Early period psychiatric disorders following burn trauma and the importance of surgical factors in the etiology

BACKGROUND
We aimed to assess early period psychiatric disorders following burn trauma.
METHODS
The files of 1369 patients who had burn trauma were analyzed retrospectively. Forty-five patients with the diagnosis of psychiatric disorder were assessed based on the variables of age, gender, presence of chronic diseases, psychiatric disorders prior to burn trauma, cause of the burn, burn percentage, degree of burn, additional trauma, number of surgeries, duration of hospitalization, extremity amputation, intubation status, psychiatric symptoms, post-trauma psychiatric disorders, and mortality.
RESULTS
Forty-five patients developed psychiatric disorder in the early period following burn trauma. Of the 45 patients, 7 (15.5%) were female and 38 (84.5%) were male. The mean age was 32±14.3 years, burn percentage was 40.09±20.69%, number of operations was 2.95±1.75, and the total duration of hospitalization was 51.57±38.62 days. Twelve (26.6%) patients had post-traumatic stress disorder (PTSD), 11 (24.4%) had delirium, 8 (17.7%) had anxiety disorder, 7 (15.5%) had depression, 1 (2.2%) had abstinence syndrome, 1 (2.2%) had schizoaffective disorder, 2 (4.4%) had PTSD and depression, 2 (4.4%) had PTSD and delirium, and 1 (2.2%) had PTSD and anxiety disorder.
CONCLUSION
Burn is a trauma that can be treated with a multidisciplinary approach.

Yanýk travmasý sonrasý erken dönemde görülen psikolojik bozukluklar ve etyolojide cerrahi faktörlerin yeri

AMAÇ
Yanýk travmasý sonrasýnda erken dönemde ortaya çýkan psikiyatrik bozukluklar deðerlendirildi.
GEREÇ VE YÖNTEM
Yanýk travmasýna maruz kalan 1369 hastanýn dosyasý geriye dönük olarak incelendi. Psikiyatrik bozukluk saptanan 45 hasta yaþ, cinsiyet, kronik hastalýk, yanýk öncesindeki psikiyatrik bozukluk, yanýk nedeni, yanýk yüzdesi, yanýk derecesi, ek travma, ameliyat sayýsý, hastanede kalýþ süresi, ekstremite amputasyonu, entübasyon durumu, psikiyatrik semptomlar, travma sonrasý psikiyatrik bozukluk ve mortalite açýsýndan deðerlendirildi.
BULGULAR
Yanýk travmasý sonrasý erken dönemde 45 hastada psikiyatrik bozukluk saptandý. Hastalarýn 7’si (%15,5) kadýn, 38’i (%84,5) erkekti. Ortalama yaþ 32±14,3 yýl, yanýk yüzdesi %40,09±20,69, geçirilmiþ ameliyat sayýsý 2,95±1,75, hastanede kalýþ süresi 51.57±38.62 gün idi. Hastalarýn 12’sinde (%26,6) post travmatik stres bozukluðu (PTSD), 11’inde (%24,4) deliryum, 8’inde (%17,7) anksiyete bozukluðu, 7’sinde (%15,5) depresyon, 1’inde (%2,2) yoksunluk sendromu, 1’inde (%2.2) þizoaffektif bozukluk, 2’sinde (%4,4) PTSD ve depresyon, 2’sinde (%4,4) PTSD ve deliryum ve 1’inde (%2.2) PTSD ve anksiyete bozukluðu görüldü.
SONUÇ
Yanýk multisipliner yaklaþýmla tedavi edilebilen bir travmadýr.