No abstract available.
Burns*

No abstract available.
Burns

No abstract available.
Burns*

No abstract available.
Burns*

No abstract available.
Burns*

No abstract available.
Burns*

OBJECTIVE: This study determined the mean overall adherence to the clinical pathway formulated by the Section of Pulmonology together with the Division of Burns for adult burn patients at high risk for inhalation injury admitted at the UP-PGH ATR Burn Center in a two-year period METHODOLOGY: A retrospective cohort study regarding adherence to the clinical pathway of acutely burned adult patients at high risk for inhalation injury admitted at the UP-PGH ATR Burn Center between August 2016 to July 2018 was conducted. Medical records were reviewed and an adherence checklist was used to assess each item in the clinical pathway. For the adherence and patient profile, descriptive statistics were used. RESULTS: This pilot assessment study showed acceptable rates of adherence and implementation of the clinical pathway. Overall, 60% of the cases followed the clinical pathway completely. While 26.67% had acceptable rates of compliance (more than half of items adhered), while 13% of the cases scored adhered to less than half of the items. CONCLUSION The pathway has been shown to be a feasible clinical pathway that can be implemented in a tertiary hospital setting.
Burns

OBJECTIVE: Profiling of burn patients with inhalational injury will lead to better practices in the immediate and supportive management of their injuries. The goal of this study was to determine demographic and clinical factors associated with mortality in burn patients with inhalational injury admitted at Philippine General Hospital - Alfredo T. Ramirez (PGH - ATR) Burn Center from 2008 to 2013. METHODS: All patients who were admitted from 2008 to 2013 were included in the study. The patient database was searched for cases of burn patients with inhalation injury. Medical records were reviewed for further analysis. This study was exempted from review by the University of the Philippines Manila Research Ethics Board. RESULTS: Out of 1900 burn patients included in the study, 134 presented with concomitant inhalation injury with a prevalence rate of 7.0% and with a mortality rate of 38.06%. The study showed that the following variables: 1) percent total body surface area (%TBSA), 2) length of time from injury to resuscitation, 3) nebulization with N-acetylcysteine, 4) development of pneumonia, 5) administration of systemic antibiotics, and 6) performance of bronchoscopy correlated significantly with patient outcomes (p<0.05). Other variables did not show significant correlations with outcomes. The study also revealed that most of the patients were males with a mean age of 30.62, who sustained severe burns usually greater than 39% TBSA. CONCLUSION Poorer prognostic indicators include: 1) larger burnt body surface area, 2) delayed intubation, 3) delayed resuscitation, and 4) development of pneumonia.
Burns

Introduction: A retrospective review of all burn patients admitted to the Burn Unit between 2015 -2020. To determine the demographics, causes, total body surface area (TBSA), length of hospital stay and their relationship with TBSA, percentage of patients requiring surgery, mortality and its causes, and the relationship of inhalational injury to mortality of burn patients in Terengganu over six years. Materials and methods: A descriptive study. Data were collected through the Hospital Information System (HIS). Data were analysed using IBM SPSS Statistics V21.0. Results: A total of 805 patients were admitted to Results: A total of 805 patients were admitted to the Burn Unit between 2015 -2020, with an average of 134 individuals annually. Minor burns accounted for 591 cases, moderate burns for 131 cases and 83 patients suffered major burns. Children were the most affected, accounting for 63% of all BI cases. The mean age for paediatric patients was 3.78, while for adults, the mean age was 36.7. The male-to-female ratio, irrespective of age group, was 1.67. The most typical BI causes were scalds. The average length of stay was 15 days, during which a 1.6% mortality rate was recorded. Inhalational injury was strongly linked to death. According to Fisher’s exact test, TBSA in BI and length of stay were significantly correlated (P < 0.001). Surgery was needed in 29% of children and 46.5% of adults. Conclusions: The significant incidence of burn injury in thi Conclusions The significant incidence of burn injury in this study suggests that raising awareness and increasing education by the authorities is a critical prevention initiative.
Burns

No abstract available.
Burns* ; Humans