Merve AKIN, Günel GARALOVA, Ali Emre AKGÜN

YANIK MERKEZİNDE FİZİKİ YAPI VE SİSTEM DEĞİŞİKLİĞİNİN HASTA ÇIKTILARINA ETKİLERİ

Yanık yaralanmaları, dünya çapında en yaygın dördüncü yaralanmalardır. Dünyanın farklı coğrafi bölgeleri arasında sosyo-kültürel faktörler, gelişmişlik ve sanayileşme seviyelerine bağlı olarak yanık demografisi ve sonuçlarında önemli farklılıklar görülmektedir. Bu çalışmada ciddi yanık hastalarında yanık tedavi merkezenin fiziki altyapısı ve teknolojik donanımının yenilenmiş olmasının mortaliteye olan etkisinin değerlendirilmesi amaçlanmıştır.Bu çalışmada Ocak-Aralık 2020 tarihleri arasında yanık tedavi merkezine başvuran hastaların elektronik kayıtları retrospektif olarak incelendi. Hastaların yaş, cinsiyet, toplam vücut yanık yüzey alanı (TVYA%), yanık derinliği, yanık yaralanma etiyolojisi, yatarak veya ayaktan tedavi gereksinimi, inhalasyon hasarı varlığı, hastane yatış gün sayısı, yoğun bakım yatış gün sayısı, ABSI skoru ve mortalite verileri kaydedildi.1 Ocak 2020 ile 31 Aralık 2020 tarihleri arasında yanık merkezine toplam 1406 hasta başvurmuştur. Merkeze başvuran 313 hastada (% 22,3) yanık tedavi algoritmasına göre yatış endikasyonu mevcuttu. Yanık etiyolojilerine göre yanıklar en sık haşlanma yanıkları (%48,3) ve ikinci sıklıkla alev yanıkları (%14) idi.Yatan hastaların TVYA ortalaması %12,6 iken genel TVYA ortalaması %5,03 idi. Çalışmaya dahil edilen 1404 hastanın 16’sında (%1,2 ) mortalite gelişmişken TVYA’sı %30 ve üzerinde olan hastaların 13’ünde (%22) mortalite gerçekleşti. TVYA %30 ve üzerinde olması ile mortalite arasında ilişki istatistiksel olarakanlamlı bulundu (p

THE EFFECTS OF PHYSICAL STRUCTURE AND SYSTEM CHANGE IN THE BURN CENTER ON PATIENT OUTCOMES

Burn injuries are the fourth most common injury worldwide. There are significant differences in burn demographics and results between different geographical regions of the world, depending on sociocultural factors, development and industrialization levels. In this study, it was aimed to evaluate the effect of renewing the physical infrastructure and technological equipment of the burn treatment center on mortality in patients with severe burns. In this study, electronic records of patients admitted to a burn treatment center between January and December 2020 were retrospectively analyzed. Patients' age, gender, total body burn surface area (TBSA%), burn depth, burn injury etiology, presence of inhalation injury, hospialization, number of hospitalization days, number of intensive care unit stays, ABSI score and mortality data were recorded. A total of 1406 patients applied to the center between January 1, 2020 and December 31, 2020. Hospitalization was indicated according to the burn treatment algorithm in 313 patients (22.3%) who applied to the center. According to burn etiologies, the most common burns were scalding burns (48.3%) and the second most frequent was flame burns (14%). While the mean TBSA of hospitalized patients was 12.6%, the overall mean TBSA was 5.03%. While mortality developed in 16 (1.2%) of 1404 patients included in the study, mortality occurred in 13 (22%) patients with a TBSA of 30% or more. A statistically significant correlation was found between a TBSA of 30% and above and mortality (p

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