Ulus Travma Acil Cerrahi Derg. 2011; 17(4): 323-328 | DOI: 10.5505/tjtes.2011.18094

Tandýr ve tandýr dýþý yanýklarýn morbidite ve mortalitelerinin karþýlaþtýrýlmasý: Ýki merkez deneyimi

Yavuz Albayrak¹, Cumhur Cakir², Ayse Albayrak³, Belkiz Aylu^1
1Erzurum Bölge Eðitim Ve Araþtýrma Hastanesi, Genel Cerrahi Kliniði, Erzurum, Türkiye
²Van Devlet Hastanesi, Genel Cerrahi Kliniði, Van, Türkiye
³Erzurum Bölge Eðitim Ve Araþtýrma Hastanesi, Enfeksiyon Hastalýklarý Ve Klinik Mikrobiyoloji, Erzurum, Türkiye

AMAÇ
Ýki ayrý yanýk tedavi merkezinde tandýra düþme sonucu yanýk oluþan hastalarýn demografik özellikleri, enfeksiyon oranlarý ve mobidite oranlarý tedavi yöntemleri ile birlikte incelendi.
GEREÇ VE YÖNTEM
Bu çalýþmada yanýklý hastalarýn yaþ, cinsiyet, sosyoekonomik durum, toplam vücut yüzey yanýk oranlarý, yanýk bölgeleri, yanýk yaralarýndan izole edilen mikroorganizmalar, tedavi yöntemleri, hastanede kalma süreleri, hastalara uygulanan debridman ve greft operasyonlarý, ekstremite amputasyonlarý ile yanýk hastalarýnýn mortaliteleri araþtýrýldý.
BULGULAR
Bu iki merkezde tedavi edilen tandýr yanýklý hastalarýn ortalama hastanede kalma süresi 27,6±9,5 gün idi. Buna karþýn tandýr dýþý yanýklý hastalarýn ortalama hastanede kalma süresi ise 16,5±12,5 gün idi. Bu iki grup arasýnda hastanede kalma süreleri arasýnda anlamlý derecede farklýlýk saptandý (p<0,001). Benzer þekilde tandýr yanýklý hastalarýn toplam yanýk yüzey alan ortalamasý %17,4±12,3 iken tandýr dýþý yanýklý hastalarýn toplam yanýk yüzey alan ortalamasý %10,6±9,9 idi ve gruplar arasýndaki fark anlamlý idi (p<0,001).
SONUÇ
Bu çalýþma sýrasýnda tandýr yanýklarýnýn diðer yanýklardan daha derin yanýk oluþturduðunu ve hastanede kalma süresinin de diðer yanýk türlerinden daha uzun olduðu sonucuna ulaþtýk. Yine cerrahi giriþimlerin tandýr yanýklý hastalarda diðer yanýklý hastalara göre daha fazla yapýldýðýný tespit ettik.

Anahtar Kelimeler: Yanýk, debridman; ekstremite amputasyonu; greftleme; Pseudomonas aeruginosa; tandýr yanýðý.

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A comparison of the morbidity and mortality of tandir burns and non-tandir burns: experience in two centers

Yavuz Albayrak¹, Cumhur Cakir², Ayse Albayrak³, Belkiz Aylu^1
1Erzurum Region Education And Research Hospital, Department Of General Surgery, Erzurum, Turkey,
²Van State Hospital, Department Of General Surgery, Van, Turkey.
³Erzurum Region Education And Research Hospital, Infectious Diseases And Clinical Microbiology,erzurum, Turkey.

BACKGROUND
We examine herein the demographic characteristics, implemented treatment methods, infection rates, and morbidities of patients with tandir burns from two burn centers.
METHODS
In this study, gender, age, socioeconomic status, total body burn ratio, burn area, burn level, microorganisms isolated in burn wounds, implemented treatments, length of hospital stay, debridement and grafting operations, extremity amputations, and mortality among burn patients were investigated.
RESULTS
Tandir burn patients were treated in the hospital for an average of 27.6 ± 9.5 days, while non-tandir burn patients were treated for a period of 16.5 ± 12.5 days. A significant difference was found between the hospitalization periods of the two groups (p<0.001). Similarly, while the total burn surface area average of the tandir burn patients was 17.4% ± 12.3%, the total burn surface area average of the non-tandir burn patients was 10.6% ± 9.9%, and a significant difference was found between the two (p<0.001).
CONCLUSION
In our study, it was determined that tandir burns were deeper than other burns, and that hospitalization durations were longer than for other burn causes. Surgical intervention was also more prevalent among patients with tandir burn than among those with other burn causes.

Keywords: Burn, debridement; extremity amputation; grafting; Pseudomonas aeruginosa; tandir burn.

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ATIF KOPYALA