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응급실 화상환자의 역학적 요인에 대한 고찰: 추이변화와 예후에 미치는 영향을 중심으로

A Study on Epidemiological Factors of Burn Patients in Emergency Rooms

대한화상학회지 2020년 23권 2호 p.42 ~ 53
정성태, 하철민, 이형주, 정영윤,
소속 상세정보
정성태 ( Jung Sung-Tae ) - Hanil General Hospital Department of Emergency Medicine
하철민 ( Ha Chul-Min ) - Hanil General Hospital Department of Emergency Medicine
이형주 ( Lee Hyung-Ju ) - Hanil General Hospital Department of Emergency Medicine
정영윤 ( Jung Young-Yun ) - Hanil General Hospital Department of Emergency Medicine

Abstract


Purpose: It is important to consider both clinical factors and epidemiological factors in treating burn patients in emergency rooms. However, many emergency medical staffs happen to miss their chances of treating burns based on these considerations. This study is designed to find a better treatment for burn patients in emergency rooms along this approach.

Methods: This study was conducted based on the data of the burn patients visiting the emergency room of a single general hospital from January 2015 to December 2019. The epidemiological and clinical factors were extracted out of the data, then the relationship between the prognosis and these factors were analyzed.

Results: Most of burn accidents occurred at home, and were caused by hot water, soup, drinks, oil, etc. Especially, flame burns showed high hospitalization rate, surgical rate and mortality. In addition, their prognosis was poor when the affected area included facial, limb and perineal areas etc., or any inhalation burn co-existed. Also, the hospitalization rate and period increased when the treatment time was delayed or the pre-treatment was taken. There was a strong relationship between prognosis and the period of follow-up when patients were admitted during the period.

Conclusion: It is difficult for medical staffs to evaluate prognosis of burns in emergency rooms due to progressive damages. Precise treatment and disposition are essential for patients’ good prognosis. Therefore, medical staffs should establish treatment plans by identifying the patient’s epidemiological and clinical factors, rather than giving prescriptions based on fragmentary and superficial symptoms.

키워드

Burn; Epidemiology; Prevention; Prognosis

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