Patients with third degree burns in an emergency department

Year 2022, Volume: 3 Issue: 1, 36 - 42, 31.01.2022

Tamer Durdu , Ahmet Burak Erdem , Elif Çelikel , Selahattin Gürü , Alp Şener

Abstract

Background: Skin protects the body against external factors, helps maintain physiological body temperature, and has sensory and immune functions. Burns can occur with electricity, radiation, chemicals, hot and cold factors. Since this is a very important public health problem, we aimed to analyze the epidemiological data of third-degree burns with high risk of mortality and morbidity in our emergency department.

Methods: Retrospectively, 73 patients with third-degree burns between January 2011 and December 2012 were included in the study. Demographic data of the patients, location and percentage of burn, cause, and mortality were recorded. Data between genders analyzed statistically.

Results: 79.5% of the patients were male. The mean age was 35±18 years. Flame burns were most common. It was determined that male patients had longer hospital stays. There was no statistically significant difference between age and gender in terms of mortality. It was observed that mortality increased as the percentage of burns increased.

Conclusion: Third-degree burns are the most common cause of burns with flame, as in young adult males. While there is no difference in mortality between age and gender, the death rate increases as the burn area increases. The frequency of burns can be reduced if the society is educated about protective measures against flammable and combustible materials. Thus, the bad results that may occur due to burns can be reduced. Therefore, regional epidemiological studies are needed.

Keywords

Emergency department, Third Degree Burn, Epidemiology

References

• 1. Özkaya NK, Alğan S, Akkaya H. Assessment and Defining the Treatment of the Patients with Burns. Ankara Med J. 2014;14(4):170-175.
• 2. Koltka K. Burn Injuries: Burn Depth, Physiopathology and Type of Burns. Journal of the Turkish Society of Intensive Care. 2011;9(Special Issue):1-6.
• 3. Peck MD. Epidemiology of burns throughout the world. Part I: distribution and risk factors. Burns. 2011; 37:1087–1100.
• 4. Smolle C, Cambiaso-Daniel J, Forbes AA, Wurzer P, Hundeshagen G, Branski LK et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns. 2017; 43:249–257.
• 5. Organization WH. A WHO plan for burn prevention and care. Bull World Health Organ. 2008; 87:802-803.
• 6. Davé DR, Nagarjan N, Canner JK, Kushner AL, Stewart BT; SOSAS4 Research Group. Rethinking burns for low & middle-income countries: Differing patterns of burn epidemiology, care seeking behavior, and outcomes across four countries. Burns. 2018;44(5):1228-1234.
• 7. Yoshino Y, Ohtsuka M, Kawaguchi M, Sakai K, Hashimoto A, Hayashi M et al. The wound/burn guidelines-6: Guidelines for the management of burns. J Dermatol. 2016;43(9):989-1010.
• 8. Açıkel C, Peker F, Yüksel F, Ülkür E, Kale B. 734 Akut yanıklı sivil ve asker hastanın retrospektif analizi. Türk Plast Rekonstr Est Cer Derg. 2001;9(2):111-115.
• 9. Haik J, Liran A, Tessone A, Givon A, Orenstein A, Peleg K; et al. Burns in Israel: demographic, etiologic and clinical trends, 1997-2003. Isr Med Assoc J. 2007;9(9):659-62.
• 10. Demirel Y, Çöl C, Özen M. Evaluation of the Patients Treated in the Ankara Numune Hospital Burn Centre in One Year. C. Ü. Tıp Fakültesi Dergisi.2001;23(1):15–20.
• 11. Pal N, Jain U, Mishra V, Poonam, Jangra A. Analysis of incidence, etiology and risk factors associated in acute burns injury in adults. International Journal of Surgery Science. 2019;3(3):65-67.
• 12. İlhan E, Cengiz F, Demirkıran MA, Yılmaz S, Deneçli AG. Evaluation of our 15-month experience in the Izmir Bozyaka Education and Research Hospital Burn Unit. Ulusal Cerrahi Dergisi. 2011;27(3):154-158.
• 13. Achbouk A, Boufars A, Zrara A, Bouaiti E, Ribag Y, Siah S, Elkafssaoui S. Epidemiological Analysis of Burn Patients in Morocco: About 160 Cases. IOSR-JDMS. 2019;18(2):76-79.
• 14. Calder F. Four years of burn injuries in a Red Cross hospital in Afghanistan. Burns. 2002; 28:563–568.
• 15. Özçetin B, Tihan D, Demirci H, Altıntaş MM, Arayıcı V, Taha A. Two and a half years experience at a new burn center. Ulusal Cerrahi Dergisi. 2012;28(3):146-148.
• 16. Shirkhoda M, Kaviani Far K, Narouie B, Shikhzadeh A, Ghasemi Rad M, Hanfi Bojd H. Epidemiology and Evaluation of 1073 Burn Patients in the Southeast of Iran. Shiraz E-Medical Journal. 2011;12(1):11-21.
• 17. Verma SK, Chaturvedi S, Gupta S. A sociodemographic profile and outcome of burn patients admitted in a tertiary-care hospital. International Journal of Medical Science and Public Health. 2016;5(11):2290-2293.
• 18. Ho W, Ying SY. An epidemiological study of 1063 hospitalized burn patients in a tertiary burns centre in Hong Kong. Burns. 2001; 27:119–123.
• 19. Song C, Chua A. Epidemiology of burn injuries in Singapore from 1997 to 2003. Burns. 2005; 31S:S18–S26.
• 20. Jayaraman V, Ramakrishnan KM, Davies MR. Burns in Madras, India: an analysis of 1368 patients in 1 year. Burns. 1993;19(4):339-344.