Epidemiological features of burns in persons injured in the state of exploitation
Abstract
According to the results of a retrospective analysis of the medical documentation of 1699 patients, it was found that 19.0% of them received burns in a state of intoxication. The most vulnerable contingent are men aged 31–60 years, whose share (83,5%) was 5.1 times higher than the number of women (16.5%). The leading traumatic agent in 61,4% of cases was a flame, exceeding by 2,3 times the number of sober people affected by this factor (27.2%). Among those who received burns in a state of intoxication, there are 2,5 times more people with extensive wounds (33,9%) compared with other patients (13,5%), 1.9 times with deep wounds of grade IIIB (15,1% and 7,9% respectively) and 1,8 times – IV degree (29,6% and 15,9%), 5.6 times with thermoinhalation trauma (22,0% and 3,9%), which affected a greater number of hospitalizations directly to the intensive care and resuscitation chambers (58,3% and 12,6%). In patients injured in a drunken state, pneumonia (13,7% and 3,4%), septicemia (8,6% and 2,1%), bacteriuria (10,9% and 2,6%). The average duration of treatment in the department of commubustology by the value of the median was 13,6 days for persons with intoxication and less (11,7 days) for the remaining patients, incl. in the intensive care and reanimation rooms, respectively, 4,5 and 3,7 days.
About the Authors
O. N. PetrovskayaBelarus
M. I. Rimzha
Belarus
L. V. Zolotukhina
Belarus
References
1. Алексеев, А. А., Лавров, В. А. Актуальные вопросы организации и состояния медицинской помощи пострадавшим от ожогов в Российской Федерации / А. А. Алексеев, В. А. Лавров // Комбустиология [Электронный ресурс]. – 2018. – № 55. – Режим доступа: http:/www.burn.ru. – Дата доступа: 26.11.2017.
2. Смирнов, С. В., Спиридонова, Т. Г., Жирнова, Е. А. Нозокомиальная пневмония у обожжённых / С. В. Смирнов, Т. Г. Спиридонова, Е. А. Жирнова // Комбустиология [Электронный ресурс]. – 2017. – № 59–60. – Режим доступа: http://www.burn.ru. – Дата доступа: 26.11.2017.
3. Фаязов, А. Д., Камилов, У. Р., Ажиниязов, Р. С. Структура комбинированных и сочетанных поражений у обожжённых / А. Д. Фаязов, У. Р. Камилов, Р. С. Ажиниязов // Комбустиология [Электронный ресурс]. – 2014. – № 52– 53. – Режим доступа: http:/www.burn.ru. – Дата доступа: 26.11.2017.
4. Юнусова, Ю. Р., Шаповалов, С. Г, Сухопарова, Е. П. Эпидемиологическая характеристика и особенности пострадавших при пожарах в мегаполисе / Ю. Р. Юнусова, С. Г. Шаповалов, Е. П. Сухопарова // Комбустиология [Электронный ресурс]. – 2017. – № 59–60. – Режим доступа: http://www.burn.ru. – Дата доступа: 26.11.2017.
5. Alcohol involvement in burn, submersion, spinal cord, and brain injuries / D. T. Levy [et al.] // Med.Sci. Monit., 2004. – № 10 (1). – P. 17–24.
6. Drug and alcohol abuse in patients with acute burn injuries / J. B. Swenson [et al.] // Psychosomatics, 1991. – Summer 32 (3). – P. 287–293.
7. Van Niekerk, A. Demographic and circumstantial accounts of burn mortality in Cape Town, South Africa, 2001—2004. An observational register based study / A. Van Niekerk, R. Laubscher, L. Laflamme // BMC Publ. Hlth., 2009. – № 9. – P. 374.
8. Severe burn injury in Europe: a systematic review of the incidence, etiology, morbidity, and mortality / N. Brusselaers [et al.] // Crit. Care., 2010. – Vol. 14, № 5. – P. 188.
Review
For citations:
Petrovskaya O.N., Rimzha M.I., Zolotukhina L.V. Epidemiological features of burns in persons injured in the state of exploitation. Military Medicine. 2018;(3):66-71. (In Russ.)
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