Functional independence in teenage patients with burns

Nicolosi, Júlia Teixeira; Carvalho, Viviane Fernandes de; Sabatés, Ana; Paggiaro, André Oliveira

doi:10.12968/bjon.2014.23.sup12.s20

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…Adult men and children younger than 6 years have the greatest risk for burn injury (Tang et al, 2006; To & Puckett, 2016). Burn injuries in pediatric patients occur most commonly at home when children are not supervised (Nicolosi et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…As a result of the damage to the skin and other organs, burn wounds are difficult to heal and can lead to disability, death, serious emotional and psychological complications, as well as create economic burdens on the family and social security services. In many cases, patients with burn injuries not only require acute primary treatment but also require long-term rehabilitation, reconstructive surgery, and treatment to reduce scarring (Jeschke et al, 2020; Nicolosi et al, 2014).…”

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Retrospective Evaluation of Characteristics of Patients with Burn Injuries Treated at the Largest Reference Hospital in Brazil

Carvalho¹,

Paggiaro²,

Nicolosi³

et al. 2023

Plastic and Aesthetic Nursing

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Burn injuries are a significant cause of morbidity and mortality in the Brazilian population. We conducted this study in a tertiary hospital in Brazil to discover the epidemiological characteristics of patients with burn injuries. We conducted a cohort review of patients admitted to the burn unit of our institute during a 5-year period. For each patient, we collected data that included age, gender, total percentage of burned body surface area, burn location, burn mode, and burn cause. We analyzed the data using the R programming language. We included a total of 496 patients in our study. The mean age of the patients was 28 ± 14.7 years. The median length of hospital stay was 2 weeks. We found a significant correlation between the total percentage of burned body surface area and the length of hospitalization (p < .001) and the length of hospitalization in the intensive care unit (p < .001). A total of 427 patients (86%) were discharged from the hospital after successful treatment. In contrast, 43 patients (8.67%) died. The mortality rate was highest in patients who had more than 70% of their total body surface area burned. The average length of hospitalization aligned with global and national statistics presented in the literature. The main causes of the burn injuries were thermal (e.g., fire, hot liquids). We found inhalation injuries present in more than one third of the patients who were hospitalized in the intensive care unit with thermal burns.

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confidence: 99%

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confidence: 99%

Retrospective Evaluation of Characteristics of Patients with Burn Injuries Treated at the Largest Reference Hospital in Brazil

Carvalho¹,

Paggiaro²,

Nicolosi³

et al. 2023

Plastic and Aesthetic Nursing

View full text Add to dashboard Cite

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Retrospective Evaluation of the Accuracy of Five Different Severity Scores To Predict the Mortality in Burn Patients

Carvalho

Paggiaro

Goldner

et al. 2021

Journal of Burn Care &Amp; Research

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Background Patients with great clinical impairment, due to extensive burns, need to be admitted to intensive care units, in these treatment sites, indices are used to classify the severity of patients. The aim of the study was to compare the accuracy of the FLAMES score in relation to the Acute Physiologic and Chronic Health Evaluation II (APACHE II), the Simplified Acute Physiologic Score II (SAPS II), the Logistic Organ Dysfunction System (LODS) and the Abbreviated Burn Severity Index (ABSI) applied to the severe burn patient facing mortality in an ICU of a reference center for burns in Brazil. Methods A retrospective study conducted in ICU comparing the accuracy the APACHE II, SAPS II, LODS, ABSI and FLAMES instruments were applied to all the selected medical records. To evaluate the accuracy of the SIs, the Receiver Operating Characteristic curve was calculated and the area under the curve (AUC). Results Among the 574 patients included in the study, male individuals (70.13%), with an average age of 44.01 ± 28.64 prevailed and the majority of the burns were caused by accidents (76.53%). The outcome accounted for 35.29% of deaths. It was observed that the FLAMES and ABSI presented the two largest areas under the ROC curves and the highest sensitivities (96% and 89%, respectively). The APACHE II, SAPS II and LODS presented sensitivities equal to or greater than 80%. Conclusions It has been demonstrated that indices specifically developed for burn patients, specifically the FLAMES and ABSI indices, presented better accuracies and prediction performances.

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Functional independence in teenage patients with burns

Cited by 2 publications

References 28 publications

Retrospective Evaluation of Characteristics of Patients with Burn Injuries Treated at the Largest Reference Hospital in Brazil

Retrospective Evaluation of Characteristics of Patients with Burn Injuries Treated at the Largest Reference Hospital in Brazil

Retrospective Evaluation of the Accuracy of Five Different Severity Scores To Predict the Mortality in Burn Patients

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