Characteristics of admission and treatment of burn patients at Le Huu Trac National Burn Hospital in 2019

Doan Chi Thanh1,
1 Le Huu Trac National Burn Hospital

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Abstract

Introduction: This study aims to comment on some epidemiological and outcome characteristics of burned patients at Le Huu Trac National Burn Hospital in 2019.
Materials and methods: Retrospective, statistical and descriptive research based on 3007 medical records of burned patients from January 1, 2019, to December 31, 2019, at National Burn Hospital.
Results: The number of patients admitted to the hospital after burns mainly after 72 hours and 2 - 6 hours accounted for 32,36% and 31,89%. Burns due to boiling water accounted for 20,68%, fire 9,38%. 3,59% of patients suffered burns due to 2 or 3 agents, burns due to a combination of electric and sparks were the most with 56 cases (1.86%). Male/Female ratio = 2.20/1 (68.74%/31,26%). Patients come from rural areas more than urban areas (64.32% and 35.68%), patients with health insurance are mainly (85.93%). Patients come from many regions, of which patients from Hanoi account for a large number (29.89%). July had the highest number of patients admitted to the hospital (10.70%), the lowest in March with 222 patients. Patients with TBSA and DBSA<10% are mainly, respectively 54.60% and 36.22%. Upper extremities, lower extremities are the most common burn positions with 21.26% and 21.31%. 13.17% of patients had pathology, associated lesions, patients with respiratory burns accounted for the highest proportion with 68 cases (2.26%).
A large number of patients hospitalized for treatment without surgical intervention (58.13%). 71 cases had to amputate the limb, accounting for 2.36%. The main cause of limb amputation is high-voltage (78.87%). The number of patients leaving the hospital was 96.34%, the dying patients were 67 cases (2.23%). The number of hospitalized patients > 15 days accounts for 50.78%, the average number of hospitalized days is 12.56 ± 18.85. 06 patients were transferred to other hospitals.
Conclusion: Children's < 6 years old and people of working age are groups at risk, high rate of burns. It is necessary to widely propagate on the mass media so that people know measures to prevent burns and first aid after burns.

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References

1. Rybarczyk M. M., Schafer J. M., Elm C. M.. et al (2017) A systematic review of burn injuries in low-and middle-income countries: Epidemiology in the WHO-defined African Region. African journal of emergency medicine.7(1): 30-37.
2. Mashreky S. R., Rahman A., Chowdhury S.. et al (2008) Burn injury: economic and social impact on a family. Public Health.122(12): 1418-1424.
3. Ahachi C., Fadeyibi I., Chira M.. et al (2017) The socio-economic impact of burns in Lagos, Nigeria: a one-year prospective study. Annals of Burns and Fire Disasters.30(3): 205.
4. Kattan A. E., AlShomer F., Alhujayri A. K.. et al (2016) Current knowledge of burn injury first aid practices and applied traditional remedies: a nationwide survey. Burns & trauma.4(1): 37.
5. Wood F. M., Phillips M., Jovic T.. et al (2016) Water first aid is beneficial in humans post-burn: evidence from a bi-national cohort study. PloS one.11(1): e0147259.
6. Haberal M. (2006) Guidelines for dealing with disasters involving large numbers of extensive burns. Burns.32(8): 933-939.
7. Cheng W., Wang S., Shen C.. et al (2017) Epidemiology of Hospitalized Burns Patients in China: A Systematic Review. Burns Open.
8. Nguyễn Thống, Đặng Tất Thắng (2015), “Đánh giá thực trạng tai nạn bỏng trẻ em tại khoa bỏng bệnh viện Saint Paul Hà Nội trong 5 năm từ 2010 - 2014”. Y học thảm họa và Bỏng, 2/2015: 30-35.
9. Trần Đoàn Đạo (2015), “Tình hình điều trị bỏng và di chứng bỏng tại bệnh viện Chợ Rấy trong 3 năm 2012 - 2014”. Y học thảm họa và Bỏng.2/2015: 25-29.
10. Đặng Hoàng Nga (2002), “Nghiên cứu tình hình thu dung và điều trị bỏng ở tuyến bệnh viện tỉnh thuộc 4 tỉnh miền núi vùng Đông Bắc trong 4 năm 1998 - 2001”. Luận văn Thạc sĩ.
11. Đặng Hoàng Nga, Nguyễn Hải Yến, Nguyễn Thị Hạnh (2015), “Tình hình thu dung và điều trị bỏng tại bệnh viện đa khoa trung ương Thái Nguyên”. Y học thảm họa và Bỏng 2/2015: 54-60.
12. Ngô Minh Đức (2019), "Nghiên cứu một số đặc điểm thu dung, cấp cứu, điều trị quân nhân bị bỏng tại Viện bỏng quốc gia trong 10 năm (2008 - 2017)". Đề tài nghiên cứu khoa học cấp học viện.