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季节对烧伤机制的影响。

Seasonal effects on the mechanisms of burn injuries.

作者信息

Çomçalı Bülent, Ceylan Cengiz, Altun Özdemir Buket, Ocaklı Serhat, Pehlevan Özel Hikmet, Çınar Yastı Ahmet

机构信息

Clinic of General Surgery, Ankara City Hospital, Ankara, Turkey.

Clinic of General Surgery, Bingöl State Hospital, Bingöl, Turkey.

出版信息

Turk J Surg. 2022 Mar 28;38(1):5-10. doi: 10.47717/turkjsurg.2022.5377. eCollection 2022 Mar.

Abstract

OBJECTIVES

This study aimed to evaluate seasonal effects on the mechanisms of burn injuries in patients requiring hospitalization.

MATERIAL AND METHODS

A retrospective evaluation was made using the information of 419 hospitalized burns patients, including demographic data, degree and percentage of burn injury, cause and mechanism of burn injury, morbidity and mortality. Burn mechanisms were grouped as thermal burns (flame, boiling liquid, contact), chemical burns and electrical burns. When calculating the percentage of body surface area burned, the rule of nines was applied. Seasonal classification was made appropriate to the northern hemisphere.

RESULTS

According to the seasons, the most burns were seen in spring months (n= 130, 31.0%). In the examination of the mechanism of burn injury, the most common type of injury was boiling liquid in 159 patients followed by flame injury in 146 patients. There was an increase in electrical and chemical burns in spring and summer. A statistically significant difference was determined between the types of burns according to the seasons (p= 0.024). The burn injury occurred as a result of a workplace accident in 82 cases, the majority of which were in autumn, and summer, and the difference in the seasons was determined to be statistically significant (p= 0.045). There was a statistically significant increase in the exposure of individuals aged >65 years to boiling liquid burns in winter and summer months (p= 0.014).

CONCLUSION

The results of this study showed a seasonal effect on the types of burn injuries. A higher rate of thermal burns was expected to be found in winter, but this was not the case in patients with indications for hospitalization, as chemical and electrical burns in workplace accidents were seen more frequently in warmer seasons of spring and summer. In this context, burns units should be prepared for patient profiles to vary according to the season.

摘要

目的

本研究旨在评估季节对需要住院治疗的烧伤患者损伤机制的影响。

材料与方法

采用419例住院烧伤患者的信息进行回顾性评估,包括人口统计学数据、烧伤程度和百分比、烧伤原因和机制、发病率和死亡率。烧伤机制分为热烧伤(火焰、沸液、接触)、化学烧伤和电烧伤。计算烧伤体表面积百分比时采用九分法。季节分类适用于北半球。

结果

按季节划分,春季烧伤患者最多(n = 130,31.0%)。在烧伤损伤机制检查中,最常见的损伤类型是159例患者的沸液烧伤,其次是146例患者的火焰烧伤。春季和夏季电烧伤和化学烧伤有所增加。根据季节确定烧伤类型之间存在统计学显著差异(p = 0.024)。82例烧伤损伤是由工作场所事故导致的,其中大多数发生在秋季和夏季,季节差异具有统计学显著性(p = 0.045)。65岁以上个体在冬季和夏季遭受沸液烧伤的暴露率有统计学显著增加(p = 0.014)。

结论

本研究结果显示烧伤损伤类型存在季节效应。预计冬季热烧伤发生率较高,但对于有住院指征的患者并非如此,因为工作场所事故中的化学烧伤和电烧伤在春季和夏季等温暖季节更为常见。在这种情况下,烧伤科应根据季节为不同的患者情况做好准备。

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