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Archivos de Medicina (Manizales)

2022, Number 2

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Arch Med 2022; 22 (2)

Characterization of patients treated in the burn unit in a fourth level center in the city of Santiago de Cali between January 2019 and January 2020

Trochez JP, Galván OI, Mosquera MF, Pabón TP

Language: Spanish
References: 20
Page: 299-307
PDF size: 235.25 Kb.


ABSTRACT

Objective: to clinically and sociodemographically characterize burn patients admitted to a fourth-level center in Santiago de Cali between January 2019 and January 2020. Methodology: descriptive cross-sectional study with a secondary source. The entire population that was registered in the database of burned patients from January 2019 to January 2020 was included. Sociodemographic and clinical variables were taken. In addition, the correlations and comparisons of medians between the variables evaluated are reported. Results: 279 medical records were reviewed, 173 belonging to male patients (62%). The mean age was 32.7 ± 19.4 years (Range: 1-84). Most of the burns were thermal (79.9%). A significant relationship was found between the qualitative variables sex vs. degree of depth of the burn (p=0.03), sex vs. type of burn (p=0.00), age vs. total body surface area burned (%TBSA) (p=0.00), age vs. status at discharge (p=0.00), %TBSA vs. degree of burn depth (p=0.00), and %TBSA vs. status at discharge (p=0.00). Conclusions: according to the characterization carried out, a higher percentage of burned men was found compared to women, predominance of thermal burns, a wide age range, and higher mortality in the older adult population. This information contributes to the search for appropriately directing physical, economic and human talent resources to intervene for the management and improvement of health care for the population of Valle del Cauca.


REFERENCES

  1. He S, Alonge O, Agrawal P, Sharmin S, Islam I, Mashreky SR, et al. Epidemiology of burns in rural Bangladesh:An update. Int J Environ Res Public Health. 2017;14(4):381. DOI: 10.3390/ijerph14040381

  2. Greenhalgh D. Management of Burns. N Engl J Med. 2019;380:2349–2359. DOI: 10.1056/NEJMra1807442

  3. Martín Espinosa NM, Píriz-Campos RM. Secuelas en los pacientes con quemaduras graves. Rev enfermería.2014;37(2):100–109

  4. Harats M, Ofir H, Segalovich M, Visentin D, Givon A, Peleg K, et al. Trends and risk factors for mortality inelderly burns patients: A retrospective review. Burns. 2019:1–8. DOI: 10.1016/j.burns.2019.02.019

  5. Nickel KJ, Omeis T, Papp A. Demographics and clinical outcomes of adult burn patients admitted to a singleprovincial burn centre: A 40-year review. Burns. 2020 Dec;46(8):1958–1967. DOI: 10.1016/j.burns.2020.06.020

  6. Yen C, Chiou M, Kuo C, Liao H. Determination of risk factors for burn mortality based on a regional populationstudy in Taiwan. Burns. 2018 Sep;44(6):1591–1601. DOI: 10.1016/j.burns.2018.02.030

  7. Gregg D, Patil S, Singh K, Marano MA, Lee R, Petrone SJ, et al. Clinical outcomes after burns in elderlypatients over 70 years: A 17-year retrospective analysis. Burns. 2018 Feb;44(1):65–69.DOI: 10.1016/j.burns.2017.09.018

  8. Cai J, Jiang D, Zang W. Analysis of the Curative Effect and Influencing Factors of Collagen Sponge Combinedwith Autologous Skin Graft in the Treatment of Deep Burn Patients. Evid Based Complement AlternatMed. 2021;2021:6963401. DOI: 10.1155/2021/6963401

  9. Druery M, Newcombe PA, Cameron CM, Lipman J. Factors influencing psychological, social and healthoutcomes after major burn injuries in adults: cohort study protocol. BMJ Open. 2017;7(6):e017545.DOI: 10.1136/bmjopen-2017-017545

  10. Gilbert AD, Rajha E, El Khuri C, Bou Chebl R, Mailhac A, Makki M, et al. Epidemiology of burn patients presentingto a tertiary hospital emergency department in Lebanon. Burns. 2018;44(1):218–225.DOI: 10.1016/j.burns.2017.06.015

  11. Toppi J, Cleland H, Gabbe B. Severe burns in Australian and New Zealand adults: Epidemiology and burncentre care. Burns. 2019;45(6):1456–1461. DOI: 10.1016/j.burns.2019.04.006

  12. Nthumba PM. Burns in sub-Saharan Africa: A review. Burns. 2016;42(2):258–266.DOI: 10.1016/j.burns.2015.04.006

  13. Li H, Yao Z, Tan J, Zhou J, Li Y, Wu J, et al. Epidemiology and outcome analysis of 6325 burn patients: Afive-year retrospective study in a major burn center in Southwest China. Sci Rep. 2017;7:46066.DOI: 10.1038/srep46066

  14. Ramírez-Blanco CE, Ramírez-Rivero CE, Díaz-Martiínez LA. Causas y sobrevida en pacientes quemados enel centro de referencia del nororiente de Colombia. Cir Plast Ibero-Latinoamericana. 2017;43(1):59–67.DOI: 10.4321/S0376-78922017000100009

  15. Domínguez-Anaya R, Herazo-Beltrán Y, Hernández-Escolar J, Puello A, De las Salas R. Caracterización delpaciente pediátrico quemado en un hospital infantil de Cartagena (Colombia), 2015: Estudio descriptivo.Arch Med. 2015;15(1):77–84.

  16. Cardona B F, Echeverri L A, Forero G J, García R C, Gómez L C, Gómez O C, et al. Epidemiología del traumapor quemaduras en la población atendida en el Hospital Infantil Universitario Rafael Henao Toro, Manizales2004-2005. Manizales; 2006.

  17. Sierra-Zúńiga MF, Castro-Delgado OE, Caicedo-Caicedo JC, Merchán-Galvis ÁM, Delgado-Noguera M. Epidemiologicalprofile of minor and moderate burn victims at the University Hospital San José, Popayán,Colombia, 2000-2010. Burns. 2013;39(5):1012–1017. DOI: 10.1016/j.burns.2012.11.007

  18. Cheng W, Shen C, Zhao D, Zhang H, Tu J, Yuan Z, et al. The epidemiology and prognosis of patients withmassive burns: A multicenter study of 2483 cases. Burns. 2019;45(3):705–716.DOI: 10.1016/j.burns.2018.08.008

  19. Guerrero Serrano L. Escisión tangencial temprana. In: Coiffman Cirugía plástica, reconstructiva y estética. 3aedición. Editorial Amolca; 2006. p. 588–590. DOI: 10.1016/c2013-0-18792-2

  20. Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in areferral center in Colombia. Burns. 2017;43(3):642–653. DOI: 10.1016/j.burns.2016.07.008.




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