Maryam Ramezanian; Parissa Bagheri; Cyrus Emir Alavi; Mohaya Farzin; MohammadReza Mobayen; Moein Moghaddam Ahmadi; Mohammad Tolouei; Siamak Rimaz; Mehdi Karimian; Hojat Eftekhari; Kiana Baghi; Ali Shabbak
Volume 13, Issue 1 , January 2025, , Pages 47-52
Abstract
Objectives: Severe burns often result in significant intravascular albumin loss, leading to hypoalbuminemia. This study aimed to evaluate the association between serum albumin levels and clinical outcomes in burn patients.Methods: A retrospective, single-center study was conducted at Velayat Hospital ...
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Objectives: Severe burns often result in significant intravascular albumin loss, leading to hypoalbuminemia. This study aimed to evaluate the association between serum albumin levels and clinical outcomes in burn patients.Methods: A retrospective, single-center study was conducted at Velayat Hospital (Rasht, Iran), including burn patients aged ≥16 years, who were admitted between April 2019 and March 2020. Serum albumin levels were recorded on day 1, day 7, and at discharge. The main variables analyzed included albumin levels, length of hospital stay, skin graft rate, need for mechanical ventilation, and mortality.Results: Among the 74 patients included in the study, 14 (18.9%) died, while 60 (81.1%) survived. The mean serum albumin levels on days 1, 7, and at discharge were significantly higher in survivors (3.09±0.22, 3.12±0.23, and 3.18±0.28 g/dL, respectively) than non-survivors (2.22±0.29, 2.74±0.29, and 2.07±0.69 g/dL, respectively) at all time points (p<0.001). The serum albumin level measured on day 1 was significantly lower in patients who required mechanical ventilation than in those who did not (2.86±0.47 vs.3.09±0.13, p=0.03). Additionally, a significant inverse relationship was observed between serum albumin levels and both total body surface area burned (TBSA) and graft extent (day 1: rs=-0.76, day 7: rs=-0.74, discharge: rs=−0.62; p<0.001 for TBSA; and day 1: rs=-0.59, day 7: rs=-0.58, discharge: rs=−0.50; p<0.001 for graft extent). Conclusion: Hypoalbuminemia was associated with poor clinical outcomes in patients with severe burns. Serum albumin levels might serve as a specific marker of burn severity and a predictor of mortality.
Morteza Rahbar Taramsari; Mohammadreza Mobayen; Mojdeh Esmailzadeh; Alireza Feizkhah; Negin Letafatkar; Sara Hoseinzadeh; Farank Yeganehdoost; Parissa Bagheri; Fatemeh Mehdipour
Volume 11, Issue 2 , April 2023, , Pages 90-95
Abstract
Objective: Burn trauma is a life-threatening incident that may be accompanied by several risk factors thatincrease morbidity and mortality. Drug abuse is one of the lifestyle dangers on the rise globally and can havean impact on the outcomes of burn injuries. This study aimed to evaluate the effect of ...
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Objective: Burn trauma is a life-threatening incident that may be accompanied by several risk factors thatincrease morbidity and mortality. Drug abuse is one of the lifestyle dangers on the rise globally and can havean impact on the outcomes of burn injuries. This study aimed to evaluate the effect of drug abuse on the clinicaloutcomes of adult burn patients who were admitted to a burn center in the North of Iran.Methods: This retrospective cross-sectional study included adult burn patients who were referred to VelayatHospital, between March 1, 2021, and March 20, 2022. The hospital information system (HIS) was used toselect patients with a history of drug use and then were compared with burn victims who had never used drugsbefore. In both groups, demographic information, the cause of the burn, the comorbid diseases, total bodysurface area, length of stay, and outcomes were collected and recorded for both groups.Results: This study included 114 inpatients, 90 of whom (78.95%) were men. The mean age of the patients was43±15 years. The mean length of hospitalization in the drug-user group was significantly higher than in thenon-drug abuse group (p=0.004). The drug abuse group had significantly higher rates of comorbid diseases(p=0.021), inhalation injury (p<0.001), mortality (p=0.002), and pneumonia (p<0.001). However, there were nostatistically significant differences in the Infection and Sir’s rates (p=0.583) between the groups.Conclusion: Drug abuse is a risk factor in adult burn patients, which can affect the length of stay and burnrelated morbidities.
Maryam Zavarmousavi; Fatemeh Eslamdoust-Siahestalkhi; Alireza Feizkhah; MohammadReza Mobayen; Seyed Armin Fazeli Masouleh; Mahshid Badrikoohi; Parissa Bagheri
Volume 11, Issue 2 , April 2023, , Pages 106-107
Abstract
Some non-pharmacological techniques have been shown to effectively reduce pain, including cognitive-behavioral therapy, hypnosis, relaxation techniques, and interaction through television, music, and storytelling. Recently, new advanced technologies such as virtual reality immersion therapy (VRIT) and ...
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Some non-pharmacological techniques have been shown to effectively reduce pain, including cognitive-behavioral therapy, hypnosis, relaxation techniques, and interaction through television, music, and storytelling. Recently, new advanced technologies such as virtual reality immersion therapy (VRIT) and simulation for therapy (SFT) have been used in post-burn rehabilitation. Immersive VR is a cognitive–behavioral technique based on distraction used for treating physical and psychological pain. A comprehensive evaluation of nine clinical trials demonstrated that VR technology combined with pharmaceutical analgesics was significantly more effective in reducing pain and anxiety in burn patients. On the other hand, to improve therapeutic effectiveness in rehabilitation settings such as post-burn conditions, the combined use of related methods such as interactive game consoles (IGC) is increasingly used. IGCs are more favored for use in burn rehabilitation because they are less cumbersome than other forms of VR. Virtual reality games can provide practical and attractive therapy that allows the child to amuse by artificial scenes that appear and feel similar to real-world scenes.In general, it can be said that new technological developments, such as interactive virtual reality, gamification, powerful computers, and portable tablets, and their universal popularity, now offer the chance to integrate knowledge from clinical practice, neuroscience knowledge, and design ideas. In addition, the wide range of virtual communication options and computer games provide physicians to choose appropriate tools that help in treatment. This perspective aims to explain the potential of game design principles to generate more motivation and content for therapy integrated with the proper technological context, like virtual reality.
Ramin Ebrahimian; Zoubin Souri; Alireza Feizkhah; MohammadReza Mobayen; Habib Eslami; Mojdeh Esmailzadeh; Mohsen Ghorbani; Soroush Mirhedayati; Parissa Bagheri
Volume 11, Issue 1 , January 2023, , Pages 19-25
Abstract
Objective: To evaluate the spiral chest computed tomography (CT) scan findings in patients with multipletrauma during the COVID-19 pandemic.Methods: This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital inthe north of Iran in 2020. All patients with multiple ...
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Objective: To evaluate the spiral chest computed tomography (CT) scan findings in patients with multipletrauma during the COVID-19 pandemic.Methods: This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital inthe north of Iran in 2020. All patients with multiple trauma who had undergone a chest spiral CT were includedin this study. Furthermore, the data analysis was performed through descriptive and analytical statistics usingSPSS software.Results: A total of 600 patients were included over the study period. The mean age of patients was 48.2±20.3years. Of the total, 496 (65.3%) patients had blunt chest injuries, and 104 (34.7%) had penetrating chest injuries.Falling was the most common mechanical cause of chest trauma in 270 patients (45%). Surgical interventionswere performed in 110 (18.3%) patients. A total of 276 (46%) patients had chest injuries identified by CTscans. Many patients (15.6%) had ground-glass lung opacity in the CT scan reports. Lung consolidation,pneumothorax, lung contusion, hemothorax, and rib fractures were the most common.Conclusion: Due to the high frequency of typical findings in spiral CT scan examinations, obtaining a reliablehistory of trauma severity, injury mechanism, and a detailed physical examination is recommended beforeprescribing a CT scan for patients.
