The association between burn and trauma severity and in-hospital complications

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Imagem de Miniatura
Citações na Scopus
8
Tipo de produção
article
Data de publicação
2020
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCI LTD
Autores
LOPES, Maria Carolina Barbosa Teixeira
WHITAKER, Iveth Yamaguchi
Citação
BURNS, v.46, n.1, p.83-89, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: The aim of this study was to analyze the association between in-hospital complications and burn and trauma severity, inhalation injury, length of intensive care unit and hospital stay, and mortality in burned patients. Method: This observational and retrospective study included 68 burn patients hospitalized in a university hospital located in Sao Paulo, Brazil. The severity of the burn injury and trauma were measured by means of Abbreviated Injury Scale and the Injury Severity Score, respectively. Thecomplications were considered as a dependent variable. The statistical analysis for continuous variables was performed using the Student's t or the Mann-Whitney test and for categorical variables the Chi-square test, Fisher's Exact or Verisimilitude Ratio test, considering a significance level of 5%. Results: The majority (60.3%) of patients had complications, and among them, those with infections were the most frequent (70.7%). Burned patients with complications had higher burn injury severity, were hospitalized for longer and their mortality was higher. Cardiovascular complications were associated with severe burns and mortality; infectious ones with a larger length of hospitalization. Conclusion: Complications are frequent in patients with severe burns and inhalation injuries, increasing length of hospital stay and mortality. Burn studies measuring severity of thermal and inhalation injuries and other associated traumas allow to expand the analysis of burned patients.
Palavras-chave
Burns, Complications, Trauma, Trauma severity indices, Emergency nursing
Referências
  1. Agbenorku P, 2016, BURNS TRAUMA, V4, DOI 10.1186/s41038-016-0041-0
  2. American Burn Association, 2017, REP DAT 2008 2017
  3. Anami EHT, 2017, BURNS, V43, P350, DOI 10.1016/j.burns.2016.08.022
  4. Association for the Advancement of Automotive Medicine (AAAM), 2008, THE ABBREVIATED INJU
  5. Auger C, 2017, BBA-MOL BASIS DIS, V1863, P2633, DOI 10.1016/j.bbadis.2017.02.019
  6. Baitello André Luciano, 2013, J. Bras. Nefrol., V35, P127, DOI 10.5935/0101-2800.20130021
  7. Brusselaers N, 2010, CRIT CARE, V14, DOI 10.1186/cc9300
  8. Cassidy JT, 2014, BURNS, V40, P805, DOI 10.1016/j.burns.2013.10.010
  9. Centers for Disease Control and Prevention, 2016, TEAM LEAD CAUS DEATH
  10. de Aguiar Junior Wagner, 2016, J Trauma Nurs, V23, P275, DOI 10.1097/JTN.0000000000000233
  11. Dias LDF, 2015, REV BRAS CIR PLAST, V30, P86, DOI 10.5935/2177-1235.2015RBCP0121
  12. Emami SA, 2016, BURNS, V42, P1128, DOI 10.1016/j.burns.2016.03.011
  13. Haines RW, 2018, SCI REP-UK, V8, DOI 10.1038/s41598-018-21929-2
  14. Harats M, 2016, BURNS, V42, P500, DOI 10.1016/j.burns.2015.05.023
  15. Hop MJ, 2016, INJURY, V47, P203, DOI 10.1016/j.injury.2015.09.009
  16. Iyun AO, 2016, WOUNDS, V28, P1
  17. Keller WK, 1971, JAMA-J AM MED ASSOC, V215, P277
  18. Lai WH, 2016, SCAND J TRAUMA RESUS, V24, DOI 10.1186/s13049-016-0330-4
  19. Liodaki E, 2015, Ann Burns Fire Disasters, V28, P128
  20. Manning J, 2018, CRIT CARE NURS CLIN, V30, P423, DOI 10.1016/j.cnc.2018.05.010
  21. Miller SF, 2006, J BURN CARE RES, V27, P411, DOI 10.1097/01.BCR.0000226260.17523.22
  22. Ministerio da Saude, 2017, QUEIM
  23. Nielson CB, 2017, J BURN CARE RES, V38, pE469, DOI 10.1097/BCR.0000000000000355
  24. Nitzschke S, 2017, BURNS, V43, P1155, DOI 10.1016/j.burns.2017.05.010
  25. Sanchez-Sanchez M, 2016, Ann Burns Fire Disasters, V29, P183
  26. Smolle C, 2017, BURNS, V43, P249, DOI 10.1016/j.burns.2016.08.013
  27. Strassle PD, 2017, INFECT CONT HOSP EP, V38, P1441, DOI 10.1017/ice.2017.220
  28. Tang D, 2015, HONG KONG J OCCUP TH, V26, P15, DOI 10.1016/j.hkjot.2015.08.003
  29. Tanttula K, 2018, BURNS, V44, P651, DOI 10.1016/j.burns.2017.09.001
  30. Taylor SL, 2016, J BURN CARE RES, V37, pE476, DOI 10.1097/BCR.0000000000000332
  31. Veeravagu A, 2015, J BURN CARE RES, V36, P258, DOI 10.1097/BCR.0000000000000064