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. 2019 Dec 31;32(4):261-266.

Epidemiology of burn injuries: 2 years' experience in a specialized hospital in Mexico City

J A Garcia-Espinoza  1 , C I Navarro-Delgadillo  1 , A Costa-Dulché  1 , D Flores-Soto  1 , G Barrera-García  1 , C Márquez-Espriela  1
Affiliations

Epidemiology of burn injuries: 2 years' experience in a specialized hospital in Mexico City

J A Garcia-Espinoza et al. Ann Burns Fire Disasters. .

Abstract
in English, French

Burn lesions are one of the most devastating forms of trauma. Taking care of this type of lesion generates high costs and may lead to irreversible consequences that limit the daily activities of these patients. This is a two-year descriptive epidemiological study of burned patients treated in a specialized hospital in Mexico City. Data from 38 patients admitted to this hospital were analyzed. Population mean age was 41 years: a higher frequency of men aged 27 to 55 years were affected. The most common mechanism was direct flame, and upper and lower extremities were most frequently affected. Mean affected body surface area was 32.5%. A total of 63% required cutaneous grafting: it was observed that those grafted early (10.5 versus 41.8 days) spent fewer days in the ICU and a lower percentage of them contracted sepsis (62% versus 78%). Patients with Pseudomona aeruginosa had a longer hospital stay and underwent a greater number of surgeries for skin grafting. No difference was observed between graft integration percentages. Early grafting (<7 days) resulted in a shorter stay in the ICU and fewer overall total days in the hospital, as well as a lower rate of sepsis and admission to the ICU. The Pseudomona infection group had a longer hospital stay, greater number of surgical procedures for skin grafting and there was no difference in graft integration percentages.

Les brûlures font partie des traumatismes les plus dévastateurs, aux conséquences irréversibles pouvant laisser des handicaps définitifs. Le coût de leur prise en charge est élevé. Nous présentons une étude épidémiologique basée sur 38 patients hospitalisés en 2 ans dans un CTB de Mexico. La population la plus touchée est l’homme jeune (27 à 55 ans, moyenne 41). La brûlure est due à une flamme, touche 32,5% de la SCT, atteint préférentiellement les extrémités supérieure et inférieure. Une greffe est nécessaire dans 63% des cas. Les patients greffés précocement, aux alentours de J10 (J41,8 ailleurs), restent moins longtemps en réanimation comme dans le CTB et ont moins d’accidents septiques (62% VS 78%). La survenue d’une infection à Pseudomonas æruginosa entraîne un allongement de la durée de séjour et la nécessité de plus de séances de greffes, sans différence quant à leur intégration.

Keywords: burn injury; hospital stay; pseudomona; skin graft.

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Figures

Fig. 1
Fig. 1. Body surface affected
Fig. 2
Fig. 2. Burn injury depth
Table I
Table I. Comparison of hospital stay according to graft group
Table II
Table II. Comparison of skin graft groups according to sepsis, germs, cultures and ICU admission
Table III
Table III. Graft integration percentage according to skin harvest technique
Fig. 3
Fig. 3. Incidence according to germs reported in cultures at admission
Table IV
Table IV. Comparison of germ cultures
Fig. 4
Fig. 4. Body segment affected
Fig. 5
Fig. 5. Mixed burn injuries and their distribution
See this image and copyright information in PMC

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