Toplam yanık yüzey alanı yüzde otuz ve üzeri olan majör yanıklı hastalarda mortaliteye etkı eden faktörlerin retrospektif analizi
Retrospective analysis of factors which affecting mortality in major burn patients with total body burn surface area over %30
- Tez No: 428806
- Danışmanlar: PROF. DR. AHMET ÇINAR YASTI
- Tez Türü: Tıpta Uzmanlık
- Konular: Genel Cerrahi, General Surgery
- Anahtar Kelimeler: Major burns, prognostic factors, mortality
- Yıl: 2014
- Dil: Türkçe
- Üniversite: Sağlık Bakanlığı
- Enstitü: Ankara Numune Eğitim ve Araştırma Hastanesi
- Ana Bilim Dalı: Genel Cerrahi Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 57
Özet
Majör yanıklar yüksek morbidite ve mortalite ile seyreden, tüm yaş gruplarının risk altında olduğu bir travma türüdür. Bu çalışmadaki amacımız yanıklara bağlı gelişen yaralanmaları analiz etmek, mortalite oranlarını belirlemek, mortaliteyi etkileyen risk faktörlerini belirlemek ve yanık tedavisinde yol göstermektir. Bu çalışmada, üçüncü basamak bir sağlık kurumunun yanık tedavi merkezinde, yanık yüzey alanı %30 ve üzeri olan majör yanıklı hastalarda, mortaliteye etki eden faktörlerin araştırılması amaçlanmıştır.
Özet (Çeviri)
Aim: Major burn injury is a type of trauma that comes along with high morbidity and mortality rates and it could effect all age groups. The aim of this study is to analyze the injuries due to burn, determine the mortality rates, sort out the factors that has an effect on mortality and be a guide to burn treatment. In this thesis study, factors that effect mortality in major burns patients with over 30% burn of total body surface area (TBSA) who were treated in a burn treatment center of a third step hospital. Material Method: Medical records and follow-up notes of patients who were hospitalized in Ankara Numune Training and Research Hospital Burns Clinic between January 2008- December 2012 were evaluated retrospectively. Age, gender, co-morbidities, burn percentage, locality, type of burn, process of the burn, presence of inhalation injury, results of blood hemogram and biochemical tests, duration of hospital stay, type of surgical performed surgical procedures, presence of multi-trauma, need of ventilation support were selected for assessment to determine the factors that effect mortality. White blood cell count, hemoglobin count, platelet count, lactate dehydrogenase levels were examined thoroughly. In addition to this, calculated LDH levels at administration, at the middle time of the hospital stay and at the end of the hospital stay were studied. Findings: A total of 224 patients who have burn injury ≥30% TBSA were selected for evaluation within hospitalized burns patients in Ankara Numune Training and Research Hospital Burns Clinic between January 2008- December 2012. Demographic specialities of 224 patients were evaluated retrospectively. Of 224 patient, 81.7% were male and 18.4% were female. In mortality group 41.5% were male and 58.5% were female. Variables that were found to be significant after univariate analyzes (gender, age, age group, TBSA effected from burn, type of burn, presence of inhalation injury, process of the burn, time spent before administration to hospital, duration of hospital stay, presence of co-morbidity, diabetes mellitus, need of ventilation support, LDH values, leukocyte count, platelet count) were evaluated with multivariate analyzes end LDH value, age, duration of hospital stay, presence of inhalation injury, TBSA effected from burn and leukocytosis were found to be significantly associated with mortality. Result: Early realization of the factors effecting morbidity and mortility in patients and taking preventive measures, besides earlier detection and prevention of complications in long time ICU patients could reduce complication and mortality rates in major burn trauma patients. Another point of view to reduce the mortality due to major burn trauma is protection from burns. Intermediate and major burn patients should be treated in specialized centers.
Benzer Tezler
- Funport: An interactive public display that enhance the waiting experience at airport boarding lounges
Havalimanlarındaki bekleme deneyimini zenginleştirmek için etkileşimli kamusal ekran önerisi: Funport
CANDAN ERİM
Yüksek Lisans
İngilizce
2017
Mimarlıkİstanbul Teknik ÜniversitesiBilişim Ana Bilim Dalı
DOÇ. DR. YÜKSEL DEMİR
- Computation of aerodynamically generated sound for rod-airfoil wake interactions
Airfoil-silinidir etkileşiminde aerodinamik olarak üretilen sesin hesaplanması
ELİF YILDIRIM
Yüksek Lisans
İngilizce
2024
Havacılık ve Uzay Mühendisliğiİstanbul Teknik ÜniversitesiUçak ve Uzay Mühendisliği Ana Bilim Dalı
DOÇ. DR. BAHA ZAFER
- Effectiveness of self-mobilization versus kinesio-taping on the cervical region in electronic device users
Elektronik cihaz kullananlarda servikal bölge self-mobilizasyona karşi kinezio-bantlamanin etkinliği
SETH KWAME AGYENKWA
Yüksek Lisans
İngilizce
2023
Fizyoterapi ve Rehabilitasyonİstanbul Üniversitesi-CerrahpaşaFizyoterapi ve Rehabilitasyon Ana Bilim Dalı
DOÇ. DR. RÜSTEM MUSTAFAOĞLU
- Öteki olmak: 1989 Bulgaristan'dan Türkiye'ye yapılan göç üzerine sosyolojik bir araştırma
Being the other: A sociological research on migration which made from Bulgaria to Turkey in 1989
GÖNÜL ÇÖL GÜDER
Yüksek Lisans
Türkçe
2020
Sosyolojiİzmir Katip Çelebi ÜniversitesiSosyoloji Ana Bilim Dalı
PROF. DR. OSMAN KONUK
- Gayrimüslim azınlıklara göre Türkiyede vatandaşlık ve vatandaşlık eğitimi
Citizenship and citizenship education in Turkey for non-muslim minorities
ZAFER İBRAHİMOĞLU
Doktora
Türkçe
2014
Eğitim ve ÖğretimMarmara Üniversitesiİlköğretim Ana Bilim Dalı
PROF. DR. CEMİL ÖZTÜRK
DOÇ. DR. ALİ YILMAZ