کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3104598 1191655 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Burns at KCMC: Epidemiology, presentation, management and treatment outcome
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
پیش نمایش صفحه اول مقاله
Burns at KCMC: Epidemiology, presentation, management and treatment outcome
چکیده انگلیسی

BackgroundAbout 90% of the global burden of burns occurs in the low and middle income countries. In Africa it is estimated that between 17,000 and 30,000 children under five die each year due to burns. In Tanzania there are no specialized burn centers. Burn patients are often managed in the general surgical wards in most hospitals. Kilimanjaro Christian Medical Centre is one of the four tertiary referral hospitals in Tanzania.RationaleThis study aimed to review the epidemiology presentation management and outcome of burn patients in this challenging environment.Patients and methodsA cross-sectional prospective study involving 41 patients was undertaken from October 2011 to April 2012.Results65.9% were males. The largest age group was below 5 years (36.6%). 19.5% were epileptic. More than half of the burns were due to open flame. 80.5% had second degree burns. 56.1% had a BSA of 15% or less and 56.1% had an APACHE score of 10 or less. It was found that 73.2% of burns occurred at home. The commonest prehospital first aid applied was honey. Only 41.5% arrived in hospital within the first 24 h after burn. Among the 14.6% who had skin grafting, none had early excision of burn wound. 53.7% developed wound sepsis while 24.4% developed contractures. The mortality rate was 26.8%.ConclusionChildren under five are the worst affected by burns. Most patients had second degree burn wounds. Inappropriate management of the burn wound started just after injury and continued even in hospital. Mortality and complication rates are high.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Burns - Volume 40, Issue 5, August 2014, Pages 1024–1029
نویسندگان
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