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   baseline characteristics and outcomes of patients with head and neck burn injuries; a crosssectional study of 2181 cases  
   
نویسنده haddadi soudabeh ,parvizi arman ,niknama reza ,nemati shadman ,farzan ramyar ,kazemnejad ehsan
منبع archives of academic emergency medicine - 2021 - دوره : 9 - شماره : 1 - صفحه:1 -6
چکیده    Introduction: despite recent progress in treatment of burn injuries, head and neck burn and its complications is still considered a challenge. this study aimed to evaluate the baseline characteristics and outcomes of patients with head and neck burn. methods: in this retrospective cross-sectional study, the medical profiles of patients with head and neck burn referring to a burn care center during 2 years were reviewed and analyzed regarding the baseline characteristics and outcomes of participants. results: 392 (17.97%) cases suffered from head and neck burns. the mean burn percentage of participants was 29.31 ± 24.78, and 126 (32.14%) cases required tracheal intubation. there was a direct correlation between length of hospital stay and the degree of burn (p < 0.001). the length of hospitalization for patients burned by electricity was longer than those burned by other mechanisms (p = 0.003). there was a significant correlation between degree of burn and abnormal laryngoscopy findings (p = 0.036), developing acute respiratory distress syndrome (ards) (p < 0.001) and pneumonia (p < 0.001), need for mechanical ventilation (p < 0.001), and mortality rate (p < 0.001). conclusion: based on the findings of the present study, the prevalence of head and neck burn injuries was about 18% and 32.14% of these cases required airway management. 19 (4.85%) cases developed ards, 41 (10.46%) developed pneumonia, and 50 (12.76%) cases died. there was a significant correlation between degree of burn and abnormal laryngoscopy findings, developing ards and pneumonia, need for mechanical ventilation, and mortality rate.
کلیدواژه burns; patient outcome assessment; intubation ,intratracheal; head; neck; respiration ,artificial
آدرس guilan university of medical sciences, anesthesiology research center, alzahra hospital, department of anesthesiology, iran, guilan university of medical sciences, anesthesiology research center, alzahra hospital, department of anesthesiology, iran, guilan university of medical sciences, iran, guilan university of medical sciences, otorhinolaryngology research center, amiralmomenin hospital, department of ent, iran, guilan university of medical sciences, velayat hospital, department of general surgery, iran, guilan university of medical sciences, otorhinolaryngology research center, amiralmomenin hospital, department of ent, iran
 
     
   
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