Epidemiology and Burn out Consequences in a Large Therapeutic Center in Iran (2010-2015) | ||
| Journal of Patient Safety & Quality Improvement | ||
| مقاله 8، دوره 7، شماره 2، تیر 2019، صفحه 75-80 اصل مقاله (719.26 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.22038/psj.2019.40369.1229 | ||
| نویسندگان | ||
| Maliheh Ziaee1؛ Hamidreza Naderi2؛ Maryam Yaghubi* 3؛ Nasrin Khosravi4؛ Farnaz Kamelfoladi4؛ Fatemeh Ghasimii4؛ Irandokht Mostafavi4؛ Kamyar Mansori5 | ||
| 1Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran. | ||
| 2Department of Infectious Disease and Tropical Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
| 3Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran . Department of Epidemiology, Faculty of Public Health, Iran University Of Medical Sciences, Tehran, Iran. | ||
| 4Mashhad University of Medical Sciences, Mashhad, Iran. | ||
| 5Department of Epidemiology, Faculty of Public Health, Iran University Of Medical Sciences, Tehran, Iran. | ||
| چکیده | ||
| Introduction: Burns have impacts including medical, psychological, economic and social that involve patients and health care system. Epidemiologic factors of burns vary in different societies. While the effects of some burn variables on mortality rate, in similar circumstances, are expected to be universal. The present study was carried out to analyze the epidemiology, mortality, and current etiological factors of burn injuries. Material and Methods: This cross-sectional study was conducted during a period of 6 years (from 2010 to 2015). Data were obtained by the analysis of medical records of patients hospitalized in the Imam Reza Burn Center in Mashhad, Iran. The data were recorded by the nurses and staffs in the burn ward. Results: In our study, 1334 in-hospital burn patients were recorded. The mean age was 27 ± 5.67 years. The most common mechanism of burn was flame. The multivariable logistic regression modeling revealed, that the most important risk factors of patient mortality were length of stay (LOS) (OR=2.53(95% CI: 1.75-3.66), percentage of burn regarding body surface (BBS) OR=10.64(95% CI: 7.58-14.43), degree of burns OR=6.39(95% CI: 1.46-27.99). Conclusion: The results of our study revealed a high incidence of burns. Prevention plans should be made in this regard | ||
| کلیدواژهها | ||
| Burn؛ Injury؛ Infection؛ Epidemiology | ||
| مراجع | ||
|
1. Lari AR, Alaghehbandan R, Nikui R. Epidemiological study of 3341 burns patients during three years in Tehran, Iran. Burns. 2000;26(1):49-53.
2. Lionelli G, Pickus E, Beckum O, Decoursey R, Korentager R. A three decade analysis of factors affecting burn mortality in the elderly. Burns. 2005;31(8):958-63.
3. Rafla K, Tredget EE. Infection control in the burn unit. Burns. 2011;37(1):5-15.
4. Lari AR, Alaghehbandan R. Nosocomial infections in an Iranian burn care center. Burns. 2000;26(8):737-40.
5. Askarian M, Hosseini RS, Kheirandish P, Assadian O. Incidence and outcome of nosocomial infections in female burn patients in Shiraz, Iran. Am J Infect Control. 2004;32(1):23-6.
6. Heideman M, Bengtsson A. The immunologic response to thermal injury. World J Surg. 1992;16(1):53-6.
7. Haik J, Liran A, Tessone A, Givon A, Orenstein A, Peleg K. Burns in Israel: demographic, etiologic and clinical trends, 1997–2003. Isr Med Assoc J.2007;9(9):659-62.
8. Padovese V, De Martino R, Eshan MA, Racalbuto V,Oryakhail MA. Epidemiology and outcome of burns in Esteqlal Hospital of Kabul, Afghanistan. Burns.2010;36(7):1101-6.
9. Tekin R, Yolbas I, Dal T, Okur M, Selçuk C. The evaluation of patients with burns during fifteen years period. Clin Ter. 2013;164(5):385-9.
10. Kobayashi K, Ikeda H, Higuchi R, Nozaki M,Yamamoto Y, Urabe M, et al. Epidemiological and outcome characteristics of major burns in Tokyo.Burns. 2005;31(1):S3-S11.
11. Iqbal T, Saaiq M, Ali Z. Epidemiology and outcome of burns: early experience at the country's first national burns centre. Burns. 2013;39(2):358-62.
12. Seo DK, Kym D, Yim H, Yang HT, Cho YS, Kim JH, et al. Epidemiological trends and risk factors in major burns patients in South Korea: a 10-year experience. Burns. 2015;41(1):181-7.
13. Agbenorku P, Edusei A, Ankomah J. Epidemiological study of burns in Komfo Anokye Teaching Hospital, 2006–2009. Burns. 2011;37(7):1259-64.
14. Groohi B, Alaghehbandan R, Lari AR. Analysis of 1089 burn patients in province of Kurdistan, Iran.Burns. 2002; 28(6):569-74.
15. Panjeshahin M-R, Lari AR, Talei A-R, Shamsnia J, Alaghehbandan R. Epidemiology and mortality of burns in the South West of Iran. Burns. 2001;27(3):219-26.
16. Alaghehbandan R, Rossignol AM, Lari AR. Pediatric burn injuries in Tehran, Iran. Burns. 2001; 27(2):115-8.
17. Barret J, Gomez P, Solano I, Gonzalez-Dorrego M, Crisol F. Epidemiology and mortality of adult burns in Catalonia. Burns. 1999;25(4):325-9.
18. Bang R, Ghoneim I. Epidemiology and mortality of 162 major burns in Kuwait. Burns. 1996;22(6):433-8.
19. Jerwood D, Dickson G. Audit of intensive care burn patients: 1982–1992. Burns. 1995;21(7):513-6.
20. Mabrouk AR, Omar ANM, Massoud K, Sherif MM, El Sayed N. Suicide by burns: a tragic end. Burns. 1999;25(4):337-9.
21. Sheth H, Dziewulski P, Settle J. Self-inflicted burns:a common way of suicide in the Asian population. A 10-year retrospective study. Burns. 1994;20(4):334-5.
22. Liu E, Khatri B, Shakya Y, Richard B. A 3 year prospective audit of burns patients treated at the Western Regional Hospital of Nepal. Burns. 1998;24(2):129-33.
23. El Danaf A. Burn variables influencing survival: a study of 144 patients. Burns. 1995;21(7):517-20.
24. Mzezewa S, Jonsson K, Aberg M, Salemark L. A prospective study on the epidemiology of burns in patients admitted to the Harare burn units. Burns.1999;25(6):499-504. | ||
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