دوشنبه 1 آبان 1396
به پورتال جامع کنگره ها - سمینارها و همایشهای دانشگاه علوم پزشکی تبریز خوش آمدید
   October 23, 2017
   
   
     
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عنوان The Evaluation of Serum Level of Cardiac Troponin in Burned Patients
نویسندگان Payman Moharamzadeh, Farzad Rahmani, Kavous Shahsavarinia, Mahboub Pouraghaei, Shadi Rasouli*
چکیده Introduction: Burns and thermal wounds are one of the main important reasons for emergency department attendance. The prevalence of burn in our country is significantly higher than developed countries. In other words, approximately 90% of burn injuries occur in undeveloped countries (1,2) Burn is one of the important causes of mortality in the world and is the 4th most common type of trauma (3,4). A great number of patients suffer from debilitating effects of burn such as deformity and organ weakness which can also have serious physical and emotional impacts. Other life threatening conditions such as sepsis and shock are important causes of death. With early diagnosis and appropriate prevention of side effects of extensive thermal injuries, there has been a clear improvement in the prognosis of burn patients over the past recent decades. Methods and Materials: In this descriptive analysis study, patients with burn injuries leading to hospital admission in the burn unit of tabriz Sina hospital were selected. The sample size was 60 patients based on Cochrane formula calculation. Serum levels of CTnI was measured on the first day and 72 hours after admission and the vital signs and laboratory findings for every patient were documented in the prepared check lists. Results: from the 60 patients studied, 44 patients (73.3%) were male and 16 patients (26.7%) were female. The average age of the patients was 30.3 +\- 22.45. 50 patients were admitted to the ward and 7 patients were kept in ICU. 53 patients (87.3%) were discharged from the ward with good general condition and 3 patients (5%) were self discharged. 4 patients (6.7%) died in this study. Statistical analysis showed there was no significant correlation of the patient's age and the degree of burn with CTnI results at both measurement points. There was a significant correlation of the percentage of burn and patient's outcome with the CTnI results at both measurement points. Conclusions: From the results of this study, it can be concluded that the extent of burn in terms of percentage of the burnt surface of the body in proportion to the depth of burn (burn degree) cause greater simultaneous damage to the heart myocytes and can be considered as a more important determinant in the clinical judgement than the total severity of the inflicted trauma.
لغات کلیدی trauma, cardiac troponin, burned patients, emergency
 
     
     
 
 
     
     
 
 
     
     
 

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