Characteristics of burn patients at a major burn center in Shanghai

Tang, Keith; Liu, Jian; Zhang, Qin; Liao, ZhenJiang; Gómez, Manuel; Beveridge, Massey

doi:10.1016/j.burns.2006.03.021

Cited by 45 publications

(41 citation statements)

References 14 publications

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“…Estudos epidemiológicos nacionais e internacionais têm demonstrado resultados semelhantes com este agravo acometendo todas as faixas etárias, principalmente adultos maiores de 15 anos [11][12] ou entre 19 a 44 anos de idade [13][14] , sendo que os homens são os mais atingidos [12][13][14][15] . Tais dados apontam para os prejuízos pessoais e coletivos para estes indivíduos que se encontram em idade economicamente ativa e que repentinamente são obrigados a reorganizar sua vida familiar e social em virtude das sequelas físicas e emocionais do trauma da queimadura.…”

Section: Discussionunclassified

“…A maioria apresentou queimaduras em região do tronco; MMSS e mãos. Resultados parecidos foram encontrados, enfatizando, porém, a concentração das lesões em MMSS, mãos 17 e também, face 20,13 . A predominância das queimaduras foram as de segundo grau, semelhantemente ao estudo de Reis et al 21 Os traumas ocorreram principalmente em casa e no trabalho semelhantemente a alguns estudos 14,20,22 , sendo que entre os homens adultos, há predomínio dos acidentes no ambiente de trabalho 14 e no ambiente domiciliar, entre as mulheres 15 .…”

Section: Discussionunclassified

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Atendimento no ambulatório de um Centro de Tratamento de queimados do Sul do Brasil: perfil e opinião dos usuários

et al. 2015

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ResumoCaracterizar o perfil sociodemográfico e a história da morbidade dos usuários do ambulatório do Centro de Tratamento de Queimados de Londrina (CTQ) e conhecer a sua opinião sobre o atendimento recebido. Estudo descritivo de abordagem qualitativa e quantitativa. A população foi composta por todos os indivíduos que estavam sendo atendidos no ambulatório do CTQ no período de junho de 2012 a janeiro de 2013. Os dados foram levantados por meio de um questionário, consulta aos prontuários e realização de entrevista exploratória sobre a opinião do usuário a respeito do atendimento. As respostas da entrevista foram transcritas na íntegra e submetidas ao método de Análise de Conteúdo de Bardin. Os dados quantitativos foram analisados por análise descritiva com auxílio do programa Statistical Package for the Social Sciences (SPSS). Totalizaram-se 105 participantes, a maioria (66,0%) entre 20 e 49 anos, sendo que 51,0% da população possuía baixa escolaridade, 74,0% tiveram queimaduras em região do tronco. A opinião do usuário abrangeu as unidades de significado: 'Processo do cuidar', 'Relacionamento interpessoal', 'Perspectivas do paciente queimado', 'Processo de organização do trabalho' e 'Sugestões de mudança'. O estudo mostrou a complexidade de atender o indivíduo queimado, sendo necessário que a equipe multiprofissional valorize a opinião deste paciente no intuito de fornecer uma assistência de maior impacto na melhoria da sua qualidade de vida. Palavras-Chaves:Queimaduras. Atendimento. Opinião do Usuário. Ambulatório. AbstractCharacterize the sociodemographic profile and history of users of outpatient morbidity Burn Treatment Centre of Londrina (BTC) and know their opinion about the service. This is a descriptive study of qualitative and quantitative approach. The population consisted of all individuals who were being treated in the outpatient BTC from June 2012 to January 2013. Data were collected through a questionnaire, medical records and conducting exploratory interview on the user opinion about the service. The interview answers were transcribed and subjected to Content Analysis method of Bardin. Quantitative data were analyzed by descriptive analysis with Statistical Package for the Social Sciences (SPSS).The total amount was 105 participants, the majority (66.0%) between 20 and 49 years old, with 51.0 % of the population had low education, and 74.0 % had burns on the trunk. The user opinion covered the meaning units: 'Process of Care', 'Interpersonal Relationship', 'Perspectives of burned patients', 'Process of Work Organization' and 'Suggestions for Change'. The study showed the complexity of meeting the individual burnt, being necessary to the multidisciplinary team values the opinion of this patient in order to provide assistance with the greatest impact on improving his or her quality of life.

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Section: Discussionunclassified

Atendimento no ambulatório de um Centro de Tratamento de queimados do Sul do Brasil: perfil e opinião dos usuários

et al. 2015

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“…En nuestro estudio encontramos un predominio de pacientes de sexo masculino, lo cual está respaldado por algunos estudios previos (4,(10)(11)(12)(13)(14)(15), pero contrasta con la información obtenida por otros autores (16,17). Al parecer, ciertos factores culturales y/o regionales, ejercerían algún efecto sobre el predominio por sexos de las lesiones por quemaduras (13,14).…”

Section: Discussionunclassified

Análisis de la casuística de 5 años en la Unidad de Quemados del Hospital Luis Vernaza, Guayaquil, Ecuador

Guerrero-Torbay

Palacios-Martínez

Salamea-Molina

et al. 2014

Cir. plást. iberolatinoam.

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ResumenEn el periodo comprendido entre 2006 y 2010 registramos 646 ingresos a la Unidad de Quemados del Hospital Luis Vernaza, en Guayaquil, Ecuador. El género masculino fue más afectado que el femenino (70,7% frente a 29,3%). El domicilio fue el lugar donde más ocurrieron los accidentes. La llama fué la etiología más común (n=233). El 85% de los pacientes ingresados requirió algún tipo de tratamiento quirúrgico. La estancia media hospitalaria no tuvo diferencias al comparar género o edad, pero fue mayor para aquellos pacientes con lesiones de más del 30% de la superficie corporal total (46,9 frente a 25,1 días; p<0,05) y en pacientes con quemaduras de tercer grado (34,6 frente a 20,8 días; p<0,05).Según los criterios de la American Burn Association, los pacientes con quemaduras de grado moderado a mayor tuvieron una estancia superior a la de los pacientes en la primera categoría (p<0,05). No observamos diferencias entre los pacientes con quemaduras de grado moderado y mayor.Palabras clave Quemaduras, Etiología, Tratamiento, Casuística en quemados. Nivel de evidencia científica IV AbstractFrom 2006 to 2010, 646 patients were treated at the Burn Unit of Luis Vernaza Hospital, Guayaquil, Ecuador. Men were more affected than women (70,7% versus 29,3%). The domestical enviroment was the commonest location where accidents happened. Flame was the most frequent cause (n=233); 85% of patients required surgical management. No differences regarding mean hospital stay were observed when gender and age were analyzed, but it was longer in patients with lesions that affected at least 30% of total body surface (46,9 versus 25,1 days; p<0,05) and among patients with third degree lesions (34,6 versus 20,8 days; p<0,05). According to American Burn Association Criteria, patients with moderate -major burns had a longer hospital stay compared to those in the first category (p<0,05). No differences were observed between patients with moderate or major injuries.

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“…Furthermore, the use of invasive procedures bypassing the remaining mechanical and biological barriers increases the risk of influx of microorganisms. In addition, prolonged hospital stay and translocation of bacteria from the gastrointestinal organs also contribute to the increased risk for contracting infections, complicated further by the increased length of stay at the hospital and the use of more central venous catheters in burn patients [2].…”

Section: Introductionmentioning

confidence: 99%

“…Several thousand people die each year because of complications from burn wounds [1,2]. Although some burn patients die of burn shock during the first hours the major course of death is infections, and it is estimated that 75% of all deaths following burns are related to infection [3].…”

Section: Introductionmentioning

confidence: 99%

Thermal injury induces impaired function in polymorphonuclear neutrophil granulocytes and reduced control of burn wound infection

Calum

Moser

Jensen

et al. 2008

Clinical and Experimental Immunology

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SummarySevere thermal injury induces immunosuppression, involving all parts of the immune system, especially when large fractions of the total body surface area are affected. An animal model was established to characterize the burninduced immunosuppression. In our novel mouse model a 6% third-degree burn injury was induced in mice with a hot-air blower. The third-degree burn was confirmed histologically. The mice were allocated into five groups: control, shave, burn, infection and burn infection group. At 48 h, a decline in the concentration of peripheral blood leucocytes was observed in the group of mice with burn wound. The reduction was ascribed to the decline in concentration of polymorphonuclear neutrophil leucocytes and monocytes. When infecting the skin with Pseudomonas aeruginosa, a dissemination of bacteria was observed only in the burn wound group. Histological characterization of the skin showed a more polymorphonuclear neutrophil granulocytes (PMNs)-dominated inflammation in the group of mice with infected burn wound compared with the with burn wound group. In contrast, a higher degree of inflammation was observed in the burn wound group compared with the group of mice with infected burn wound. Furthermore, the oxidative burst and the phagocytic capacity of the PMNs were reduced in the group of mice with burn wound. Using this novel mouse model of thermal injury a decline of peripheral leucocytes was observed, whereas the increased local inflammatory response at the site of infection showed reduced capacity to contain and eliminate the infection.

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Characteristics of burn patients at a major burn center in Shanghai

Cited by 45 publications

References 14 publications

Atendimento no ambulatório de um Centro de Tratamento de queimados do Sul do Brasil: perfil e opinião dos usuários

Atendimento no ambulatório de um Centro de Tratamento de queimados do Sul do Brasil: perfil e opinião dos usuários

Análisis de la casuística de 5 años en la Unidad de Quemados del Hospital Luis Vernaza, Guayaquil, Ecuador

Thermal injury induces impaired function in polymorphonuclear neutrophil granulocytes and reduced control of burn wound infection

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