1552Sivas'ta Alan Taramasıyla Yanık İnsidansının Araştırılması Ö ÖZ ZE ET T A Am ma aç ç: : Ül ke miz de ya nık sık lı ğı na iliş kin ulu sal ve ya il dü ze yin de tüm nü fu su tem sil ede bile cek bir sa ha ça lış ma sı yok tur. Bu ça lış ma nın ama cı, Si vas nü fu su nu tem sil ede bi le cek bir sa ha ça -lış ma sıy la top lum da ya nık in si dan sı nı tah min et mek, ya nık ol gu la rı nın özel lik le ri ni ta nım la mak ve ana liz et mek tir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Kü me ör nek le me tek ni ği kul la nı la rak se çi len ör nek lem, her bi ri 53 ha ne den olu şan 34 kü me de (24 kent sel, 10 kır sal) 8107 ki şi yi kap sa mış tır. Ev ler de ki gö rüş -me ve de ğer len dir me ler, Cum hu ri yet Üni ver si te si Tıp Fa kül te si Plas tik Cer ra hi Ana bi lim Da lı kı -dem li araş tır ma gö rev li le ri ta ra fın dan 2008 yı lı ilk ba har, yaz ve son ba har ay la rın da ya pıl mış tır. Ya nık sap ta nan lar için ay rın tı lı bir an ket for mu dol du rul muş tur. Ya nık ta nı mı, en az 2 x 2 cm boyut lu ve iyi leş me si bir haf ta dan da ha uzun sü ren bi rin ci de re ce ol ma yan lez yon la sı nır lan dı rıl mış -tır. B Bu ul lg gu ul la ar r: : Si vas ili için son bir yı la ait ya nık in si dan sı bin de 3.70 (%95 gü ven ara lı ğı: bin de 2.35 -bin de 5.05) ola rak sap tan mış tır. Ya nık in si dan sı, 7 yaş ve al tın da ki ço cuk lar da di ğer yaş la ra gö re da ha yük sek bu lun muş tur (p< 0.001). Son yıl ya nık la rı nın üç te iki si, son yıl dan ön ce ki ya nık la rın yak la şık %80'i, ço ğu çay dan lık ta ki çay ve ya kay nar su ol mak üze re, kay nar sı vı lar la ol muş tur. Tespit et ti ği miz tüm ya nık lar içe ri sin de ya nık yüz de si ≥ %20 olan la rın ora nı %2.37'dir. S So on nu uç ç: : Bu ça -lış ma, ül ke miz de ya nık in si dan sı nı ve ya nık ol gu la rı nın da ğı lım özel lik le ri ni, bir il nü fu su nun tü mü nü tem sil eden ör nek lem le, sap ta dı ğı mız ka da rıy la, ilk kez be tim le miş ol mak ta dır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Ya nık lar; ya ra lar ve ya ra lan ma lar; in si dans; epi de mi yo lo ji; de mog ra fi, uzun va de li ça lış ma lar A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : A na ti on-wi de or pro vin cei wi de po pu la ti on-ba sed sur vey for the de termi na ti on of the burn in ci den ce has not yet been performed in Tur key. The aim of this study was to de ter mi ne the burn in ci den ce, to des cri be and analy ze the fe a tu res of the burn tra u ma and burn vic tims. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Clus ter samp ling tech ni qu e was used. The samp le con sis ted of 8107 pe op le in 34 clus ters (24 ur ban, 10 ru ral), each ha ving 53 ho u se holds. Fa ce to fa ce in ter views with the se lec ted ho u se holds we re per for med by the se ni or re si dents from the Plas tic Sur gery De part ment of Cum hu ri yet Uni ver sity Hos pi tal du ring the spring, sum mer and fall months in 2008. A de ta i led form was fil led for the sub jects who had a burn his tory. In for m...
Objective: This study was designed to longitudinally demonstrate the rate and epidemiology of hospitalized burn patients in Sivas city center within 6 months. The second aim was to compare the results of the current study with those of a previously held community-based survey in the same region. Material and Methods: Patients who were hospitalized due to burn injuries in Sivas city for six months were longitudinally evaluated. Epidemiological data of these patients were analyzed. Results: During the course of the study, 87 patients (49 males and 38 females) were hospitalized. The ratio of burn patients to the total number of hospitalized patients was 0.38%. The most common etiologic factor was scalds (70.1%). Burns generally took place in the kitchen (41.4%) and living room (31.4%), and majority of the patients received cold water as first-aid treatment at the time of injury. The vast majority of patients were discharged from the hospital without the need of surgical intervention (83.9%), and the duration of treatment was between 1 and 14 days for 73.6% of the patients. Sixty patients (68.9%) had a total burn surface area under 10%. The total cost of the hospitalization period of these patients was 137.225 Turkish Lira (83.308-92.908$), and the average cost per patient was 1.577 Turkish Lira (957-1067$). Conclusion: Our study revealed a considerable inconsistency when compared with the results of the community-based survey, which had been previously conducted in the same region. We concluded that hospital-based studies are far from reflecting the actual burn trauma potential of a given district in the absence of a reliable, standard, nationwide record system. Population-based surveys should be encouraged to make an accurate assessment of burn rates in countries lacking reliable record systems.
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