Yanık Merkezinde Takibi Yapılan Pediatrik Olguların Değerlendirilmesi

Amaç: Yanık yaralanmaları, küçük çocuklarda, istem dışı ölümlerin en önemli nedenleri arasında yer almaktadır. Pediatrik yanıkların çoğu ciddi klinik sorunlara yol açmamakla birlikte, ciddi yanıklarda benzer yanıklara sahip erişkin yaş grubu olgulara göre göre daha yüksek mortaliteye sahiptir. Bu çalışmada, Eskişehir Şehir Hastanesi Yanık Merkezi'nde yatan çocuk yanık hastalarının klinik özelliklerini tartışmayı amaçladık. Gereç ve Yöntemler: Eskişehir Şehir Hastanesi Yanık Merkezinde Ağustos 2023 tarihinden itibaren takip edilen 0 ile 18 yaş arasındaki pediatrik hastalar retrospektif olarak değerlendirildi. Hastalar yaş, cinsiyet, kronik hastalık varlığı, parenteral tedavi oranları, yanık tipleri, toplam vücut yüzey alanı ve yanıktan etkilenen alana göre sınıflandırıldı. Bulgular: En sık yanık türü %89,5 (n= 246) ile haşlanma yanığı idi. Yanık türlerine göre özellikle haşlanma ve alev yanıklarında elektrik yanıklarına göre yatış süresinin daha uzun olduğu saptandı. Yanık yüzdesi ile yoğun bakım yatış süresi ve hastane yatış süresi arasında anlamlı ilişki saptanırken (p=0,001), yanık yüzdesi arttıkça operasyon sayısının da artış gösterdiği belirlendi (p=0,072). Sonuç: Yanık maruziyeti en çok 0-24 ay arası çocuklarda görülmektedir. Yanıklar pediatrik olgularda daha ciddi sonuçlara yol açabilmektedir. Çocuk hastalarda yanık tiplerine ve yaş gruplarına göre bakıldığında ailelerin bilinçlendirilmesi ve önlem alınması ile bu yaş grubundaki yanık vakalarının azaltılabileceğini düşünmekteyiz.

Anahtar Kelimeler:

Yanık, Pediatrik, Yanık türleri, Haşlanma Yanığı

Evaluation of Pediatric Cases Followed in Burn Center

Objective: Burn injuries are among the most important causes of unintentional death in young children. Although most pediatric burns do not cause serious clinical problems, severe burns have a higher mortality rate than adult patients with similar burns. In this study, we aimed to discuss the clinical features of pediatric burn patients hospitalized in the Burn Center of Eskisehir City Hospital. Materials and Methods: Pediatric patients between 0 and 18 years of age were followed up since August 2023 and were evaluated retrospectively. Patients were evaluated according to age, gender, presence of chronic diseases, parenteral treatment rates, types of burns, total body surface area and the area affected by the burn. Results: The most common burn type was scald burn with 89.5% (n=246). According to the types of burns, especially scalding and flame burns were found to have a longer hospitalization period than electrical burns. While there was a significant correlation between the percentage of burns and the duration of intensive care unit stay and hospitalization (p=0.001), the number of operations increased as the percentage of burns increased (p=0.072). Conclusion: Exposure to burns was mostly observed in children aged 0-24 months. Burns may cause more serious consequences in pediatric cases. By looking at the types of burns in pediatric patients according to age groups, we think that burn cases in this age group can be reduced by raising awareness of families and taking precautions.

Keywords:

Burn, Pediatric, Types of burns, Scald burn,

PDF

___

Gündüz M. Konya Bölgesinde Çocuk Yanıkları ve Özellikleri, Zeynep Kamil Tıp Bülteni 2017;48:80-3.
Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Menagement. Clin Plas Surg 2017;44:603-10.
Gülhan B, Kanık Yüksek S, Hayran M, Parlakay Özkaya AN, Güney D, Akın Kağızmanlı G, et al. Infections in Pediatric Burn Patients: An Analysis of One Hundred Eighty-One Patients. Surg Infect (Larchmt) 2020;21:357-62.
Al-Hajj S, Pike I, Oneissi A, Zheng A, Abu-Sittah G. Pediatric Burns Among Refugee Communities in Lebanon: Evidence to Inform Policies and Programs. J Burn Care Res 2019;40:769-75.
Öztorun Cİ, Demir S, Azılı MN, Şenaylı A, Livanelioğlu Z, Şenel E. The outcomes of becoming a pediatric burn center in Turkey. Ulus Travma Acil Cerrahi Derg 2016;22:34-9.
Aliosmanoğlu Ç, Aliosmanoğlu İ, Kapan M, Böyük A ve Önder A. Yanık yoğun bakımda elektrik çarpması nedeniyle izlenen çocukların takip ve tedavi sonuçları. Dicle Tıp Dergisi 2011;38:170-3.
Goldstein B, Giroir B, Randolph A; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: Definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med 2005;6:2–8.
Weed RO, Berens DE. Basics of burn injury: implications for case management and life care planning. Lippincotts Case Manag 2005;10:22-9.
Senel E, Yasti AC, Reis E, Doganay M, Karacan CD, Kama NA. Effects on mortality of changing trends in the management of burned children in Turkey: eight years’ experience. Burns 2009;35:372-7.
Kaya ZI, Bilgin C, Ermis SS, Bilgin T, Bildirici Y, Kaya BY. According to the Burn Type of the Patients Followed in the Burn Intensive Care Unit Ast, Alt and Cpk Levels and Treatment Process. Eskisehir Med J2023;4:134-9.
Soleimani T, Evans TA, Sood R, Hartman BC, Hadad I, Tholpady SS. Pediatric burns: Kids’ Inpatient Database vs the National Burn Repository. J Surg Res 2016;201:455-63.
Moehrlen T, Szucs T, Landolt MA, Meuli M, Schiestl C, Moehrlen U. Trauma mechanisms and injury patterns in pediatric burn patients. Burns 2018;44:326-34.
Kazanasmaz O, Dinç N. Clinical Evaluation of Pediatric Age Group Patients Followed in Burn Unit. J Harran Univ Med Fac 2019;16:535-9.
Ciftçi I, Arslan K, Altunbaş Z, Kara F, Yilmaz H. Epidemiologic evaluation of patients with major burns and recommendations for burn prevention. Ulus Travma Acil Cerrahi Derg 2012;18:105-10.
Arslan H, Kul B, Derebaşınlıoğlu H and Çetinkale Oğuz. Epidemiology of pediatric burn injuries in Istanbul, Turkey. Ulus Travma Acil Cerrahi Derg 2013;19:123-6.
Anlatici R, Ozerdem OR, Dalay C, Kesiktaş E, Acartürk S, Seydaoğlu G. A retrospective analysis of 1083 Turkish patients with serious burns. Burns 2002;28:231-7.
Sakallioğlu AE, Başaran O, Tarim A, Türk E, Kut A, Haberal M. Burns in Turkish children and adolescents: nine years of experience. Burns 2007;33:46-51.
Kut A, Basaran O, Noyan T, Arda IS, Akgün HS, Haberal M. Epidemiologicc analysis of patients with burns presenting to the burn units of a University Hospital Network in Turkey. J Burn Care Res 2006;27:161-9.
Türegün M, Sengezer M, Selmanpakoglu N, Celiköz B, Nişanci M. The last 10 years in a burn centre in Ankara, Turkey: an analysis of 5264 cases. Burns 1997;23:584-90.
Thombs BD, Singh VA, Milner SM. Children under 4 years are at greater risk of mortality following acute burn injury: evidence from a national sample of 12,902 pediatric admissions. Shock 2006;26:348-52.
Vural F and Özer Özlü NG. Recommendations of The Current Guidelines for Burn Care. J Educ Res Nurs 2020;17:187-93.
İnce T, Yalçın SS ve Yurdakök K. Çocukluk çağında ciddi kaza sıklığı ve risk faktörleri. Çocuk Sağlığı ve Hastalıkları Dergisi 2014;57:173-82
Ghorbel I, Bouaziz F, Loukil K, Moalla S, Gassara M, Ennouri K. Epidemiological profile of burns in children in central and southern Tunisia: A 67-case series. Arch Pediatr 2019;26:158-60.
Tegtmeyer LC, Herrnstadt GR, Maier SL, Thamm OC, Klinke M, Reinshagen K, et al. Retrospective analysis on thermal injuries in childrenDemographic, etiological and clinical data of German and Austrian pediatric hospitals 2006-2015-Approaching the new German burn registry. Burns 2018;44:150-7.
Li H, Wang S, Tan J, Zhou J, Wu J, Luo G. Epidemiology of pediatric burns in southwest China from 2011 to 2015. Burns 2017;43:1306- 17.
Düzgün AP, Senel E, Ozmen MM, Kuluçoğlu H, Işik Y,Coşkun F. The evaluation of the patients admitted to a burn center in Turkey. Ulus Travma Acil Cerrahi Derg 2003;9:250-6.
Kobayashi K, Ikeda H, Higuchi R, Nozaki M, Yamamoto Y, Urabe M, et al. Epidemiological and outcome characteristic of major burns in Tokyo. Burns 2005; 31 Suppl 1:3-11
Akerlund E, Huss FR, Sjöberg F. Burns in Sweden: an analysis of 24,538 cases during the period 1987-2004. Burns 2007;33:31-6.2007;33:31-6.
Aldemir M, Kara IH, Girgin S, Güloğlu C. Factors affecting mortality and epidemiological data in patients hospitalised with burns in Diyarbakir, Turkey. S Afr J Surg 2005;43:159-62.
Thombs BD, Singh VA, Milner Sm. Children under 4 years are at greater risk of mortality following acute burn injury: evidence from a natinal sample of 12,902 pediatric admissions. Shock 2006;26:348-52.