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- Title
Prevalencia y características de adultos quemados del Servicio de Cirugía Reconstructiva del Hospital Dr. Rafael Hernández L., Chiriquí. 2016-2018.
- Authors
Della Sera Lasso, María Gabriella
- Abstract
Introduction: Burns constitute a public health problem that mostly affects developing countries [1,2]. In Panama, there is a burn unit for the management of adult patients, located in the capital city, and we do not have statistical data on these injuries in this population. Objectives: Through this retrospective descriptive study, we sought to generate the first database focused on the prevalence and characteristics of adult burn patients in Panama. Methods: We included 110 records of adults admitted to the Reconstructive Surgery Service of the Hospital "Dr. Rafael Hernández L." (HRRH) in Chiriquí, Panama with a diagnosis of "Burn" during the years 2016 and 2018, with emphasis on their demographic data, month of admission, mechanism of injury, degree of burn, percentage of total body surface area burned (SCTQ), in-hospital stay (EIH) and surgical approach. Results: A period prevalence of 16% was obtained. 39% of cases were reported in 2018. A median age of 42.5 years and a male: female ratio of 1.4:1 was recorded. The highest frequency of admissions was identified in January, followed by March and July (p=0.242). The most reported mechanism of injury was thermal energy (82.7%), the most common degree of burn was IIa (64.5%). In 70% of the cases, the percentage of SCTQ was less than 10%. Most of the cases had a HIE of less than 30 days, finding a statistically significant relationship between high percentages of SCTQ and a HIE of more than one month (p=<0.001). Sixty percent of patients did not receive surgical management. Conclusions: Adult burns represent an important percentage of the census managed by the HRRH Reconstructive Surgery service. Their frequency has increased over the years, with a predominance in the 41-50 age group and male gender. The most frequent burn profile was grade IIa with less than 10% of SCTQ. Higher percentages of SCTQ were related to EIH equal to or greater than one month. Most of the patients were managed with in-patient ward dressings.
- Subjects
PANAMA; BODY surface area; BURN care units; AGE groups; PLASTIC surgery; BURN patients; CHEMICAL burns
- Publication
Revista Médica de Panamá, 2024, Vol 44, Issue 1, p33
- ISSN
0379-1629
- Publication type
Article
- DOI
10.37980/im.journal.rmdp.20242289