Amaç:Yanık komplike bir travmadır. Yanık hastalarında başlıca ölüm nedenleri çoklu organ yetmezliği ve enfeksiyondur. Ölümün ana belirleyicileri, kardiyovasküler, renal ve solunum sistemi, yanık derecesi, yaş ve erkek cinsiyettir. Çalışmamızda, elektrik yanığı ve diğer yanıklara bağlı yaralanması olan hastaları karşılaştırdık. İki grup arasındaki kardiyak açıdan farklılıkları ve komplikasyonları özetlemeyi amaçladık. Gereç ve Yöntemler:05 Eylül 2011 ve 17 Ekim 2020 tarihleri arasında Başkent Üniversitesi Tıp Fakültesi'nde arasında kaydedilen elektrik yaralanması ve diğer yanık olan hastaların retrospektif bir incelemesi yapıldı. Çeşitli demografik ve klinik faktörleri inceledik. Yanık sonrası kardiyak komplikasyonlar yaygındı. Aritmi ilgili faktörler, tek değişkenli analiz ve ardından ikili lojistik regresyon analizi kullanılarak belirlendi. Bu çalışma Başkent Üniversitesi Tıp ve Sağlık Bilimleri Araştırma Kurulu tarafından 09/02/2021 de onaylanmış (Proje no KA21/54) ve Başkent Üniversitesi Araştırma Fonunca desteklenmiştir. Bulgular:Çalışmamıza ortalama 52,7 ± 19,5 yaşlarında 49 hastayı dahil ettik. 49 hastanın 31’i (%63,3) diğer yanıklar ve 18’i (%36,7) elektrik yanığı nedeni ile yaralanmaları mevcuttu. 36’sında (%73,5), yaralanmalarından sonraki 24 saat içinde kaydedilen 12 derivasyonlu bir elektrokardiyogram (EKG) vardı. Bu hastaların hepsi de yaralanmadan sonra en az 24 saat sonra kardiyak monitörde izlendi. 6 hastada (%12,2) diğer yanıklar yaralanmalarından sonra atriyal fibrilasyon, 1 hastada (%2,0) supraventriküler taşikardi gelişti. Elektirik yanığı olmayan hastalarda kalp komplikasyonları daha yaygındı. Sonuç:Çalışmamızda, diğer yanıklara bağlı yaralanmalar sonrasında gelişen kardiyak aritmik komplikasyonların, elektrik yanığı ile olan yaralanmalara göre daha sık olduğunu saptadık. Ayrıca, hastanede kalış sırasında kaydedilen EKG’si normal olan hastalarda kardiyak komplikasyon olma olasılığının düşük olduğunu gözlemledik.
The burning is a complicated trauma. The main causes of death in burning patients are multiple organ insufficiency and infection. The main determinants of death are the cardiovascular, renal and respiratory system, burning rate, age and male sex. In our study, we compared patients with electrical burns and other wounds associated with burns. We aimed at summarizing the cardiovascular differences and complications between the two groups. Tools and Methods: A retrospective examination of patients with electrical injury and other burns recorded between September 2011 and October 17, 2020 at the University of Capital Medical School was carried out. We have studied a variety of demographic and clinical factors. Heart complications after burning were common. Arithmia was determined by using related factors, one-variable analysis and then dual logistical regression analysis. This study was approved by the Medical and Health Sciences Research Board of the Capital University on 09/02/2021 (Proje no KA21/54) and was supported by the Capital University Research Fund. Results:We included an average of 52.7 ± 19.5 patients in our study. 31 of the 49 patients (63.3%) were injured by other burns and 18 (36.7%) were injured by electrical burns. In 36 (73.5%) there was a 12 derivative electrocardiogram (ECG) recorded within 24 hours after the injuries. All of these patients were monitored at the heart monitor at least 24 hours after the injury. In 6 patients (12.2%), after other burns injury, atrial fibrilation developed, in 1 patient (2.0%) supraventricular tachycardia. In patients with no electrical burning, heart complications were more common. Result:In our study, we found that heart-arithmic complications that develop after other burns related injury are more frequent than injury with electrical burns. We also observed that ECG recorded during hospital stay was low in patients with normal heart complications.
Aim:Burn is a complicated trauma. The main determinants of death are cardiovascular, renal, and/or respiratory system failure, increase of burn degree, age and male gender. We compared patients with injuries due to electrical burns with other burn causes. We aimed to summarize the cardiac differences and complications between the two groups. Materials and Methods:We compared patients with burns due to electrical injuries with burns caused by all other reasons. Arrhythmia related factors were evaluated using univariate analysis followed by binary logistic regression analysis. This study was approved by Başkent University Medical and Health Sciences Research Board on 09/02/2021 (Project no KA21 / 54) and supported by Başkent University Research Fund. Results:We included 49 patients with an average age of 52.7 ± 19.5 years. 31 patients (63.3%) had injuries due to other burn causes and 18 (36.7%) due to electrical burns. 36 (73.5%) patients had an electrocardiogram (ECG) with 12 derivations recorded within 24 hours of the injury. All of them were monitored on a cardiac monitor at least 24 hours after injury. 6 patients (12.2%) developed atrial fibrillation after other burns injuries, and supraventricular tachycardia developed in 1 patient (2.0%). Cardiac complications were more common in patients non electrical burns. Conclusion: In our study, we found that cardiac arrhythmic complications occurring after injuries due to other burns were more common than those with electrical burns. We also observed that the possibility of cardiac complications is low in patients with normal ECG recorded during the hospital stay.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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