Burn and vital risk criteria in industrial accidents (as forensic medicine approach)

GÜLOĞLU, Recep; İNCE, Haluk; İNCE, Nurhan; SAFRAN, NURHAS; KANDEMİR, Eyüp

Burn and vital risk criteria in industrial accidents (as forensic medicine approach)

Haluk İNCE, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Adli Tıp Anabilim Dalı, İstanbul, Türkiye)

Eyüp KANDEMİR, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Adli Tıp Anabilim Dalı, İstanbul, Türkiye)

Nurhan İNCE, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, İstanbul, Türkiye)

Recep GÜLOĞLU, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, İstanbul, Türkiye)

Nurhas SAFRAN (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Mikrobiyoloji Anabilim Dalı, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

2 1

Yıl: 2008 Cilt: 14 Sayı: 2 Sayfa Aralığı: 145 - 148 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Burn and vital risk criteria in industrial accidents (as forensic medicine approach)

Öz:

İş kazası sonucu oluşan yanık travmalarında, ölüm meydana getirme riski olmasından dolayı adli rapor düzenlenmesi şarttır. Adli olgularda travmanın ağırlığını belirten en önemli ölçüt olan, hayati tehlikenin saptanması mağdurun tedavisi kadar önemlidir. Bu çalışma, bildirilen yanık yüzde değerlerinin, hayati tehlike kavramını ne ölçüde karşıladığını araştırmak ve iş kazalarında meydana gelen yanık nedenlerini belirlemek amacıyla yapıldı. GEREÇ VE YÖNTEM Çalışma Ekim 2004 ile Aralık 2006 tarihleri arasında, tanımlayıcı epidemiyolojik yöntemle, acil cerrahi servisi yanık ünitesine gelen tüm olgular değerlendirilerek gerçekleştirildi. Olguların sosyo-demografik özelikleri sorgulandı. Veriler, frekans, aritmetik ortalama, standart sapma ve median kullanılarak tanımlandı. Kesikli değişkenler Ki-kare testi kullanılarak, sürekli değişkenler Pearson korelasyon testi yardımıyla incelendi. BULGULAR Toplam 128 olgunun %69,5'i erkek (n=89), %30,5'i (n=39) kadın idi. Yanık olgularının %28,9'u (n=37) iş kazasıydı. İş kazası nedenli yanıkların, %48,6'sı (n=18) sıcak su, %32,4'ü (n=12) alev, %10,8'i (n=4) elektrik ve %8,2'si (n=3) kimyasal yanık idi. Olguların %19,50'inin (n=25) hayatını kaybettiği, %80,50'sinin (n=103) iyileşerek taburcu edildiği saptandı. Yanık yüzdesi %20'nin altında olan olgularda %1,3 (n=l) oranında, %20 ve üzerinde hesaplanan olgularda %49,0 (n=24) oranında ölüm görüldü (p=0,0001). SONUÇ Yanığın derecesi ölüm riski belirlenmesinde değerli olmakla beraber yanık alanının genişliği, ölüm riskinin belirlenmesi ve olayın soruşturulmasında daha dikkatli davramlması açısından daha belirleyici bulunmuştur.

Anahtar Kelime: Yaralanma şiddeti skoru Acil tedavi Endüstri Risk faktörleri Adli tıp Yanıklar Meslek hastalıkları

Konular: Cerrahi

İş kazalarında yanık ve hayati tehlike ölçütleri (Adli tıp yaklaşımı)

Öz:

Burn traumas resulting from industrial accidents may generate a death risk. In such cases a forensic report should be filled up. In forensic findings, the death risk which is associated with the degree of trauma, of the victim is as important as the treatment of the subject. The aim of our research was to investigate what degree of burns causes fatality and which type of industrial accidents cause them. METHODS This research was done between the dates October 2004 and December 2006 with the descriptive epidemiology method by the evaluation of all data entered emergency surgical roomburn unit. The results of the study were analyzed with respect to its socio-demographic characteristics clinical findings of the type of burn and the type of the event which caused the burn. Categorical variables were assessed using Chi-square test, continuous variables were tested by Pearson's correlation. RESULTS For the total 128 incidents, 69.5% (n=89) were males and 30.5% (n=39) females. 28.9% (n=37) of the incidents were industrial accidents. 48.6% (n=18) of the burns were caused by boiling water, 32.4% (n=12) due to contact by flame, 10.8% (n=4) electrocution and %8.2 (n=3) due to burns by contact with chemicals. The 19.50% (n=25) of the incidents had ended up by loss of life, 80.5% (n=103) were cured and discharged. The incidents which had resulted under 20%, the mortality rate was 1.3% (n=l), the incidents which had above 20%, the mortality rate was 49.0% (n=24) (p=0.0001). CONCLUSION The degree of burn was found to be valuable in determining the death risk but the extent of the burned area was found to be more deterministic in assessing this particular risk.

Anahtar Kelime: Burns Occupational Diseases Injury Severity Score Emergency Treatment Industry Risk Factors Forensic Medicine

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	İNCE H, KANDEMİR E, İNCE N, GÜLOĞLU R, SAFRAN N (2008). Burn and vital risk criteria in industrial accidents (as forensic medicine approach). , 145 - 148.
Chicago	İNCE Haluk,KANDEMİR Eyüp,İNCE Nurhan,GÜLOĞLU Recep,SAFRAN NURHAS Burn and vital risk criteria in industrial accidents (as forensic medicine approach). (2008): 145 - 148.
MLA	İNCE Haluk,KANDEMİR Eyüp,İNCE Nurhan,GÜLOĞLU Recep,SAFRAN NURHAS Burn and vital risk criteria in industrial accidents (as forensic medicine approach). , 2008, ss.145 - 148.
AMA	İNCE H,KANDEMİR E,İNCE N,GÜLOĞLU R,SAFRAN N Burn and vital risk criteria in industrial accidents (as forensic medicine approach). . 2008; 145 - 148.
Vancouver	İNCE H,KANDEMİR E,İNCE N,GÜLOĞLU R,SAFRAN N Burn and vital risk criteria in industrial accidents (as forensic medicine approach). . 2008; 145 - 148.
IEEE	İNCE H,KANDEMİR E,İNCE N,GÜLOĞLU R,SAFRAN N "Burn and vital risk criteria in industrial accidents (as forensic medicine approach)." , ss.145 - 148, 2008.
ISNAD	İNCE, Haluk vd. "Burn and vital risk criteria in industrial accidents (as forensic medicine approach)". (2008), 145-148.

APA	İNCE H, KANDEMİR E, İNCE N, GÜLOĞLU R, SAFRAN N (2008). Burn and vital risk criteria in industrial accidents (as forensic medicine approach). Ulusal Travma ve Acil Cerrahi Dergisi, 14(2), 145 - 148.
Chicago	İNCE Haluk,KANDEMİR Eyüp,İNCE Nurhan,GÜLOĞLU Recep,SAFRAN NURHAS Burn and vital risk criteria in industrial accidents (as forensic medicine approach). Ulusal Travma ve Acil Cerrahi Dergisi 14, no.2 (2008): 145 - 148.
MLA	İNCE Haluk,KANDEMİR Eyüp,İNCE Nurhan,GÜLOĞLU Recep,SAFRAN NURHAS Burn and vital risk criteria in industrial accidents (as forensic medicine approach). Ulusal Travma ve Acil Cerrahi Dergisi, vol.14, no.2, 2008, ss.145 - 148.
AMA	İNCE H,KANDEMİR E,İNCE N,GÜLOĞLU R,SAFRAN N Burn and vital risk criteria in industrial accidents (as forensic medicine approach). Ulusal Travma ve Acil Cerrahi Dergisi. 2008; 14(2): 145 - 148.
Vancouver	İNCE H,KANDEMİR E,İNCE N,GÜLOĞLU R,SAFRAN N Burn and vital risk criteria in industrial accidents (as forensic medicine approach). Ulusal Travma ve Acil Cerrahi Dergisi. 2008; 14(2): 145 - 148.
IEEE	İNCE H,KANDEMİR E,İNCE N,GÜLOĞLU R,SAFRAN N "Burn and vital risk criteria in industrial accidents (as forensic medicine approach)." Ulusal Travma ve Acil Cerrahi Dergisi, 14, ss.145 - 148, 2008.
ISNAD	İNCE, Haluk vd. "Burn and vital risk criteria in industrial accidents (as forensic medicine approach)". Ulusal Travma ve Acil Cerrahi Dergisi 14/2 (2008), 145-148.