Annals of burns and fire disasters
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Burns are a major cause of morbidity and mortality worldwide and an important public health problem in Iraq. The current study was undertaken to describe epidemiological characteristics of hospitalized burn patients and investigate in-hospital mortality. The study was undertaken at the Al-Fayhaa Burn Centre in Basra City through analyzing hospital records of patients admitted to the centre for a new burn injury between January and December 2016. ⋯ In-hospital mortality was 22% and the independent factors for death were TBSA and suicidal burns. Burns remain a major public health problem in Basra, especially in children, and require sustained multidisciplinary action for their prevention and management. Improving hospital records and computerizing them is essential for better assessment and follow-up of burn care practices.
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Ann Burns Fire Disasters · Sep 2017
Effect of early grafting on improvement of lethal area index (la50) in burn patients: a 7-year investigation in a burn referral centre in the North of Iran.
Burning is a major health challenge in all societies. In this descriptive cross-sectional study, health information about hospitalized burn patients was extracted from the hospital information system from April 2009 to February 2015. Logistic regression method was used to identify risk factors and mortality predictors. ⋯ The relationship between early grafting and decreased mortality and increased LA50 was nearly significant in statistical analyses. Burn patient survival rate and annual LA50 had an increasing trend in this hospital. Early grafting surgery seemed to be effective on this trend and decreased mortality risk to a large extent.
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Ann Burns Fire Disasters · Sep 2017
Bromelain-based enzymatic debridement and minimal invasive modality (mim) care of deeply burned hands.
The objective was to critically review the data and assess the implications of NexoBrid [NexoBrid-NXB formerly Debrase Gel Dressing-DGD]a in the special field of deep hand burns. Detailed analysis of endpoints in the treatment of hand burn patients was conducted as part of a multi-center, open label, randomized, controlled two-arm study to evaluate the safety and efficacy of NXB enzymatic debridement, comparing it to the current standard of care (SOC). These results were compared to a large cohort of patients treated with NXB in a previous, single arm study. ⋯ Mean percentage of burn wound area excised in the NXB group was 4.4 ± 13.1% compared to 52.0 ± 41.4% in the SOC group (p<0.0001). None of the NXB-treated hands required escharotomy compared to 4 out of the 41 (9.7%) in the SOC group. NXB enzymatic debridement demonstrated a statistically significant reduction in burn wound excision and auto-grafting compared to SOC, and seems to prevent the need for emergency escharotomy. a DGD is produced by MediWound and distributed under the name NexoBrid®.
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Ann Burns Fire Disasters · Sep 2017
Paediatric electrical burn injuries: experience from a tertiary care burns unit in North India.
Electrical burn injuries in the paediatric age group constitute a small proportion of all burn cases and cause significant morbidity and long-term psychosocial impact. The objective of this study was to evaluate various aspects of electrical burn injuries in the paediatric age group in our region. A retrospective review was done of all paediatric electrical burns admitted to a tertiary care burns unit over a period of 12 months (January 2016 to December 2016). ⋯ There were unfavourable outcomes in 32% patients with a mortality rate of 7.8%. Significant association was found between unfavourable outcomes and high voltage burn injuries and length of hospital stay. The impact of electrical burn injuries is substantial and can be reduced by simple preventive measures such as educating parents, improving health infrastructure and adherence to safety regulations.