Browsing by Author "Mohamed Samir Badawy"

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Geriatric Burns in Ain Shams University Burn Unit: A Comparative Epidemiological Study
(Başkent Üniversitesi, 2023-09) Amr Mabrouk; Mai Raafat Hammad; Adel Mabrouk; Mohamed Samir Badawy
ABSTRACT OBJECTIVES: In Egypt, the geriatric burn population faces unique challenges, and understanding the problem is crucial for effective management. Here, we examined the epidemiology and outcomes of geriatric patients presenting to the Ain Shams University burn unit, over a period from January 2019 to July 2022. MATERIALS AND METHODS: This prospective study investigated all patients older than 60 years of age who presented to the Ain Shams University Burn Unit from January 2019 to July 2022; we compared findings with our previous work published 20 years ago, in which we examined the same population from May 1995 to October 2001. The parameters investigated were patient characteristics/demographics, seasonal and day/hour variations in burn incidence, place of residence and site where burn injury occurred, type and extent of burns, treatment and hospital stay, and morbidity/mortality rates. RESULTS: Despite the number of geriatric patients presenting to our burn unit being higher, a lower percentage required admission. Early excision and grafting were performed with a higher frequency, which may be attributed to the fewer patients with chronic illnesses. There was a reduction in both morbidity and mortality. CONCLUSIONS: Substantial changes have been made in recent years in the approach to geriatric burns, including with prevention strategies and early intervention, which have led to a reduction in both morbidity and mortality among our patients. Multidisciplinary care, involving a team of health care professionals, including burn and plastic surgeons, geriatricians, and occupational therapists, is necessary to address the complex needs of this population.
Low- and High-Voltage Electrical Burns: 10 Years of Experience
(Başkent Üniversitesi, 2021-12) Amr Mabrouk; Mohamed Samir Badawy; Amira Hussein Sabry; Salah Naser
OBJECTIVES: Electrical burns are devastating, posing development of multiple injuries with high morbidity and mortality. Electrical burn management benefits from a multidisciplinary and multispecialty collaborative approach to improve outcomes. MATERIALS AND METHODS: This prospective study, conducted from January 2010 to December 2020, included 78 patients (75 male and 3 female patients) who presented with a history of electrical burns at the Ain Shams University Hospital (Cairo, Egypt). Patients were interviewed for personal details, cause of burn, percentage of burn, electrocardiogram changes, isolated microorganisms, treatments given, complications, average length of hospital stay, and outcomes, which were analyzed using descriptive statistics. RESULTS: Among the 78 patients, most ranged in age from 21 to 40 years, with ratio of patients with high-voltage versus low-voltage injury of 4.2:1. The most common region involved was the upper limb (88.2%); 29.3% of patients had associated traumatic injuries. Significant electrocardiogram changes were noticed in 25% of patients, and culture was positive for bacterial growth in 76.2% of patients (32/42). Most patients (73.1%) underwent surgery with an average of 2.63 surgeries per patients; 26.9% of patients underwent major/minor amputations. Length of stay ranged from 14 to 28 days. Overall morbidity rate and mortality rate were 2.1% and 2.4%, respectively. CONCLUSIONS: Electrical burns, which are mostly shown in young adult men, can impose a significant burden in developing countries. Electrical burns, especially those due to high voltage, involve multiple organs and have significant residual sequalae, which can benefit from multidisciplinary management. Public awareness and education and proper training of industry workers remain the best way to minimize the prevalence of electrical burns in the developing world.
Review of Pediatric Burn Injuries in Egypt
(Başkent Üniversitesi, 2021-12) Amr Mabrouk; Mohamed Samir Badawy; Amira Hussein Sabry; Salah Naser
OBJECTIVES: Most childhood burns can be avoided if proper preventive measures, public education, and continuing medical education are applied. These actions are especially important in general hospitals, which are the first lines of management to provide good burn care facilities as near to the place of injury as possible. Here, we described the first aid and initial management of patients at our center, which are still far from ideal and which could explain the high mortality rate. MATERIALS AND METHODS: This study included 507 acutely burned pediatric patients admitted to the Burn Unit of Ain Shams University (Cairo, Egypt) from January 1, 2008, to December 31, 2020. Our objective was to analyze risk factors and demographic and epidemiological features of patients in our area, which could be used to define preventive measures that can be implemented to minimize burns in children and provide better quality of patient care. RESULTS: Of 7450 patients with burns patients who presented to our unit during the study period, 2831 were children between 2 months and 14 years (representing 38.0% of the total number). There were 1678 total admissions for all age groups during this period, and 507 were children, representing 30.2% of total admissions. Male-to-female ratio was 1.38:1. Four age groups were distinguished, according to children’s main activities and behavior, with 130 children (25.5%) <1 year of age, 242 children (47.8%) from 2 to 3 years of age, 109 children (21.5%) from 4 to 7 years of age, and 26 children (5.3%) from 8 to 14 years of age. Average age was 4.09 years. The burns occurred predominantly during the winter. CONCLUSIONS: Our analysis showed that most pediatric burns were avoidable.