Başkent Üniversitesi Yayınları

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Author: search.filters.author.Santiago J. SantelisSubject: search.filters.subject.Burn injuries

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    Clinical Presentation and Outcomes of Burn Patients With Diabetes: A 5-Year Single-Center Experience
    (Başkent Üniversitesi, 2022-09) Santiago J. Santelis; Cem Aydogan; Ayse Ebru Abali; Hasan Turkoglu; Mehmet Haberal
    ABSTRACT OBJECTIVES: Diabetes mellitus is one of the most important independent risk factor for poor outcomes in patients with burn injuries. In this study, we aimed to determine the demographics characteristics, clinical presentation, and outcomes of burn patients with preexisting diabetes mellitus seen over the previous 5 years at a single burn center. MATERIALS AND METHODS: We conducted a retrospective study that included all burn patients ≥18 years of age with a diagnosis of diabetes who were admitted to our unit over the previous 5 years (2018 to 2022). We collected demographics and relevant clinical data from medical records. Patients were evaluated by age subgroups and time interval between occurrence of injury and admission to a medical center. RESULTS: Our study included 52 patients, with male-to-female ratio of 0.86:1 and mean age of 62.7 ± 12.4 years (range, 33-85 y). Scalding was the most common cause of the burn injury. A total of 32.7% of the patients had burns affecting their hands, either as part of a more extensive burn or as an isolated injury. The median extent of burns was 1.0% total body surface area (range, 0.05%-10%). We found an association between age and burn etiology and age and burn site. A high number of patients with injuries in the lower extremity sought medical care after day 1 but before day 4 postinjury. Delayed admission was found to be an important factor causing an increase in complication frequency. CONCLUSIONS: There are many factors associated with age that affect the incidence and outcomes of burn injuries. Risk factors leading to burns are preventable, and the physical and psychological consequences of people who survive burn injuries can be life-threatening and often devastating. The best way to treat a burn is to prevent it from happening in the first place.
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    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.