Determination of Subacute and Chronic Period Sleep Quality in burns patient

Pazar, Berrin; İyigün, Emine; Şahin, İsmail

doi:10.5505/tjtes.2016.70137

Cited by 2 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Burn injury is one of the longest traumas based on the duration of both hospitalisation and rehabilitation periods and its role in causing severe mortality and morbidity. [1] The American Burn Association (ABA) defines major burns as second degree burns with a total body surface area (TBSA) greater than 25% in adults, second degree burns with TBSA greater than 20% in children and all third-degree burns with TBSA above 10%. All burns, including hands, face, eyes, ears, feet, perineal burns, inhalation burns, electrical burns and fractures, fall into the major burn category.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Early Physiotherapy on Biochemical Parameters in Major Burn Patients: A Burn Center’s Experience

Çınar

Bayramlar

Erkılıç³

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: This study sets out to investigate the effects of early physiotherapy on biochemical parameters in major burn patients. METHODS: Ten women (50%) and 10 men (50%) aged 21-47 years old were included in this study. Participants were divided into two groups: the first group was the treatment group and the second group was the control group. In the treatment group, patients were admitted to the physiotherapy programme from the first day they have been hospitalised, in addition to their routine treatment (e.g. medical, surgery), for four days per week. The physiotherapy programme consisted of parameters, such as early mobilisation and ambulatory training, chest physiotherapy, and both active and passive normal joint movement exercises. The days of treatment were determined as of Tuesday, Wednesday, Thursday and Friday. Patients could not be treated on a Monday because that was surgery day. The control group consisted of patients who could not receive physiotherapy due to various reasons. All patients included in this study were evaluated weekly for six weeks after admission to the hospital. Parameters, such as demographic information, characteristics of burn injury, C-reactive protein, fibronectin, transferrin and prealbumin, were evaluated. RESULTS: When the results obtained in this study were considered, there was a significant difference in favour of the treatment group for all biochemical parameters (p<0.05). From the second week, a significant increase was observed in prealbumin values in the treatment group (p<0.05). A significant increase was observed in fibronectin after the fourth week (p<0.05). CONCLUSION: We believe that early physiotherapy should be included in the treatment in major burns. Early physiotherapy may reduce the effects of hypermetabolic response after major burns. There is a need for multi-centered and broader studies.

show abstract

Section: Introductionmentioning

confidence: 99%

The Effect of Early Physiotherapy on Biochemical Parameters in Major Burn Patients: A Burn Center’s Experience

Çınar

Bayramlar

Erkılıç³

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…Sleep disorders in burn patients have become a widespread concern, and steps are being taken to address their sleep deprivation [ 10 , 11 ]. A study revealed that more than 85% burn patients had trouble sleeping throughout their treatment [ 12 ]. Problems such as increased pain, anxiety, and pruritus can lead to insomnia among burn patients [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Clarifying sleep characteristics and analyzing risk factors of sleep disorders to promote a predictive, preventive, and personalized medicine in patients with burn scars

Liu¹,

Shu²,

Ji³

et al. 2023

EPMA Journal

View full text Add to dashboard Cite

Purpose This study assessed sleep quality in patients with burn scars and investigated risk factors of sleep disorders to guide clinical therapy. From the strategy of predictive, preventive, and personalized medicine (PPPM/3PM), we proposed that risk assessment based on clinical indicators could prompt primary prediction, targeted prevention, and personalized interventions to improve the management of sleep disorders present in patients with burn scars. Methods This retrospective study recruited patients with burn scars and healthy volunteers from the Shanghai Burn Treatment Center between 2017 and 2022. Relevant information and data, including demographic characteristics, scar evaluation, and sleep quality, were obtained through the hospital information system, classical scar scale, and self-report questionnaires. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and monitored using a cardiopulmonary-coupled electrocardiograph. Pain and pruritus were assessed using the visual analog scale (VAS). Scar appearance was assessed using the modified Vancouver scar scale (mVSS). Results The sample was comprised of 128 hypertrophic scar (HS) patients, with 61.7% males, a mean age of 41.1 ± 11.6 years, and burn area of 46.2 ± 27.9% total body surface area (TBSA). Patients with PSQI ≥ 7 accounted for 76.6%, and the global PSQI score was 9.4 ± 4.1. Objective sleep data showed that initial enter deep sleep time, light sleep time, awakening time, light sleep efficiency, and sleep apnea index were higher but deep sleep time, sleep efficiency, and deep sleep efficiency were lower in HS patients than that in healthy controls. Preliminary univariate analysis showed that age, hyperplasia time of scar, narrow airway, microstomia, VAS for pain and pruritus, and mVSS total (comprised of pigmentation, vascularity, height and pliability) were associated with the PSQI score ( p < 0.1). Multivariable linear regression showed narrow airway, VAS for pain and pruritus, and mVSS specifically height, were the risk factors for PSQI score ( p < 0.1). Conclusions This study model identified that narrow airway, pain, pruritus and scar appearance specifically height may provide excellent predictors for sleep disorders in HS patients. Our results provided a basis for the predictive diagnostics, targeted prevention, and individualized therapy of somnipathy predisposition and progression of HS patients in the setting of PPPM/3PM health care system, which contributed to a paradigm shift from reactive cure to advanced therapy.

show abstract

Determination of Subacute and Chronic Period Sleep Quality in burns patient

Cited by 2 publications

References 17 publications

The Effect of Early Physiotherapy on Biochemical Parameters in Major Burn Patients: A Burn Center’s Experience

The Effect of Early Physiotherapy on Biochemical Parameters in Major Burn Patients: A Burn Center’s Experience

Clarifying sleep characteristics and analyzing risk factors of sleep disorders to promote a predictive, preventive, and personalized medicine in patients with burn scars

Contact Info

Product

Resources

About