Gezim Xhepa, Sokol Isaraj, Gentian Zikaj, Nardi Kola
{"title":"阿尔巴尼亚电烧伤及其治疗:2019-2020年治疗病例回顾","authors":"Gezim Xhepa, Sokol Isaraj, Gentian Zikaj, Nardi Kola","doi":"10.3889/oamjms.2023.11634","DOIUrl":null,"url":null,"abstract":"BACKGROUND: Electrical burns, although constituting a small part of the burns treated in a tertiary hospital, remain a constant burden to the medical staff, due to the nature of the causative agent. PATIENTS AND METHODS: After the Institutional Review Board approval, a retrospective study was performed including all the patients admitted to the Service of Burns and Plastic Surgery, University Hospital Center “Mother Theresa” of Tirana, Albania, from January 2018 to December 2019. Descriptive statistics was used to review the cases for age distribution, body surface area burned, points of entry and exit of the current, acute and late complications, surgical approach, and timing of the latter. RESULTS: Twenty-six patients were admitted during this period, of which 22 suffered a real electrical burn, four of them having only superficial damage from the flash of the electric arc without direct contact with the electrical source. Mean hospital stay was 58.1 days for true electrical burns and 7.5 days for burns from electrical arc. Each patient underwent three surgical interventions in average, of which 20% were fasciotomies, 30% were eschar excision, 35% were reconstructive procedures, and 15% were amputations. Only one fatal outcome was registered. About 36% of the patients were children and the only death was registered among them. Most of cases were due to neglect of safety measures while working with the electrical power, although being professional qualified workers. Acute complications were myoglobinuria, cardiac rhythm disorders, respiratory acidosis, psychomotor agitation, brain concussion and contusion, and acute bleeding. Anemia is the most common late complication. CONCLUSIONS: The prevention is still the best treatment, especially for true electrical burns. Working with the corporate that controls the production and transmission of the electrical power could further reduce the incidence of true electrical burns, while moving to more aggressive surgical approach to such burns might avoid long-term complications and degree of invalidity caused by them.","PeriodicalId":19562,"journal":{"name":"Open Access Macedonian Journal of Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Electrical Burns in Albania and their Treatment: A Review of Cases Treated in 2019–2020\",\"authors\":\"Gezim Xhepa, Sokol Isaraj, Gentian Zikaj, Nardi Kola\",\"doi\":\"10.3889/oamjms.2023.11634\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND: Electrical burns, although constituting a small part of the burns treated in a tertiary hospital, remain a constant burden to the medical staff, due to the nature of the causative agent. PATIENTS AND METHODS: After the Institutional Review Board approval, a retrospective study was performed including all the patients admitted to the Service of Burns and Plastic Surgery, University Hospital Center “Mother Theresa” of Tirana, Albania, from January 2018 to December 2019. Descriptive statistics was used to review the cases for age distribution, body surface area burned, points of entry and exit of the current, acute and late complications, surgical approach, and timing of the latter. RESULTS: Twenty-six patients were admitted during this period, of which 22 suffered a real electrical burn, four of them having only superficial damage from the flash of the electric arc without direct contact with the electrical source. Mean hospital stay was 58.1 days for true electrical burns and 7.5 days for burns from electrical arc. Each patient underwent three surgical interventions in average, of which 20% were fasciotomies, 30% were eschar excision, 35% were reconstructive procedures, and 15% were amputations. Only one fatal outcome was registered. About 36% of the patients were children and the only death was registered among them. Most of cases were due to neglect of safety measures while working with the electrical power, although being professional qualified workers. Acute complications were myoglobinuria, cardiac rhythm disorders, respiratory acidosis, psychomotor agitation, brain concussion and contusion, and acute bleeding. Anemia is the most common late complication. CONCLUSIONS: The prevention is still the best treatment, especially for true electrical burns. Working with the corporate that controls the production and transmission of the electrical power could further reduce the incidence of true electrical burns, while moving to more aggressive surgical approach to such burns might avoid long-term complications and degree of invalidity caused by them.\",\"PeriodicalId\":19562,\"journal\":{\"name\":\"Open Access Macedonian Journal of Medical Sciences\",\"volume\":\"1 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-05-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Open Access Macedonian Journal of Medical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3889/oamjms.2023.11634\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Access Macedonian Journal of Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3889/oamjms.2023.11634","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Electrical Burns in Albania and their Treatment: A Review of Cases Treated in 2019–2020
BACKGROUND: Electrical burns, although constituting a small part of the burns treated in a tertiary hospital, remain a constant burden to the medical staff, due to the nature of the causative agent. PATIENTS AND METHODS: After the Institutional Review Board approval, a retrospective study was performed including all the patients admitted to the Service of Burns and Plastic Surgery, University Hospital Center “Mother Theresa” of Tirana, Albania, from January 2018 to December 2019. Descriptive statistics was used to review the cases for age distribution, body surface area burned, points of entry and exit of the current, acute and late complications, surgical approach, and timing of the latter. RESULTS: Twenty-six patients were admitted during this period, of which 22 suffered a real electrical burn, four of them having only superficial damage from the flash of the electric arc without direct contact with the electrical source. Mean hospital stay was 58.1 days for true electrical burns and 7.5 days for burns from electrical arc. Each patient underwent three surgical interventions in average, of which 20% were fasciotomies, 30% were eschar excision, 35% were reconstructive procedures, and 15% were amputations. Only one fatal outcome was registered. About 36% of the patients were children and the only death was registered among them. Most of cases were due to neglect of safety measures while working with the electrical power, although being professional qualified workers. Acute complications were myoglobinuria, cardiac rhythm disorders, respiratory acidosis, psychomotor agitation, brain concussion and contusion, and acute bleeding. Anemia is the most common late complication. CONCLUSIONS: The prevention is still the best treatment, especially for true electrical burns. Working with the corporate that controls the production and transmission of the electrical power could further reduce the incidence of true electrical burns, while moving to more aggressive surgical approach to such burns might avoid long-term complications and degree of invalidity caused by them.
期刊介绍:
Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, information on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.