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Öğe Epidemiologic evaluation of patients with major burns and recommendations for burn prevention(TURKISH ASSOC TRAUMA EMERGENCY SURGERY, 2012) Çiftçi, İlhan; Arslan, Kemal; Altunbaş, Zeynep; Kara, Fatih; Yılmaz, HüseyinBACKGROUND Burns are an important health problem in our country and in the world. In our study, we aimed to epidemiologically analyze the patients who were hospitalized in a burn unit that serves 3 million individuals in Central Anatolia. METHODS Records of 457 patients who had been hospitalized in the burn unit during the period 2008-2010 were analyzed retrospectively. Patients were assessed in terms of gender, age, burn area, burn depth, admission time to the health center, burn region, and factors causing burns. RESULTS Most (44.6%) of the patients were in the 0-5 age group. Burn surface area was detected as 11.6 +/- 8.5%. Patients had reached the health center in 252.8 +/- 892.5 minutes. While 82.7% of the patients had second degree burns, 17.3% had third degree burns. Most burns were on the extremities (39.6%). The most common burn agent was scalds with hot liquids (54.1%). CONCLUSION In our study, children in the 0-5 age group were found to be the most commonly affected group with respect to indoor burns. The basic contributing factor is that children spend more time in the house and are more active. Scalding burns may be prevented when greater care is taken when using hot liquids that may lead to indoor burns. Informing parents on this issue is of first priority.Öğe Little negligence leading to irreparable harm: Thinner burns(2017) Arslan, Kemal; Atay, Arif; Sekmenli, Tamer; Gunduz, Metin; Dogru, Osman; Ciftci, IlhanThe aim of the present study is to evaluate the epidemiology and outcome of paint thinner induced burn injuries at a local burn center. A retrospective analysis of 55 patient paint thinner thermal burn cases was conducted. Relevant patients’ data such as age, sex, etiologic factors, burn extent and localization, employed methods of treatment, hospitalization period, and results were evaluated in retrospect from patients’ records. 50 male and five female patients with a mean age of 26,78 years participated in the presented study. Kindling fire with paint thinner was the most frequent etiologic factor. Total body surface burn area was 22,5 % . The mean hospitalization period of the survivors was 24 days. Early excision and split-thickness sking grafting was applied in 22 patients. The remaining 26 patients were treated with topical agents. Total mortality was only 7 (12.7%). These patients had paint thinner induced burned body surfaces of 60 % with accompanying inhalation injuries. Paint thinner may cause catastrophic thermal injuries even with terminal outcomes and should therefore never used to kindle a fireÖğe The necessity of burn treatment units(2013) Arslan, Kemal; Çiftçi, İlhan; Doğru, Osman; Altuntaş, Zeynep; Atay, ArifBu çalışmanın amacı yeni kurulanKonya Eğitim ve Araştırma Hastanesi Yanık Ünitesine yatırılaran ilk 950 yanık hastasını tanımlamaktır. Yanık yaralanması teşhisiyle Ağustos 2008 ile Eylül 2011 tarihleri arasında ünitemize yatırılarak tedavi edilen hastalar çalışmaya alındı. Hastaların bilgileri retrospektif incelendi. Cinsiyet, yaş, etyoloji, derece, hastanede yatış süresi, uygu- lanan konservatif, cerrahi tedavi ve tedavi maliyetleri incelendi. Toplam 38 ayda 950 hasta tedavi edildi. Erkek / kadın oranı 1,64, ortalama yaş 30,5222,54 (range: 0-94) idi. En sık haşlama (%51,2) yanıkları ile karşılaşıldı. Elektrik yanıkları en fazla (%82.8) tam kat yanık nedeniydi. Yanık pansumanı ve yanık örtüleri ile tedavi edilenlerin oranı % 77,2 ve cerrahi tedavi uygulanan hastaların oranı ise % 22,8di. Hastane yatış gün sayısı ortalama 13,486,48 ve toplam vücut yüzey yanık alanı ortalama % 14,026,2 idi. Çalışma süresince mortalite % 2 ve son olarak tedavi maliyeti her hasta için 1.345 Türk Lirası idi. Gelişmekte olan ülkelerde yanık tedavi birimleri kurulmalıdır. Yanık tedavi birimi olmayan hastanelerde yanık hastaları Genel Cerrahi ve Plastik Cerrahi gibi diğer kliniklerde, yanık tedavisi için uygun olmayan şartlarda, yanık tedavisi için eğitim almamış personel tarafından tedavi edilmeye zorlanmaktadır. Yanık hastalarının çoğu yanık pansumanı ve gelişmiş yanık örtüleri ile tedavi edilebilmektedir. Son olarak yanık hastalarının tedavisi diğer hastalıklara göre oldukça pahalıdır.Öğe The necessity of burn treatment units [Yanık Tedavi Ünitelerinin Gereklili?i](TIP ARASTIRMALARI DERNEGI, 2013) Arslan, Kemal; Çiftçi, İlhan; Doğru, Osman; Altuntaş, Zeynep; Atay, ArifAim of study to identify, describe the patterns first 950 burn patients treated in Konya Education and Research Hospital Burn Unit. First consecutive 950 patients with burn injury hospitalized included in this study. The patient's records reviewed for this study. Patient's ratio male to female is 1.64. The mean age was 30.52±22.54 years; range was 0-94 years. Scald was the most frequent caused burn (51.2%). Electrical burns were the most common cause of full-thickness burns(%82.8). The patients 77.2% treated conservatively with burn dressing and them 22.8% treated surgically. The mean hospitalization time is 13.48±6.48 days and the mean burned TBSA 14.02±6.2%. The mortality rate was 2% for the study period and lastly cost of treatment burns injury Turkish Liras 1.345 per patient. Burn unit should be established in developing countries. Because the burn unit do not have in hospitals, burn patients are forced to be treated, other clinics and unsuitable conditions for burn wounds and the staff have not been received training in burn wounds and treatment of burn injury. The most of the burned patients can be treated with advanced burn dressing conservatively and lastly treatments of patients with burns injury are very expensive according to the treatments other diseases.
