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Türkiye Güneydoğu Anadolu Bölgesinde Pediatrik Yanık Vakalarının Analizi: 10 Yıllık Retrospektif Çalışma

Year 2022, Volume: 17 Issue: 3, 152 - 159, 02.11.2022
https://doi.org/10.17517/ksutfd.1024318

Abstract

Giriş: Yanıklar, özellikle gelişmekte olan ülkelerde olmak üzere tüm dünyada ciddi bir küresel halk sağlığı sorunu olmaya devam etmektedir.
Gereç ve Yöntemler: 1 Ocak 2010-1 Ocak 2020 tarihleri arasında yanık merkezimize yatırılan 1.038 hastanın yaş, cinsiyet, yaralanma nedeni ve toplam vücut yüzey alanı (TBSA), komplikasyon ve ölüm oranı, analiz edildi.
Bulgular: Erkeklerde yanık yüzey alanı kızlara göre daha fazlaydı. Tüm hastalar için ortalama yanık vücut yüzey alanı 9.2±6.35 ve ölüm oranı %1.45 idi. Çay, sıcak süt, sıcak su ve yağlı yiyecekler gibi sıcak sıvılar hastaların %84.7’sinde yanık nedeniydi. Sıcak nesneler, sıcak erimiş naylon, sıcak tandır ve közler ve sıcak asfalt yanıkların %7.7’sini oluşturuyordu. Ayrıca alev yanıkları, elektrik yanıkları ve donma ve diğer yanık nedenleri yanık yaralanmalarının sırasıyla %5.6, %1.2 ve %0.8’inden sorumluydu.
Sonuç: Pediatrik yanıklar bölgemizde daha çok üç yaş altı erkek çocuklarda ve kırsal kesimde yaşayan anne-babası eğitim düzeyi düşük olan çocuklarda görülmektedir. Yanık önleme programının bu sonuçlara göre ayarlanması gerektiğine inanıyoruz.

Supporting Institution

yok

Project Number

yok

References

  • Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017;44(3):603-610.
  • Gülhan B, Kanık Yüksek S, Hayran M, Özkaya Parlakay A, Güney D, Akın Kağızmanlı G et al. Infections in pediatric burn patients: An analysis of one hundred eighty-one patients. Surgical infections. 2020;21:357-362.
  • Sönmezer M, Tezer H, Şenel E, Parlakay A, Yüksek S, Gülhan B et al. Bir pediatrik yanık ünitesinde gelişen hastane enfeksiyonları, izole edilen mikroorganizmalar ve antibiyotik dirençleri. Türkiye Çocuk Hast Derg. 2014;8(4):171-175.
  • Asena M, Aydin Ozturk P, Ozturk U. Sociodemographic and culture results of paediatric burns. International wound journal. 2020;17:132-136.
  • Abdel-Sayed P, Hirt-Burri N, de Buys Roessingh A, Raffoul W, App-legate LA. Evolution of biological bandages as first cover for burn patients. Adv Wound Care (New Rochelle). 2019;8(11):555-564.
  • Greenhalgh DG. Sepsis in the burn patient: A different problem than sepsis in the general population. Burns Trauma. 2017;5:23.
  • Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in a referral center in Colombia. Burns. 2017;43(3):642-653.
  • Grudziak J, Snock C, Mjuweni S, Gallaher J, Cairns B, Charles A. The effect of pre-existing malnutrition on pediatric burn mortality in a sub-Saharan African burn unit. Burns. 2017;43(7):1486-1492.
  • Sözen İ, Güldoğan CE, Yastı AÇ. Etiology of childhood burns and parental awareness in Turkey. Ulus Cerrahi Derg. 2015:1;32(3):168-172.
  • Öztorun Cİ, Demir S, Azılı MN, Şenaylı A, Livanelioğlu Z, Şenel E. The outcomes of becoming a pediatric burn center in Turkey. Ulus Travma Acil Cerrahi Derg. 2016;22(1):349.
  • Tung KY, Chen ML, Wang HJ, Chen GS, Peck M, Yang J et al. A seven-year epidemiology study of 12381 admitted burn patients in Taiwan-using the Internet registration system of the Childhood Burn Foundation. Burns 2005;31;1:12–17.
  • Wesson HK, Bachani AM, Mtambeka P, Schulman D, Mavengere C, Stevens KA et al. Pediatric burn injuries in South Africa: A 15-year analysis of hospital data. Injury. 2013;44:1477–1482.
  • Einspieler C, Marschik PB, Prechtl HFR. Human motor behavior: prenatal origin and early postnatal development. J Psychol. 2008;216:148–154.
  • Yılmaz M. Türkiye’de kırsal nüfusun değişimi ve ilere göre dağılımı (1980-2012).Doğu coğrafya dergisi 2015;20:161-188.
  • Xin W, Yin Z, Qin Z, Jian L, Tanuseputro P, Gomez M et al. Characteristics of 1494 pediatric burn patients in Shanghai. Burns. 2006;32:613–618.
  • Rafii MH, Saberi HR, Hosseinpour M, Fakharian E, Mohammadzadeh M. Epidemiology of pediatric burn injuries in Isfahan, Iran. Arch Trauma Res. 2012;1:27–30.
  • Lipovy B, Brychta P, Gregorova N, Jelinkova Z, Rihova H, Suchanek I et al. The epidemiology of pediatric burns undergoing intensive care in Burn Centre Brno, Czech Republic, 1997-2009. Burns. 2012;38:776–782.
  • Shah A, Suresh S, Thomas R, Smith S. Epidemiology and profile of pediatric burns in a large referral center. Clin Pediatr (Phila). 2011;50:391–395.
  • Karimi H, Montevalian A, Motabar A, Safari R, Parvas M, Vasigh M. Epidemiology of pediatric burns in Iran. Annals of burns and fire disasters 2012;25:115.
  • Kazanasmaz Ö, Dinç N. Yanık Ünitesinde Takip Edilen Pediatrik Yaş Grubu Olguların Klinik Değerlendirmesi. Harran Üniversitesi Tıp Fakültesi Dergisi, 2019:16(3):535-539.
  • Cuttle L, Kravchuk O, Wallis B, Kimble RM. An audit of first-aid treatment of pediatric burns patients and their clinical outcome. J Burn Care Res. 2009;30(6):1028-1034.
  • Davies M, Maguire S, Okolie C, Watkins W, Kemp AM. How much do parents know about first aid for burns? Burns. 2013;39:1083 1090.
  • Zhu L, Zhang H, Shi F, Yi D, Zhu G. Epidemiology and outcome analysis of scalds in children caused by "guo lian kang": An 11-year review in a burn center in China. Burns. 2015;41:289–296.

An Analysis of Pediatric Burn Cases in Southeastern Anatolia, Turkey: A 10-Year Retrospective Study

Year 2022, Volume: 17 Issue: 3, 152 - 159, 02.11.2022
https://doi.org/10.17517/ksutfd.1024318

Abstract

Abstract
Objective: Burns continue to be a serious global public health problem all over the world, especially in developing countries.
Material and Methods: The age, gender, cause of injury and total body surface area (TBSA) of the burn, complications and mortality rate of 1.038 patients who were hospitalised in our burn centre between January 1, 2010 and January 1, 2020 were analysed.
Results: The burned surface area was greater in boys than in girls. The mean burned body surface area for all patients was 9.2±6.35, and the mortality rate was 1.45%. Hot liquids, such as tea, hot milk, hot water and oily food, were the causes of burns in 84.7% of the patients. Hot objects, hot melted nylon, hot tandoor and embers and hot asphalt accounted for 7.7% of the burns. Moreover, flame burns, electrical burns and frostbite and other burn causes accounted for 5.6%, 1.2 % and 0.8% of burn injuries, respectively.
Conclusions: In our region, paediatric burns occurred mostly in boys under the age of three and in children whose parents had low educational levels living in rural areas. We believe that the burn prevention program should be adjusted according to these results.justed according to these results.

Project Number

yok

References

  • Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017;44(3):603-610.
  • Gülhan B, Kanık Yüksek S, Hayran M, Özkaya Parlakay A, Güney D, Akın Kağızmanlı G et al. Infections in pediatric burn patients: An analysis of one hundred eighty-one patients. Surgical infections. 2020;21:357-362.
  • Sönmezer M, Tezer H, Şenel E, Parlakay A, Yüksek S, Gülhan B et al. Bir pediatrik yanık ünitesinde gelişen hastane enfeksiyonları, izole edilen mikroorganizmalar ve antibiyotik dirençleri. Türkiye Çocuk Hast Derg. 2014;8(4):171-175.
  • Asena M, Aydin Ozturk P, Ozturk U. Sociodemographic and culture results of paediatric burns. International wound journal. 2020;17:132-136.
  • Abdel-Sayed P, Hirt-Burri N, de Buys Roessingh A, Raffoul W, App-legate LA. Evolution of biological bandages as first cover for burn patients. Adv Wound Care (New Rochelle). 2019;8(11):555-564.
  • Greenhalgh DG. Sepsis in the burn patient: A different problem than sepsis in the general population. Burns Trauma. 2017;5:23.
  • Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in a referral center in Colombia. Burns. 2017;43(3):642-653.
  • Grudziak J, Snock C, Mjuweni S, Gallaher J, Cairns B, Charles A. The effect of pre-existing malnutrition on pediatric burn mortality in a sub-Saharan African burn unit. Burns. 2017;43(7):1486-1492.
  • Sözen İ, Güldoğan CE, Yastı AÇ. Etiology of childhood burns and parental awareness in Turkey. Ulus Cerrahi Derg. 2015:1;32(3):168-172.
  • Öztorun Cİ, Demir S, Azılı MN, Şenaylı A, Livanelioğlu Z, Şenel E. The outcomes of becoming a pediatric burn center in Turkey. Ulus Travma Acil Cerrahi Derg. 2016;22(1):349.
  • Tung KY, Chen ML, Wang HJ, Chen GS, Peck M, Yang J et al. A seven-year epidemiology study of 12381 admitted burn patients in Taiwan-using the Internet registration system of the Childhood Burn Foundation. Burns 2005;31;1:12–17.
  • Wesson HK, Bachani AM, Mtambeka P, Schulman D, Mavengere C, Stevens KA et al. Pediatric burn injuries in South Africa: A 15-year analysis of hospital data. Injury. 2013;44:1477–1482.
  • Einspieler C, Marschik PB, Prechtl HFR. Human motor behavior: prenatal origin and early postnatal development. J Psychol. 2008;216:148–154.
  • Yılmaz M. Türkiye’de kırsal nüfusun değişimi ve ilere göre dağılımı (1980-2012).Doğu coğrafya dergisi 2015;20:161-188.
  • Xin W, Yin Z, Qin Z, Jian L, Tanuseputro P, Gomez M et al. Characteristics of 1494 pediatric burn patients in Shanghai. Burns. 2006;32:613–618.
  • Rafii MH, Saberi HR, Hosseinpour M, Fakharian E, Mohammadzadeh M. Epidemiology of pediatric burn injuries in Isfahan, Iran. Arch Trauma Res. 2012;1:27–30.
  • Lipovy B, Brychta P, Gregorova N, Jelinkova Z, Rihova H, Suchanek I et al. The epidemiology of pediatric burns undergoing intensive care in Burn Centre Brno, Czech Republic, 1997-2009. Burns. 2012;38:776–782.
  • Shah A, Suresh S, Thomas R, Smith S. Epidemiology and profile of pediatric burns in a large referral center. Clin Pediatr (Phila). 2011;50:391–395.
  • Karimi H, Montevalian A, Motabar A, Safari R, Parvas M, Vasigh M. Epidemiology of pediatric burns in Iran. Annals of burns and fire disasters 2012;25:115.
  • Kazanasmaz Ö, Dinç N. Yanık Ünitesinde Takip Edilen Pediatrik Yaş Grubu Olguların Klinik Değerlendirmesi. Harran Üniversitesi Tıp Fakültesi Dergisi, 2019:16(3):535-539.
  • Cuttle L, Kravchuk O, Wallis B, Kimble RM. An audit of first-aid treatment of pediatric burns patients and their clinical outcome. J Burn Care Res. 2009;30(6):1028-1034.
  • Davies M, Maguire S, Okolie C, Watkins W, Kemp AM. How much do parents know about first aid for burns? Burns. 2013;39:1083 1090.
  • Zhu L, Zhang H, Shi F, Yi D, Zhu G. Epidemiology and outcome analysis of scalds in children caused by "guo lian kang": An 11-year review in a burn center in China. Burns. 2015;41:289–296.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Yasemin Demir Yiğit 0000-0002-6426-8490

Ebral Yiğit 0000-0001-8766-0754

Project Number yok
Early Pub Date November 1, 2022
Publication Date November 2, 2022
Submission Date November 18, 2021
Acceptance Date March 8, 2022
Published in Issue Year 2022 Volume: 17 Issue: 3

Cite

AMA Demir Yiğit Y, Yiğit E. An Analysis of Pediatric Burn Cases in Southeastern Anatolia, Turkey: A 10-Year Retrospective Study. KSU Medical Journal. November 2022;17(3):152-159. doi:10.17517/ksutfd.1024318