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- Title
ANALIZA PROCESU LECZENIA PACJENTÓW DOROSŁYCH Z OPARZENIEM III STOPNIA OBEJMUJĄCYM 10-19% POWIERZCHNI CIAŁA.
- Authors
ŚCISŁO, LUCYNA; WALEWSKA, ELŻBIETA; KOPYŚ, MONIKA; PUTO, GRAŻYNA; STASZKIEWICZ, MAGDALENA; SZCZEPANIK, ANTONI M.
- Abstract
Introduction Third-degree burns greater than 10% TBSA (total burn surface area) are considered severe injuries and lead to the development of burn wounds and burn disease. Properly conducted local and systemic treatment of burn injuries results in a good treatment effect. Aim The treatment process in adult patients with third-degree burns involving 10-19% TBSA was analyzed and compared to the remaining group of patients with burn injuries, who were treated at our burn department. Material and methods The study was conducted at the Burns and Plastic Surgery Centre of Malopolska at the Department of Burns of the Ludwik Rydygier Memorial Specialized Hospital in Krakow in 2015. The study involved 154 patients with burn injuries. A group of 36 patients with third-degree burns involving 10-19% TBSA was selected. The results of their treatment were compared with those of other patients treated at the facility. The documentary analysis method was used. Statistical analysis was conducted using the PQSat statistical package version 1.6.4.110. Results The study showed, that the leading cause of burn injury in the group of 36 patients with third-degree burns involving 10-19% TBSA was an open flame; 64% of patients. Nosocomial infections were found in 42% of patients with third degree burns involving 10-19% TBSA and in 17% of the remaining patients (p=0,0366). SSIs occurred most often in relation to other infections (p=0,0366). In the group of 36 patients with third-degree burns, special systemic treatment was used i.e. parenteral nutrition 25%, enteral nutrition - 22%, hyperbaric oxygen therapy - 19%, mechanical ventilation - 19%, renal replacement therapy - 8%. The patients underwent various types of therapeutic procedures related to the burn wound. A total of 198 treatments were carried out. The average number of treatments performed in the operating room was 5.5 per patient. In the group of 36 patients, the average hospitalization time was 20.56 days compared to 13.73 days in the group of other patients. The mortality rate in the studied group was 8%, and involved patients with respiratory tract burns. Conclusions The leading cause of burn injury in the group of 36 patients with third-degree burns involving 10-19% TBSA was an open flame; burns were more common in men. Several treatments related to wound healing were conducted per patient. Most of the patients required specialized systemic treatment and nosocomial infections were diagnosed in most of the patients. The time of hospitalization was extended and mortality rate was lower compared to other patients.
- Subjects
POLAND; TREATMENT for burns &; scalds; ARTIFICIAL respiration; BURNS &; scalds; CROSS infection; ENTERAL feeding; HOSPITAL care; HYPERBARIC oxygenation; KIDNEY diseases; PARENTERAL feeding; SURGICAL site infections; THERAPEUTICS; TIME; WOUND healing; DATA analysis software
- Publication
Polish Journal of Wound Management / Leczenie Ran, 2018, Vol 15, Issue 3, p111
- ISSN
1733-4101
- Publication type
Article
- DOI
10.15374/LR2018019