Karaçetin Gül, Demir Türkay, Baghaki Semih, Cetinkale Oğuz, Elagöz Yüksel Mine
Department of Child and Adolescent Psychiatry, Bakırköy Training and Research Hospital For Psychiatry, Neurology and Neurosurgery, İstanbul, Turkey.
Department of Child and Adolescent Psychiatry, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2014 May;20(3):176-80. doi: 10.5505/tjtes.2014.49033.
The aim of this study was to assess psychiatric disorders and their association with burn-related factors in a population of Turkish children with burns.
Thirty-one children admitted to the Cerrahpasa Medical Faculty Burn Unit between January 2013 and August 2013 were first assessed by the plastic surgeon, and then those with psychological symptoms were referred to a child psychiatrist, and the records were analyzed retrospectively.
The percentage of burned area to Total Body Surface Area (TBSA) ranged between 2-60% (mean, 17.3%). Nineteen patients (61.3%) had a psychiatric diagnosis, which included acute stress disorder (ASD) (n=15), depression (n=3), posttraumatic stress disorder (n=2, comorbid with depression), and delirium (n=1). The percentage of burned area to TBSA was associated with the presence of psychopathology and ASD. Further, psychopathology was associated with the number of burned major body regions.
Pediatric burn patients are at risk of developing psychopathology. The children with a greater percentage of burned area to TBSA and more burned body regions have the greatest risk of psychopathology. Surgeons have an important role in patient referral for psychiatric interventions, so that psychiatric disorders can be prevented as early as possible.
本研究旨在评估土耳其烧伤儿童人群中的精神障碍及其与烧伤相关因素的关联。
2013年1月至2013年8月期间入住切拉赫帕夏医学院烧伤科的31名儿童首先由整形外科医生进行评估，然后将有心理症状的儿童转介给儿童精神科医生，并对记录进行回顾性分析。
烧伤面积占体表面积（TBSA）的百分比在2%-60%之间（平均为17.3%）。19名患者（61.3%）有精神科诊断，其中包括急性应激障碍（ASD）（n=15）、抑郁症（n=3）、创伤后应激障碍（n=2，合并抑郁症）和谵妄（n=1）。烧伤面积占TBSA的百分比与精神病理学和ASD的存在相关。此外，精神病理学与烧伤的主要身体部位数量相关。
儿科烧伤患者有发生精神病理学的风险。烧伤面积占TBSA百分比更高且烧伤身体部位更多的儿童发生精神病理学的风险最大。外科医生在将患者转介进行精神科干预方面发挥着重要作用，以便尽早预防精神障碍。
