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2023, Number 4

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Med Crit 2023; 37 (4)

Severe burn patients in the Intensive Care Unit

Sánchez ZMJ, Garnica EMA, Tamez CAE, Martínez EV, Juárez GU
Full text How to cite this article 10.35366/112167

DOI

DOI: 10.35366/112167
URL: https://dx.doi.org/10.35366/112167

Language: Spanish
References: 5
Page: 330-333
PDF size: 151.42 Kb.


Key words:

Mexico, severe burns, septic shock, Intensive Care Unit.

ABSTRACT

Objective: a brief description of the experience of a tertiary care center for severely burned patients in the intensive care unit in Mexico City is presented. Material and methods: retrospective analysis of 101 adult patients admitted to the intensive care unit between the years 2019-2022. Demographic characteristics, main diagnoses, causes of complications and mortality rate are described. They are subdivided into the group of survivors and non-survivors, and adults over 65 years of age and under 65 years of age. Results: 101 patients older than 18 years are described, 20 women (19.1%), 81 men (80.1%). Average age of 40.1 ± 12.4 years. Average days of stay of 13.3 ± 12.4 days/patient. The main admission diagnosis was fire burns in 66 patients (65.3%). Overall mortality of 19.8%, and in those over 65 years of age 28.5%. The main cause of death was septic shock. The main causes of infection were Acinetobacter baumannii, Pseudomonas aeruginosa and different species of Candida. Conclusions: secondary injuries due to severe burns cause high morbidity and mortality, mainly in older adults, with septic shock due to multiresistant bacteria being the main cause of death.


REFERENCES

  1. Modelo para la Prevención de Quemaduras en Grupos Vulnerables en México. Distrito Federal, México: Secretaría de Salud/STCONAPRA; 2016.

  2. Orozco-Valerio MJ, Miranda-Altamirano RA, Méndez MAC, Celis A. Tendencia de mortalidad por quemaduras en México, 1979-2009. Gac Med Mex. 2012;148(4):349-357.

  3. Born LJ, Quiroga LH, Lagziel T, Hultman CS, Asif M. Clinical outcomes in 'diabese' burn patients: A systematic review and meta-analysis. Burns. 2022;48(2):281-292. doi: 10.1016/j.burns.2021.04.001.

  4. Moctezuma-Paz LE, Páez-Franco I, Jiménez-González S, Miguel-Jaimes KD, Foncerrada-Ortega G, Sánchez Flores AY, et al. Epidemiología de las quemaduras en México. Rev Esp Med Quir. 2015;20:78-82.

  5. Gandhi G, Parashar A, Sharma RK. Epidemiology of electrical burns and its impact on quality of life - the developing world scenario. World J Crit Care Med. 2022;11(1):58-69. doi: 10.5492/wjccm.v11.i1.58.




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Med Crit. 2023;37