Mehran Kouchek; kamran Aghakhani; Mostafa Dahmardehei; Azadeh Memarian
Volume 12, Issue 1 , January 2024, , Pages 26-34
Abstract
Objective: This study investigated the demographic characteristics and factors influencing burn injuries,primarily in low socioeconomic societies where such incidents are prevalent due to factors such as illiteracyand poverty.Methods: This cross-sectional study included all burn patients admitted to ...
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Objective: This study investigated the demographic characteristics and factors influencing burn injuries,primarily in low socioeconomic societies where such incidents are prevalent due to factors such as illiteracyand poverty.Methods: This cross-sectional study included all burn patients admitted to Shahid Motahari Hospital inTehran, Iran. Demographic data such as age, sex, occupation, education level, and residence as well as detailedinformation about the burn incidents such as date, time, location, number of people present at the scene, andreferral place was collected. Additionally, comprehensive burn details such as cause, extent, severity, previoushistory, and need for hospitalization directly at the emergency department were documented.Results: The study included 2213 patients (mean age 34.98±19.41 years; range 1-96), with a men predominance(60.6%). The majority of burns (64.4%) occurred at home, primarily due to accidents (99.6%), with boilingwater being the most common cause (39.2%). The most frequent burns were second-degree burns (91.8%),with an average injured body area of 6.31±6.67%. There were significant correlations between burn severityand demographic factors such as age, sex, occupation, cause of burn, hospital admission, outcome, and lengthof stay. Remarkably, the extent of burns was negatively correlated with the distance to the hospital, whilepositively correlated with the length of hospital stay.Conclusion: Burn injuries were significantly influenced by demographic factors. Enhancing treatment facilitiesand reducing the time and distance to medical care could be crucial in high-risk cases.
Atefeh Ghanbari; Sanaz Masoumi; Ehsan Kazemnejadleili; Marjan Mahdavi-Roshan; MohammadReza Mobayen
Volume 11, Issue 1 , January 2023, , Pages 32-40
Abstract
Objectives: To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatorymarkers for facilitating wound healing.Methods: One hundred and twelve patients were randomly selected to four groups with a total burn surfacearea (TBSA) of 20-50%. The four groups includes ...
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Objectives: To study the anti-inflammatory and antioxidant effects of flaxseed oil and olive oil on inflammatorymarkers for facilitating wound healing.Methods: One hundred and twelve patients were randomly selected to four groups with a total burn surfacearea (TBSA) of 20-50%. The four groups includes olive oil (OO), flaxseed oil (FO), mixture of olive oil andflaxseed oil (OF), and control group and received 30g of oils for three weeks. Serum high-sensitivity C-reactiveprotein (hs-CRP), ferritin and albumin level as inflammatory markers, as well as cholesterol, triglyceride,high-density lipoprotein (HDL) and low-density lipoprotein (LDL) as the lipid profile were explored. Woundhealing was assessed by photographing on days 2, 8, 15, and 22 (during three weeks of intervention) and wereanalyzed in imageJ software.Results: The greatest reduction in the level of hs-CRP and ferritin was observed in the OF (-21.38±44.41)(-132.79±165.36), while the lowest reduction was reported in the control group (-36.36±79.03) (141.08±262.36).Compared to control group, OO significantly increased albumin (0.88±0.65). Reduction of wound healing at theend of the first week of intervention was not significant in the study groups. However, the stereology examinationshowed significant improvement in wound healing at the end of the second and third weeks in the OF.Conclusion: Based on the findings, combination of herbal oils reduce inflammation and improve wound healingand showed positive effects on the size of wounds in burn patients.
Mahnaz Yadollahi; Pooria Fazeli; Muhammad Ali Naqi; Mehrdad Karajizadeh; Sattar Parsaiyan
Volume 11, Issue 1 , January 2023, , Pages 41-46
Abstract
Objective: According to the reports of the World Health Organization approximately 300,000 deaths occuryearly worldwide due to burns or burn-associated injuries. This study aims to review the epidemiology of burnsin pediatrics and adolescents in Fars province between 2017 and 2018.Methods: This is a ...
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Objective: According to the reports of the World Health Organization approximately 300,000 deaths occuryearly worldwide due to burns or burn-associated injuries. This study aims to review the epidemiology of burnsin pediatrics and adolescents in Fars province between 2017 and 2018.Methods: This is a cross-sectional study that investigated all people ≤18 years old who suffered from burninjuries in Fars province between 2017 and 2018. We use data from the file of burn patients which was providedby pre-hospital emergency services of Fars province. This data comprises demographic information (age andgender), burn-related information (type, degree, and severity of burns), mode of transfer (outpatient surgery ortransfer to hospital) and the outcome of the disease (death before arrival to the hospital or alive).Results: The average age of the subjects of this study was 5.8±8.9. We also categorized the subjects into fourage groups, 1-4, 5-8, 9-13 and 15-18 years. The number of boys who suffered from burn injuries is significantlymore than the girls (p=0.011). Also, there is a remarkable correlation between burn with age (p<0.001) andburn with disease outcome (p=0.01). The Most common cause of burns in boys was nonchemical hot objectsand liquids (28.5%). Likewise, the possibility of mortality in burn patients who faced an electric shock was22.66%. ([95%CI=2.32-220.63], p<0.001 OR=22.66).Conclusion: This study shows that pediatrics and adolescents ≤ 4 have the most burn injuries, and boys havetwice as many burn events as girls. More importantly, the most common cause of burns in both genders wasburning with non-chemical hot objects and liquids, in particular, in the age group of 1-4 years, in which eventhappens at home.
Mehdi Ayaz
Volume 9, Issue 2 , April 2021, , Pages 96-100
Abstract
Introduction: Wound debridement is necessary before skin grafting or wound closure. Inappropriate wound bed preparation will led to graft rejection and sometimes catastrophic results, especially in large wounds,. Usage of popular debridement and excision devices such as dermatomes has some ...
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Introduction: Wound debridement is necessary before skin grafting or wound closure. Inappropriate wound bed preparation will led to graft rejection and sometimes catastrophic results, especially in large wounds,. Usage of popular debridement and excision devices such as dermatomes has some difficulties and disadvantages. In this study we will introduce metallic scrub sponge as a safe and effective debridement device.Methods: The surgeon usually uses a sterile metallic scrub sponge over the wound with transverse or rotational repeated movement. Wound preparing with metallic sponge should be stopped when pinpoint bleeding occurs. We used sterile metallic sponge for more than 2500 burn patients.Results: The results are excellent for deep second degree burn (and deeper burns at least 5-10 days after burn when some eschar loosening occurs). Work with scrub sponge was effective, fast and safe.Discussion: Metallic scrub sponge is a useful device for wound preparation due to its some special characteristics. Debridement of the burn wound with metallic sponge can preserve the spontaneous epithelialization potential of skin in second degree burns and reduce additional injury to the viable tissue that is inevitable by surgical debridement. Cost effectiveness, easy accessibility, safety, softness, inertness and some others are among the other advantages of metallic sponge usage for wound preparation.Conclusion: Due to metallic sponge’s simplicity and capability to remove necrotic loose tissues and easy accessibility everywhere and minimal adverse effects, it is a good first line tool for wound preparation and debridement.
Abdolkhalegh Keshavarzi; Sina Kardeh; Amirhosein Pourdavood; Mana Mohamadpour; Maryam Dehghankhalili
Volume 6, Issue 1 , January 2018, , Pages 59-63
Abstract
Objective: To evaluate the lethal area 50 (LA50) and determinants of mortality in burn patients admitted to a single burn center.Methods: This retrospective cross-sectional study was conducted in a tertiary burn center affiliated with Shiraz University of Medical Sciences, Shiraz, Iran, during a 1-year ...
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Objective: To evaluate the lethal area 50 (LA50) and determinants of mortality in burn patients admitted to a single burn center.Methods: This retrospective cross-sectional study was conducted in a tertiary burn center affiliated with Shiraz University of Medical Sciences, Shiraz, Iran, during a 1-year period from 2015 to 2016. To determine prognostic factors in fatal burns, medical records of eligible burn patients were reviewed for demographic and clinical variables, as well as patient outcome. Also, LA50 was calculated using Probit analysis.Results: Overall 559 patients with the mean age of 27.2±23.65 years and including 343 (61.4%) males and 216 (38.6%) females were enrolled in this study. The average burn TBSA% was 31.38±24.41% (1-100%). Duration of hospital stay ranged from 1 to 67 days (15.11±10.64). With 93 expired patients, the mortality rate was calculated to be 16.6%. The total LA50 was 66.55% (58.4-79.3). Fire was the most common cause of burn injury.Conclusion: Compared to developed countries, in our burn center the LA50 and survival rate of burn patients are lower. This indicates an urgent need for prompt attention in order to improve current policies regarding this public health issue to reduce mortality.
Mehdi Ayaz; Abdolkhalegh Keshavarzi; Hamid Bahadoran; Peyman Arasteh; Sam Moslemi
Volume 5, Issue 3 , July 2017, , Pages 179-183
Abstract
Objectives: To compare the outcomes of early excision and grafting between pediatric and adult patients with deep burns of less than 40% total body surface area burns (TBSA).Methods: This is a prospective comparative study. Overall, 106 patients admitted to Ghotbodin Burn Center in Shiraz, Iran ...
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Objectives: To compare the outcomes of early excision and grafting between pediatric and adult patients with deep burns of less than 40% total body surface area burns (TBSA).Methods: This is a prospective comparative study. Overall, 106 patients admitted to Ghotbodin Burn Center in Shiraz, Iran from September 2012 to September 2013, were included in the study. All patients had less than 40% TBSA burn and had excision and grafting under 14 days from their injury. Patients were divided into two age groups of younger than 14 (n=49) and older than 14 (14-65) years old (n=57). During a 6-month follow-up period, the two groups were compared regarding mean percentage of graft take, total scar score, duration of hospital stay and itching score.Results: During follow-up, the two groups did not show a significant difference in graft take, total scar score and itching score (p=0.461, p=0.363 and p=0.637, respectively). Clinically, the pediatric group showed less hospital stay (12.25±9.1 vs. 16±12.9), however this was not statistically significant (p=0.091). Conclusion: Adults and elderly patients (14–65 years old) compared to pediatric patients (less than 14 years old) with less than 40% TBSA burns, can expect similar results regarding scar score, graft take, itch score and hospital stay, after excision and grafting performed less than two weeks from their initial injury.
Shahab Shahabi Shahmiri; Mohsen Kolahdouzan; Ara Omrani; Mehdi Khazaei; Hamid Salehi; Abbas Motevalian; Rastin Mohammadi Mofrad; Mohammad Taghi Rezaei; Helia Hemmasian
Volume 5, Issue 3 , July 2017, , Pages 184-189
Abstract
Objectives: To investigate the determinants of mortality and the lethal area 50 (LA50) in large series of Iranian burn patients admitted to a single burn center.Methods: This cross-sectional study was conducted in Shahid Motahari burn center of Tehran, Iran during a 1-year period from 2011 to 2012. We ...
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Objectives: To investigate the determinants of mortality and the lethal area 50 (LA50) in large series of Iranian burn patients admitted to a single burn center.Methods: This cross-sectional study was conducted in Shahid Motahari burn center of Tehran, Iran during a 1-year period from 2011 to 2012. We included all the burn patients who were admitted to our center during the study period. Those with incomplete medical records and those referred to other centers were excluded from the study. The medical records of the included patients were reviewed and the demographic, clinical, laboratory and outcome measures were recorded. The mortality rate was recorded and the determinants of LA50 were analyzed in a univariate and stepwise multivariate model.Result: Overall we included a total number of 1200 subjects with mean age of 30.8 ±18 years. There were 907 (75.6%) men and 293 (24.4%) women among the patients. The total LA50 was 55.5% (95% CI: 52.98%-58.3 %). There was a significant difference between age group >61 years and two 11-20 and 21-30 groups regarding LA50. The advanced age (p<0.001), female gender (p=0.002), inhalational injury (p<0.001) and burn extension determined by TBSA% (p<0.001) were significantly associated with mortality. In addition, male gender (p=0.087), flame (p=0.156), scald (p=0.088) and chemical injuries (p=0.071) were not associated with mortality.Conclusion: The LA50 determine din our study is still much lower than that reported in developed countries, as a result, the quality of medical care is lower. Female gender, age, inhalational injury and extension of burn determined by TBSA% were found to be the independent risk factors of mortality in burn patients in our series.
