A retrospective analysis of 1083 Turkish patients with serious burns

A retrospective analysis of 1083 Turkish patients with serious burns
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DOI:
10.1016/s0305-4179(01)00095-x
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发表时间:
2002-05-01
期刊:
影响因子:
2.7
通讯作者:
Saydaoglu, G
Saydaoglu, G
中科院分区:
医学3区
文献类型:
--
作者:
Anlatici, R;Özerdem, ÖR;Saydaoglu, G

文献摘要

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对1988年8月至1997年底在烧伤中心住院的1083例烧伤病例进行了回顾性研究,以确定与土耳其烧伤相关的因素和人口统计学特征。患者平均年龄和烧伤总体表面积(TBSA)百分比分别为18.1岁和31.2%(中位数分别为14.0岁和25.0%)。烧伤在冬季和春季更常见,大多数发生在家中。大多数病人是城市居民,是从公立医院转来的。研究人群中男性患者占优势(71.9%),但儿童和成人的比例相等。几乎一半的男性和大多数女性是儿童/学生。绝大多数成年女性都是家庭主妇,而大多数男性都在外面工作。超过一半的患者遭受了二度烧伤,其他人都有更深的烧伤。研究人群中最常见的烧伤原因是火焰。儿童主要为烫伤,成人主要为火焰和电烧伤。性别之间在烧伤深度方面没有差异;而女性的总烧伤面积百分比较高。儿童的平均TBSA和三度烧伤率较低。研究人群的死亡率为33.5%。研究结果确定了各种风险因素和严重烧伤的高风险群体,并指出了一些可以改进预防方案的方法。(C)2002年由Elsevier Science Ltd和ISBI出版。
A total of 1083 burn cases hospitalised at a burn center between August 1988 and the end of 1997 were studied retrospectively to determine the factors and demographic features associated with burn injury in Turkey. The means for patient age and percent total body surface area (TBSA) burned were 18.1 years and 31.2%, respectively (medians were 14.0 years and 25.0%, respectively). Burn injuries were more common in winter and spring, and most occurred in the home. The majority of patients were city dwellers, and had been referred from public hospitals. There was a predominance of male patients (71.9%) in the study Population, but the proportions of children and adults were equal. Almost half of the males and the majority of the females were children/students. The vast majority of female adults were housewives, and most of the men were employed outside the home. More than half of the patients suffered second-degree burns, and the others all had deeper burn injuries. The most frequent cause of burn in the study population was flame. Children mainly suffered from scalding, and adults from flame and electrical burns. There were no differences between the sexes regarding depth of burn; whereas percentage total burned surface area was higher in females. Children had a lower mean TBSA and lower rate of third-degree burns. Mortality rate of the study population was 33.5%. The study results identified various risk factors and the groups at high risk for serious burns and indicated some ways that prevention programmes can be improved. (C) 2002 Published by Elsevier Science Ltd and ISBI.