Abstract
Objectives: Burn is a significant cause of morbidity and mortality in all age groups. Until recently, various problems were encountered with regard to hospital admission of burn patients in our country, and patients mostly received treatment in general surgery departments. However, hospitalization in general surgery clinics generated several problems for both burn patients and other patients in the clinic, as well. We present our 15-month experience in a burn unit which was recently established in our hospital in order to better serve burn patients. Materials and Methods: A total of 110 patients who were admitted to the Burn Unit in Ministry of Health Izmir Bozyaka Education and Research Hospital within 15 months were assessed retrospectively were compared with the literature. Results: Most burns occurred in summer. Mean age of patients was 41.5 years. Patients aged 20-40 years consisted the largest group exposed to burn and flame-type burns which were the most frequent type of burns. The LD50 value for twelve patients who died was 96.4730845. Age, accompanying illness, inhalation burn and total body surface area were detected as significant prognostic factors. Conclusion: Establishment of facilities like burn units or burn centers which are specialized in burn treatment allows convenient referral of burn patients to these centers. Number of patients, especially those with higher grade and more extensive burns, to be admitted is likely to enhance. In addition, patients will be cared by trained, experienced and specialized burn teams. Therefore, keeping proper and complete patient records and presenting this data to the literature will enlighten future studies in this regard.
Keywords: Burn, flame, scalds, mortality, burn unit
References
Chien W-C, Pai L, Lin C-C, Chen H-C. Epidemiology of hospitalized patients in Taiwan. Burns 2003;29:582-588.
Gemann G, Barthold U, Lefering R, Raff T, Hartmann B. The impact of risk factors and pre-existing conditions on the mortality of burn patients and the precision of predictive admission-scoring systems. Burns 1997;23:195-203.
Fernandez-Morales E, Galvez-Alcaraz L, Fernandez-Crehuet-Navajas J, Gomez- Gracia E, Salinas-Martinez JM. Epidemiology of burns in Malaga, Spain. Burns 1997;23:323-332.
Liu EH, Khatri B, Shakya YM, Richard BM. A 3 year prospective audit of burns patients treated at the Western Regional Hospital of Nepal. Burns 1998;24:129-133.
Çoban Y K, Erkılıç, A, Analay H. Our 18-month experience at a new burn center in Gaziantep, Turkey Turkish Journal of Trauma & Emergency Surgery 2010;16:353-
Lari AR, Alaghehbandan R, Nikui R. Epidemiological study of 3341 burns patients during three tears in Tehran, Iran. Burns 2000;26:49-53.
Panjeshahin MR, Lari AR, Talei A, Samsnia J, Alaghehbandan R. Epidemiology and mortality of burns in the South West of Iran. Burns 2001;27:219-226.
Carroll SM, Gough M, Eadie PA, McHugh M, Edwards G, Lawlor D. A 3-year epidemiological review of burn unit admissions in Dublin, Ireland (1988-1991). Burns 1995;21:379-382.
Wallace KL, Pegg SP. Self-inflicted burn injuries: an 11-year retrospective study. J Burn Care Rehabil 1999;20:191-124.
Kut A, Basaran O, Noyan T, Arda IS, Akgün HS, Haberal M. Epidemiologic analysis of patients with burns presenting to the burn units of a Hospital Network in Turkey. J Burn Care Res 2006;27:161-169.
Baret JP, Gomez P, Solano I, Gonzalez- Dorrego M, Crisol FJ. Epidemiology and mortality of adult burns in Catalonia. Burns 1999;25:325-329.
Han T-H, Kim J-H, Yang M-S, Han K-W, Han S-H, Jung J-A, Lee J-W, Jang Y-C, Burd A, Oh S-J . A retrospective analysis of 19,157 burn patients: 18-year experience from Hallym Burn Center in Seoul, Korea. Burns 2005;31:465-470.
Santaniello J M, Luchette F A, Esposito T J, Gunawan, H, Reed, R L, Davis, K A, Gamelli, R L. Ten year experience of burn, trauma, and combined burn/trauma injuries comparing outcomes. J Trauma 2004;57:696-701.
Sheridan RL, Ryan CM, Yin LM, Hurly J, Tomkins RG. Death in the burn unit: sterile multiple organ failure. Burns 1998;24:307-311.
Meakins JL. Etiology of multiple organ failure. J Trauma 1990;30:165-168.
Mzezewa S, Jonsson K, Aberg M, Salemark L. A prospective study on the epidemiology of burns in patients admitted to the Harare burn units. Burns 1999;25:499-504.
Cerovac S, Roberts AH. Burns sustained by hot bath and shower water. Burns 2000;26:251-259.
Gomez-Cia T, Malen J, Marquez T, Portela C, Lopez I. Mortality according to age and burned body surface in the Virgen del Rocio University Hospital. Burns 1999;25:317-323.
Harrington D.T . Burn ınjuries and burn care. Medicine Health 2009; 92:177-180.
Esselman P.C. Burn rehabilitation: an overview. Arch Phys Med Rehabil 2007: 88(12 suppl): 3-4.
Soltani K, Zand R, Mirghasemi A. Epidemiology and mortality of burns in Tehran, Iran. Burns 1998;24:325-328.
Zareı M-R, Dıanat S, Eslamı V, Harırchı I, Boddouhı N, Zandıeh A, Rasoulı M R. Factors associated with mortality in adult hospitalized burn patients in Tehran. Turkish Journal of Trauma & Emergency Surgery 2011;17:61.
Demirel Y, Çöl C, Özen M. Ankara Numune Eğitim ve Araştırma Hastanesi Yanık Servisinde bir yılda izlenen hastaların değerlendirilmesi. C.Ü. Tıp Fakültesi Dergisi 2001;23:15-20.
Yorgancı K, Elker D, Kabay B, Kaynaroğlu V, Öner Z, Sayek İ. Kırkbeş yaş üstü yanık hastalarında tedavi sonuçları. Türk Geriatri Dergisi 2001; 4: 116-119.
Uygur F, Noyan N, Yüksel F, Çeliköz B. Yanık travmasında önemli bir grup: Yaşlı hastalar 26 hastadaki deneyimimiz. Türk Plastik ve Rekonstrüktif Cerrahi Dergisi 2010; 18:57-61.
Hawkins A, MacLennan P A, McGwin G J, Cross, J M, Rue, L W. The impact of combined trauma and burns on patient mortality. J Trauma 2005;58:284-288.
Doughherty W, Waxman K. The complexities of managing severe burns with associated trauma. Surg Clin North Am 1996;76:923-958.
