Mesh : Humans Female Bangladesh / epidemiology Male Adult Burns / epidemiology therapy complications Epilepsy / epidemiology etiology Prospective Studies Length of Stay / statistics & numerical data Tertiary Care Centers / statistics & numerical data Young Adult Middle Aged Adolescent

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Abstract:
Burns are very common and important injuries associated with epilepsy. Epileptics are afflicted with burns when they come in contact with fire or other burning agents while seizing, due to loss of consciousness. The aim of the study was to identify the causes of burn, pattern and characteristics of burn in patients with epilepsy, duration of hospital stay and pattern of treatment in these patients. This prospective observational study was conducted in the Department of Burn and Plastic Surgery, Mymensingh Medical College Hospital, Bangladesh from January 2022 to December 2023. Epileptics were found in 0.84% (n=19) of the total admission (2274) in Burn unit. Majority of the patients were females (84.2%) and the mean age was (31.42±1.32) years. Maximum patients were housewives (78.9%). Among 19 cases, 11 cases (57.89%) had history of irregularly taking antiepileptic drugs and 8 cases (42.11%) had no history of treatment for epilepsy. Two cases (10.53%) had history of previous burn injury. Flame burn was the major etiology (89.5%). Mean total burn surface area (TBSA) was (6.94±4.12%). Most patients had full thickness burns (63.2%). Regarding distribution of burn, maximum involvement was in upper limb i.e. 68.21% cases. Surgical treatment was needed in the majority of the patients (68.5%). Mean hospital stay of these patients was (5.36±2.26) weeks. Epilepsy patients whose seizures are inadequately controlled are at increased risks of injury, especially burn. For prevention of burn, epilepsy should be treated properly.
摘要:
烧伤是与癫痫有关的非常常见和重要的伤害。癫痫发作时与火或其他燃烧剂接触时会受到烧伤的折磨,由于失去意识。这项研究的目的是确定烧伤的原因,癫痫患者烧伤的模式和特点,这些患者的住院时间和治疗方式。这项前瞻性观察性研究是在烧伤整形外科进行的,Mymensingh医学院附属医院,孟加拉国从2022年1月到2023年12月。在烧伤单位的总入院(2274)中,有0.84%(n=19)的癫痫患者被发现。大多数患者为女性(84.2%),平均年龄为(31.42±1.32)岁。最多的患者是家庭主妇(78.9%)。在19个案例中,有不规则服用抗癫痫药物史11例(57.89%),无癫痫治疗史8例(42.11%)。2例(10.53%)有烧伤史。主要病因为火焰烧伤(89.5%)。平均总烧伤表面积(TBSA)为(6.94±4.12%)。大多数患者有全层烧伤(63.2%)。关于烧伤的分布,最大受累于上肢,占68.21%。大多数患者需要手术治疗(68.5%)。这些患者的平均住院时间为(5.36±2.26)周。癫痫发作控制不充分的癫痫患者受伤风险增加,尤其是烧伤。为了预防烧伤,癫痫应正确治疗。
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