Evaluation of elderly patients treated at burn intensive care unit
Bildiriler > Özet Bildiri · 2020
Yazarlar: Tuba KUVVET YOLDAŞ, Alev ATALAY, İlkin ÇANKAYALI, Kubilay DEMİRAĞ, Mehmet UYAR
2nd Internatonal Medcal Congress of Izmr Democracy Unversty, Türkiye, İzmir, Uluslararası, Sözlü Sunum, Özet Bildiri, 2020-2020, ss 684-684
Özet
<p>Tuba Kuvvet Yoldaş, Alev Atalay, İlkin Çankayalı, Kubilay Demirağ, Mehmet Uyar</p><p><br></p><p>INTRODUCTION: In the last century, advances in medical care and longevity have resulting in an</p><p>increase in the elderly population. In parallel with the eldery population, burn injury seen in old people</p><p>have been increasing. Burn injury; causes more serious injuries and high level of mortality in people</p><p>aged ≥65 years compared to the general population. Reduction in sensory/cognitive functions, slowing</p><p>reflexes, limited movements and which are due to physiology of elderly people increase the burn</p><p>incidence and the severity of burn. We retrospectively analyzed hospital stay, mortality and morbidity of</p><p>6 patients over 65 years of age, who followed up in 2018-2019 at Ege University Burn Intensive Care</p><p>Unit.</p><p>CASE: Six of the 50 patients we followed up at the burn intensive care unit in 2018-2019 were over the</p><p>age of 65. Admission criteria of burn intensive care are TBSA(Total body surface area) ≥ 20%, inhalation</p><p>injury, any electrical contact or chemical injury; elderly patients with burns; or burns to vital areas-face,</p><p>hands, feet or perineum. The means age of 6 patients was 71 years old(66-80). 4 patients were male,</p><p>2 patients were female. Burn causes were scald and flame in this patients. Patient’s percentages of the</p><p>burn damages between 6% and 90%(mean %29,6). 2 patients were TBSA<20%, 4 patients were</p><p>TBSA≥20%.Two patients had inhalation injury. The APACHE II mean score was 17.5, and the ABSI</p><p>mean score was 8.5. The incidence of sepsis was 50%, the mean hospital stay was 19.3 days. The</p><p>survival rate was 33%. The patients who developed mortality had comorbid diseases, 2nd and 3rd</p><p>degree burns, inhalation injury and sepsis decreased the recovery rate. Table 1 contains summary of</p><p>the patients.</p><p>DISCUSSION/CONCLUSION: Significant progress has been made in the treatment of burns in recent</p><p>years, but the improvement of health outcomes in elderly adults with burn injuries is much lower than</p><p>that of young patients(1). Burn injuries are the 4th leading cause of death in elderly patients. Muhammed</p><p>et al.(2) reported the mortality rate as 54.2% in 48 burn patients over the age of 60. Even if TBSA <20%,</p><p>inhalation damage increases mortality rates. Mabrouk et al. (3) reported the mortality rate as 70.9% in</p><p>patients with DM and CAD. Elderly patients have a weaker immune system post-burn infections. The</p><p>presence of comorbid diseases, deep and wide burn areas, inhalation damage and the addition of</p><p>infection increase mortality rates(4). In this patients who with comorbidities, TBSA 20%, inhalation injury</p><p>and sepsis resulted in mortality. Geriatric burn damage; is a trauma and it can be prevented. The best</p><p>way to avoid mortality caused by burn injury at geriatric patients is to avoid burns.</p><p>Keywords: Burn injury,Elderly, Mortality</p>