背景:由于各种潜在因素,成年人的烧伤可能很复杂。在烧伤后患者伤口愈合和预后复杂化的所有合并症中,糖尿病在印度是最常见的。因此,我们旨在探索流行病学,干预措施,并发症,糖尿病患者烧伤的结局。
目的:分析人口统计学特征,糖尿病烧伤患者与非糖尿病烧伤患者的临床和微生物学特征及转归比较。
方法:本研究是对Apollo专科诊所收治的糖尿病和非糖尿病烧伤患者的回顾性分析,Vanagaram,在钦奈的三级护理机构,为期3年。年龄等数据,性别,烧伤的类型和程度,烧伤百分比和住院时间,死亡率,感染率,感染类型,外科手术,并与非糖尿病烧伤患者进行内科并发症分析。
结果:在我院3年收治的94例烧伤患者中,糖尿病患者18例(19%),非糖尿病患者76例(81%)。糖尿病患者的平均年龄为58.2岁(SD-17.1),非糖尿病患者的平均年龄为36.3岁(SD-16.4)。在50%的糖尿病患者和48.7%的非糖尿病患者中进行了裂开皮肤移植的手术干预。糖尿病患者的平均住院时间为12.6天,非糖尿病患者为16.2天(p值:0.334)。糖尿病烧伤患者的感染率较高(67%vs61.8%,p值:0.803)和死亡率(44%vs35.5%,p值:0.482)。
结论:糖尿病和非糖尿病烧伤患者的临床病程不同。尽管住院时间和手术干预没有显着差异,糖尿病作为合并症似乎会增加烧伤患者的感染风险和死亡率.
■VadalaR,公主I,埃比尼泽R,RamakrishnanN,印度人群中糖尿病患者的KrishnanG.Burns:与其他人群不同吗?印度JCritCareMed2020;24(1):11-16。
BACKGROUND: Burn injuries in adults can be complicated due to various underlying factors. Of all the co-morbidities complicating wound healing and prognosis of the patient post burn injury, diabetes mellitus is the most common in India. We therefore aimed to explore the epidemiology, interventions, complications, and outcomes in diabetic patients with burn injury.
OBJECTIVE: To analyze demographic characteristics, clinical and microbiological profile and outcome of diabetic burns patients in comparison with nondiabetic burns patients.
METHODS: This study was a retrospective analysis of diabetic and nondiabetic burns patients admitted to Apollo speciality clinics, Vanagaram, a tertiary care facility in Chennai over a period of 3 years. Data such as age, gender, type and degree of burns, percentage of burns and length of stay, mortality rate, infection rate, type of infections, surgical procedures, and medical complications were analyzed in comparison with nondiabetic burns patients.
RESULTS: Among ninety-four burns patients admitted to our hospital over a period of 3 years, 18 patients (19%) were diabetics and 76 patients (81%) were nondiabetics. Mean age of diabetics was 58.2 years (SD-17.1) and nondiabetics was 36.3 years (SD-16.4). Surgical intervention with split skin graft was performed in 50% of diabetics and 48.7% of nondiabetics. Average length of stay of diabetics was 12.6 days and nondiabetics was 16.2 days (p value: 0.334). Diabetic patients with burns were noted to have higher rate of infection (67% vs 61.8%, p value: 0.803) and mortality (44% vs 35.5%, p value: 0.482).
CONCLUSIONS: The clinical course is different between diabetic and nondiabetic patients with burns injury. Although length of stay and surgical interventions were not significantly different, diabetes as a comorbidity appears to increase the risk of infections and mortality in patients with burns.
UNASSIGNED: Vadala R, Princess I, Ebenezer R, Ramakrishnan N, Krishnan G. Burns in Diabetes Mellitus Patients among Indian Population: Does it Differ from the Rest? Indian J Crit Care Med 2020;24(1):11-16.