Başkent Üniversitesi Makaleler

Permanent URI for this collectionhttps://hdl.handle.net/11727/13096

Browse

Filters

20222

Settings

search.filters.applied.f.language: search.filters.language.en_USSubject: search.filters.subject.Burn injuries

Search Results

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Electronic Protocol for Systematic Data Collection of Burn Patients: A Proposal to Standardize Burn Patient Data
    (Başkent Üniversitesi, 2022-09) Santiago J. Santelis; Gerardo Elem; Mehmet Haberal; Fortunato Benaim
    ABSTRACT OBJECTIVES: Burn patients usually present with a long medical history and require a prolonged management that makes the process of collecting and storing information complex and confusing. Electronic health records have been deployed to replace or supplement existing paper-based records and can improve the quality of health care. A system that completely addresses the needs of patient care providers and researchers probably does not exist, and this integration would reduce redundant data collection. Here, we share our experiences with a customizable and standardized electronic protocol with the ability to systematize, store, and analyze relevant information from burn patients that can be used worldwide since it contains a universal codification and can be easily adapted to any specific requirement by the user or legal/regulatory authorities. MATERIALS AND METHODS: The database was developed based on medical literature searches on burn injuries. A web platform was designed using Microsoft.NET framework technology with C# and MVC programming languages. The data collection items were selected and grouped into 2 main categories that contained 7 subcategories each, with a unique code assigned to each customizable item for universal comparability in the collection, processing, categorization, and presentation of the data. An SQL server stored data to ensure encryption, protection, and invulnerability. RESULTS: The system recognized the user by identifying a predefined security authorization and allowed the creation, storage, organization, combination/aggregation, analyses, exportation, and editing of collected information. The protocol has been successfully verified in a medical institution by the Benaim Burn Foundation. CONCLUSIONS: A new validated electronic database protocol focusing on burn patients was successfully created, resulting in a substantial improvement of medical record standardization. This system has laid a solid foundation for future data mining, medical records sharing, and academic purposes.
  • No Thumbnail Available
    Item
    Z-Plasty for Release of Postburn Finger Contractures in Pediatric Patients
    (Başkent Üniversitesi, 2022-03) Can İlker Demir; Emrah Kağan Yaşar; Batuhan Polat; Alperen Aras; Murat Şahin Alagöz
    ABSTRACT OBJECTIVES: Finger contractures after burn injuries remain significant problems in pediatric patients. The severity of the contracture increases with age. In this study, we describe the technical details and importance of contracture treatment with Z-plasty in patients with finger contractures. MATERIALS AND METHODS: For this study, we included 48 patients younger than 18 years of age who developed finger contractures after burn injuries. All patients had restricted finger movements because of contracture, and all patients received single or multiple surgeries with the Z-plasty technique. We did not include patients who could not be followed up for more than 1 year. RESULTS: Complete recovery was observed in all 48 patients with daily dressing. We did not observe any infections, hematomas, suture separations, or total necrosis in any of the patients. We provided full-thickness skin grafts to 8 patients (16.7%). Seven patients (14.6%) developed superficial necrosis in the distal end of the flaps. None of the patients required additional surgical interventions. CONCLUSIONS: The Z-plasty technique has an important place in the treatment of burn contractures. Simple and rapid recovery can be achieved with a single or with multiple z-plasty surgeries both in complicated cases, which have functional limitations, and in simple cases.