective analysis conducted at the Queen Victoria Hospital (UK). Patients had at least superficial partial thickness burns and received subcutaneous LA prior to ED during a 1-year period (October 2019-September 2020). Pain was assessed using a numeric scale of 1-10, recorded before, during and after the procedure. In total, 27 patients were included (n=17 males) with a median age of 47 (18-88 years). The mean total burn surface area was 1.5% (0.3-5.0). Treated sites included head and neck (1), trunk (5), upper limb (9) and lower limb (16). The most used LAwas bupivacaine 0.25% (n=25), followed by lidocaine 1% (n=2). Some required additional oral analgesia (n=8) or a regional blockade (n=2). Average pain score during debridement was 1.9 We have found LA effective, with favourable pain scores in comparison to previous studies with oral analgesia or regional blockade. LA is quick and easy to perform, as opposed to nerve blocks, which require trained personnel with ultrasound guidance. LA is a useful analgesic for patients with minor cutaneous burns undergoing ED. In some cases, it is sufficient without additional oral analgesia or regional blockade.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 1","pages":"74-78"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869297","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

Predictor of Burn Wound Conversion as a Reference for Conservative and Operative Management: Review of Imagej, Flir One^® And Development Of A Risk Actor Score Model. 烧伤伤口转化的预测指标，作为保守治疗和手术治疗的参考：回顾 Imagej、Flir One® 和风险代理评分模型的开发。

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

A Wardhana, C L Sukasah, A Muradi, N C Siregar

{"title":"Predictor of Burn Wound Conversion as a Reference for Conservative and Operative Management: Review of Imagej, Flir One® And Development Of A Risk Actor Score Model.","authors":"A Wardhana, C L Sukasah, A Muradi, N C Siregar","doi":"","DOIUrl":"","url":null,"abstract":"Burn wound conversion describes the process by which superficial-partial thickness burns convert into deeper burns within 3-7 days after burn. Autophagy, inflammation, ischemia, infection and reactive oxygen species are thought to have a role in pathogenesis of burn wound conversion. This study aims to assess risk factors for burn conversion and develop a scoring system to predict it. The study was conducted using nested case control method, in burn patients treated in Dr. Cipto Mangunkusumo Hospital and Jakarta Islamic Hospital Cempaka Putih. Subjects were recruited by consecutive sampling in February 2019-August 2020. The role of clinical characteristics, local and systemic examination as predictors of burn wound conversion were assessed. Risk factors were analysed using bivariate and multivariate analysis. There were 40 subjects in the case group and 20 subjects in the control group. Involvement of trunk, limbs, burn extent measured using ImageJ, ≥ 9.49%TBSA, wound surface temperature measured using Flir one® thermography ≤ -1.55°C, procalcitonin level ≥ 0.075 ng/mL, and blood lactate level ≥ 1.75 mmol/L had a significant relationship with burn wound conversion. Three scoring models were developed: model 1 to be applied in tertiary health facilities, and model 2 and 3 to be applied in primary and secondary health facilities with sensitivity and specificity of 92.5% and 85%, 95% and 70% and 92.5% and 85%, respectively. The scoring models can be used in daily practice, especially as a reference for conservative and operative management.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 1","pages":"49-56"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861073","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

Predicting Mortality in Burn Patients: Literature Review of Risk Factors for Burn Mortality and Application in Scoring Systems. 预测烧伤患者的死亡率：烧伤死亡率风险因素及评分系统应用文献综述。

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

A Wardhana, J Wibowo

引用次数: 0

[Accident And Burns Of The Duke-King Stanislav, His Treatment And His Death. LunÉville, 5^TH-23^RD February 1766]. [斯坦尼斯拉夫公爵的事故和烧伤、治疗和死亡。1766 年 2 月 5 日至 23 日，卢内维尔】。］

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

P Labrude

引用次数: 0

Prevalence of Thrombocytopenia in the First Week After Burn Injury and Its Relationship With Burn Severity in Shahid Motahari Hospital Over a Period of 6 Months in 2017. Shahid Motahari 医院 2017 年 6 个月期间烧伤后第一周血小板减少症的患病率及其与烧伤严重程度的关系。

Annals of burns and fire disasters Pub Date : 2023-03-31 eCollection Date: 2023-03-01

H Salehi, E Moienian, A Rahbar, S A H Salehi, M Momeni

{"title":"Prevalence of Thrombocytopenia in the First Week After Burn Injury and Its Relationship With Burn Severity in Shahid Motahari Hospital Over a Period of 6 Months in 2017.","authors":"H Salehi, E Moienian, A Rahbar, S A H Salehi, M Momeni","doi":"","DOIUrl":"","url":null,"abstract":"A platelet count of less than 150,000 per microliter of blood is called thrombocytopenia. Platelet count monitoring is essential in the care of burn patients. The aim of this study was to evaluate platelet count in groups of patients with different percentage of burns on the body surface and its relationship with the severity of burns and mortality. This retrospective descriptive cross-sectional study was performed on patients admitted to Shahid Motahari Hospital over a period of six months. The study was conducted on burn patients who were admitted to the hospital on the first day after injury. Patients were divided into two groups of with or without thrombocytopenia in the first week. Demographic information and treatment information about the patients were recorded. SPSS V.26 software was used for the statistical analysis of data. In this study, the prevalence of thrombocytopenia in the first week after burns was 36%. The variables of age, sex, duration of hospitalization, burn agent, percentage of burns and use of silver sulfadiazine ointment were significantly different in the two groups of patients. The group without thrombocytopenia had a mortality rate of 5.1%, while the group with thrombocytopenia had a rate of 32.2%. Based on the results of this study, thrombocytopenia is significantly associated with mortality in burn patients. Furthermore, the results of this study indicate that age, sex, burn agent, percentage of burns, and the use of silver sulfadiazine ointment have a clear impact on the thrombocytopenic status of patients.","PeriodicalId":93873,"journal":{"name":"Annals of burns and fire disasters","volume":"36 1","pages":"29-39"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871756","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