Outpatient burn management and unnecessary referrals

Sozen, Isa; Güldoğan, Cem Emir; Kısmet, Kemal; Sabuncuoğlu, Mehmet Zafer; Yastı, Ahmet Çınar

doi:10.5505/tjtes.2015.89217

Cited by 8 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, hypoxia that develops as a result of resuscitation during the initial treatment may lead to requirement for endotracheal intubation or mechanical ventilation. Furthermore, ARDS or acute lung injury in patients with burn may require ventilatory support (28). In our study, a total of 124 (55.4%) patients received respiratory support.…”

Section: Discussionmentioning

confidence: 71%

Analysis of factors associated with mortality in major burn patients

Güldoğan¹,

Kendirici²,

Gündoğdu³

et al. 2018

Turk J Surg

Self Cite

View full text Add to dashboard Cite

Objective: Major burn injury is a type of trauma with high morbidity and mortality rates at all age groups. There is no consensus on the provided guidelines regarding the prediction of severity of the victims. Not being accessible to sophisticated clinical and blood monitoring in developing countries, it remains a challenge for them. The aim of the present study was to analyze the factors that have an effect on mortality and serve as a guide for burn treatment. Factors affecting mortality in major burn patients treated in a burn treatment center of a third step hospital with over 30% of burns of the total body surface area were evaluated, and parameters indicating severity were specifically determined. Material and Methods: Medical records and follow-up notes of patients hospitalized in Ankara Numune Education and Research Hospital Burn Center between 2008 and 2014 were evaluated retrospectively. Data on age, gender, comorbidities, burn percentage, locality, type of burn, process of the burn (suicide or accident), presence of inhalation injury, results of blood hemogram and biochemical tests, length of hospitalization, type of surgical procedures performed, presence of multitrauma, and ventilatory support requirement were analyzed to determine the factors affecting mortality. White blood cell count, hemoglobin count, platelet count, and lactate dehydrogenase level were examined at admission, at the middle of the clinical course, and at the end of treatment (at both exitus date or discharge date). Results: A total of 224 patients were hospitalized with burns ≥ 30% total body surface area. Of the 224 patients, 81.7% were males, and 18.4% were females. In the mortality group, 41.3% were males, and 58.5% were females. Gender (female, p< 0.041), age (p< 0.001), age group (0-14/15-59/> 60 years, p< 0.001), total body surface area (p< 0.001), type of burn (flame, p< 0.002), presence of inhalation injury (p< 0.001), process of the burn (p< 0.002), time spent between the event and admission to the hospital (p< 0.001), length of hospitalization (p< 0.001), presence of comorbidity (p< 0.038), diabetes mellitus (p< 0.05), ventilation support (p< 0.001), lactate dehydrogenase values (lactate dehydrogenaseadmission, p< 0.001; lactate dehydrogenasemiddle, p< 0.015; lactate dehydrogenaselast, p< 0.001), white blood cell count (p< 0.001), and platelet count (p< 0.043) were found to be significant for univariate analyses. These parameters were further evaluated using multivariate analyses. Lactate dehydrogenaselast level (p< 0.001), age (p< 0.001), length of hospitalization (negative odds ratio), p< 0.001), presence of inhalation injury (p< 0.029), total body surface area burned (p< 0.029), and leukocytosis (p< 0.006) were found to be significantly associated with mortality; however, leukocytosis and length of hospitalization did not pose risk for mortality with regard to odds ratios. Conclusion: Early recognition of the factors affecting morbidity and mortality in patients and taking preventive measures, in addition to earlier de...

show abstract

Section: Discussionmentioning

confidence: 71%

Analysis of factors associated with mortality in major burn patients

Güldoğan¹,

Kendirici²,

Gündoğdu³

et al. 2018

Turk J Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…This shows that the time taken for treatment and rehabilitation would cause a serious workforce loss. [3] Those in the 40-59 years age group constituted the second largest group of patients in this study, followed by those aged ≥59 years. In recent years, there has been a significant increase in the success rates of burn shock and early resuscitation, with better understanding of burn physiology and developments in both medical monitoring and ICU patient management.…”

Section: Discussionmentioning

confidence: 99%

Clinical Infection in Burn Patients and the Consequences

Güldoğan

Kendirci²,

Tikici³

et al. 2017

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: Burn injuries facilitate invasive infections and sepsis not only by destroying the continuity of the protective skin barrier but also through systemic effects. The burn wound, blood, and urine samples are frequently cultured to determine the pathogen agent. The aim of this study was to analyze pathogen growth in patients' cultures confirmed as "infection positive" by the hospital Infection Control Committee and to assess the clinical implications of these growths.

show abstract

“…Epidural techniques, nerve blocks and subcutaneous iniltration techniques are also used in pain management. In those with very severe pain, general anaesthesia can be applied [1][2][3][4][5] .…”

mentioning

confidence: 99%

“…This can be corrected by aggressive pain treatment. Even if local anaesthetics seem to be efective in the treatment of burns pain, it is recommended that they are applied with care paid to the systemic toxicity from the epidermis with corrupted integrity [1][2][3][4][5][6] .…”

mentioning

confidence: 99%

Care and Management of Burns Patients

Sozen¹

2016

JAS

View full text Add to dashboard Cite

Letter to Editor Burn injury is a signiicant health problem caused by the efect of heat, electricity and chemical substances, resulting in damages of diferent depths and extent. Determination of the degree of the burn depth is generally made clinically and with physical examination. In the acute phase, a burn, as a dynamic injury, may continue to deepen in the irst seventy-two hours. In the determination of total body surface area burnt, rule of nines is widely used [1]. For burn patients, treatment should be planned speciically for burns after any emergency trauma intervention has been made. The success of shock treatment, early eschar excision and early grafting, appropriate and timely use of antibiotics to combat infection, new dressing materials and some new closure methods are positive developments providing good results in burn treatment. In addition to all these characteristics, vast majority of burns are suitable for treatment and follow-up in polyclinic conditions [1]. The care of serious burns patients can be challenging [1]. There is a need for long-term hospitalisation, a high degree of rehabilitation, psychiatry, physical therapy, consultations with a dietician and wound debridement which can cause severe pain. It must be anticipated that there could be pathophysiological changes in all the organs of these patients in the process from the initial burn to the completion of treatment. Mortality is not uncommon in patients admitted to the burns unit. High risk factors for death following a burn are age over 60 years, a burn of more than 40% of the body surface area and inhalation damage. In inhalation damage and burns, extensive airway and lung oedema may rapidly develop. Morbidity and mortality increase in cases of inhalation damage. The mechanism of inhalation is complex and there may be a direct inhalation source of the face and upper airway or from the combination of hot gases. There may be chemical damage to the trachea, bronchi, alveoli and endothelium from the toxic products originating from a ire or injury to the oxygen transport with carbon monoxide and cyanide. Electrical burns may cause greater morbidity than expected from the size of the burn area. Initial haemodynamic changes are a reduction in cardiac output and an increase in systemic vascular resistance. In addition, a hyperdynamic and hypermetabolic status may develop 2-5 days after large burns. Even if luid resuscitation is made according to the guidelines, evaluation must be made according to the physiological status of the patient. In patients with serious burns with haemodynamic changes in the irst

show abstract

Outpatient burn management and unnecessary referrals

Abstract: BACKGROUND:This study aimed to determine the profile of burn patients presented in our polyclinic and evaluate the current status in comparison to the treatment methods of past series.

Cited by 8 publications

References 15 publications

Analysis of factors associated with mortality in major burn patients

Analysis of factors associated with mortality in major burn patients

Clinical Infection in Burn Patients and the Consequences

Care and Management of Burns Patients

Contact Info

Product

Resources

About