Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review

şener bahçe, zeynep

Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review

Zeynep ŞENER BAHÇE (Özel Memorial Hastanesi, Genel Cerrahi Anabilim Dalı, Diyarbakır. Türkiye)

Epilepsi

5 0

Yıl: 2021 Cilt: 27 Sayı: 3 Sayfa Aralığı: 177 - 182 Metin Dili: İngilizce İndeks Tarihi: 18-02-2022

Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review

Öz:

Objectives: The aim of our study is to evaluate the frequency and the complications of burn injuries in epileptic patients and to specify the required measures to decrease the occurrence of these injuries. Methods: Socio-demographic data of patients with epilepsy who were admitted to our hospital’s burn center were retrospectively analyzed. The data used in our study are obtained from patient files and electronic registries. Results: Eighteen patients with burn injuries resulting from epileptic seizures were admitted to our center. Four (22%) patients were male and 14 (78%) were female. In 17 patients, the accident occurred in the home environment (94.4%) and outdoors in one patient (5.6%). The most frequently affected sites of burns were right arm and forearm. Burn percentage ranged between 3% and 17% and the mean percentage was 9.5%. Burn degrees ranged between 2 and 3. Four patients had 2nd degree burns while 14 patients had 3rd degree burns. All patients underwent escharotomy in the early stage and the wound site was covered with a silver burn dressing. Split-thickness skin graft was performed in only one patient since there were burnt areas that did not heal. Conclusion: Since the unpredictable epileptic seizures lead to loss of consciousness and accidental burn injuries, it was revealed in our study that patients with epilepsy should be classified as a high-risk population considering the sudden state of their seizures. Early surgical intervention, targeting all epilepsy patients for training and taking specific preventive measures result in positive outcomes.

Anahtar Kelime:

Bölgemizde Epilepsi Hastalarında Yanık Yaralanması: 10 Yıllık İnceleme

Öz:

Amaç: Çalışmamızın amacı, epileptik hastalarda yanık yaralanmalarının sıklığını ve gelişen komplikasyonları değerlendirip, azaltmak için alınacak tedbirleri belirlemektir. Gereç ve Yöntem: Ocak 2010 ile Ocak 2020 tarihleri arasında hastanemiz yanık merkezine başvuran 18 epilepsi hastasının sosyodemografik verileri retrospektif olarak incelendi. Çalışmamızda veriler hasta dosyalarından ve bilgisayar kayıtlarından edinilmiştir. Bulgular: Epilepsi nöbetleri nedeniyle yanık yaralanması oluşan 18 hasta merkezimize başvurdu. Tüm hastaların vital bulguları takip edildi. Sıvı-elektrolit replasmanı, yara yeri kültür sonuçları gelinceye kadar tüm hastalara ampirik tedavi verildi ve spesifik koruyucu önlemler konusunda eğitildi. Hastalardan 4’ü (%22) erkek ve 14’ü (%78) kadındı. On yedi hasta da kaza ev ortamında (%94.4), bir hastada da (%5.6) dış mekanda gerçekleşti. Yanık yeri olarak en çok etkilenen alan sağ kol ve önkoldu. Yanık yüzdesi %3–%17 arasında olup, ortalama %9.5’ idi. Yanık derecesi 2–3 arasında değişmekteydi. Dört hastada 2. derece,14 hastada ise 3. derece yanık vardı. Bütün hastalar erken dönemde eskeretomi yapılıp, yara yeri gümüşlü yara örtüsü ile kapatıldı. Sadece bir hastada iyileşmeyen yanık alanları olduğu için kısmi kalınlıkta deri grefti (STSG) yapıldı. Hiçbir hastada kontraktör ve hipertrofik skar gelişmedi. Sonuç: Çalışmamızda öngörülemeyen epileptik nöbet atağı bilinç kaybına ve kaza sonucu yanık yaralanmalarına yol açtığı için epilepsili hastaların ani durumlarını dikkate alınarak yüksek riskli bir grup olarak sınıflandırılması gerektiğini ortaya koymuştur. Erken cerrahi müdahale ve tüm epileptik hastaların eğitim için hedeflenmesi ve özel önleyici tedbirlerin alınması iyi sonuçlar verir.

Anahtar Kelime:

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

1. Beghi E, Giussani G, Sander JW. The natural history and prognosis of epilepsy. Epileptic Disord 2015;17(3):243–53.
2. Gillham R. Optimizing health outcomes in active epilepsy. Neurology 2002;58(8 Suppl 5):9–20.
3. Tellez-Zenteno JF, Hunter G, Wiebe S. Injuries in people with self-reported epilepsy: A population-based study. Epilepsia 2008;49(6):954–61.
4. Van den Broek M, Beghi E, REST-1 Group. Accidents in patients with epilepsy: Types, circumstances, and complications: A European cohort study. Epilepsia 2004;45(6):667–72.
5. Nakken KO, Lossius R. Seizure-related injuries in multihandicapped patients with therapy-resistant epilepsy. Epilepsia 1993;34(5):836–40.
6. Tiamkao S, Shorvon SD. Seizure-related injury in an adult tertiary epilepsy clinic. Hong Kong Med J 2006;12(4):260–3.
7. Spitz MC. Severe burns as a consequence of seizures in patients with epilepsy. Epilepsia 1992;33(1):103–7.
8. Wirrell EC. Epilepsy-related Injuries. Epilepsia 2006;47(Suppl 1):79–86.
9. Zerbaliyev E, Gültekin Y, Erkent M, Konan A, Yorganci K. Improvement in treatment efficacy in patients admitted to the hacettepe university burn unit-33 years of experience. Yoğun Bakım Derg 2016;7(3):77–82.
10. Rimmer RB, Bay RC, Foster KN, Jones MA. Thermal ınjury in patients with seizure disorders: An opportunity for prevention. J Burn Care Res 2007;28(2):318–23.
11. Josty IC, Narayanan V, Dickson WA. Burns in patients with epilepsy: changes in epidemiology and implications for burn treatment and prevention. Epilepsia 2000;41(4):453–6.
12. Cengiz O, Atalar AÇ, Tekin B, Bebek N, Baykan B, Gürses C. Impact of seizure-related injuries on quality of life. Neurol Sci 2019;40(3):577–83.
13. Mollaoğlu M, Bolayır E. Injuries in patients with epilepsy and some factors associated with ınjury. Noro Psikiyatr Ars 2013;50(3):269–73.
14. Banerjee PN, Filippi D, Hauser WA. The descriptive epidemiology of epilepsy-a review. Epilepsy Res 2009;85(1):31–45.
15. Singh MV, Ganguli SK, Aivanna BM, Singh MV, Ganguli SK, Aiyanna BM. A study of epidemiological aspects of burn injuries. Med J Armed Forces India 1996;52(4):229–32.
16. Shankar G, Naik VA, Powar R. Epidemiological study of burn injuries admitted in two hospitals of North Karnataka. Indian J Community Med 2010;35(4):509–12.
17. Jang YC, Lee JW, Han KW, Han TH. Burns in epilepsy: Seven years of experience from the Hallym burn center in Korea. J Burn Care Res 2006;27(6):877–81.
18. Mzezewa S, Jonsson K, Aberg M, Salemark L. A prospective study on the epidemiology of burns in patients admitted to the Harare burn units. Burns 1999;25(6):499–504.
19. Cheng W, Yan-Hua R, Fang-Gang N, Wei-Li D, Guo-An Z. Epidemiology of 1974 burn patients at a major burn center in Beijing: A nine-year study. J Burn Care Res 2012;33(5):e228–33.
20. Verma A, Verma S, Moses S, Mathur R, Solanki P, Verma A, et al. Burn ınjury in epileptic patients-a retrospective descriptive study in a tertiary burn care unit. J Evol Med Dent 2017;6(94):6808–11.
21. Li H, Yao Z, Tan J, Zhou J, Li Y, Wu J, et al. Epidemiology and outcome analysis of 6325 burn patients: a five-year retrospective study in a major burn center in Southwest China. Sci Rep 2017;7:46066.
22. Burton KR, Sharma VK, Harrop R, Lindsay R. A population-based study of the epidemiology of acute adult burn injuries in the Calgary health region and factors associated with mortality and hospital length of stay from 1995 to 2004. Burns 2009;35(4):572–9.
23. Yao Y, Liu Y, Zhou J, Qiu J, Zhang L, Yuan D, et al. The epidemiology of civilian inpatients’ burns in Chinese military hospitals, 2001-2007. Burns 2011;37(6):1023–32.
24. Neufeld MY, Vishne T, Chistik V, Korczyn AD. Life-long history of injuries related to seizures. Epilepsy Res 1999;34(2-3):123–7.
25. Buck D, Baker GA, Jacoby A, Smith DF, Chadwick DW. Patients’ experiences of injury as a result of epilepsy. Epilepsia 1997;38(4):439–44.
26. Adigun IA, Ogundipe KO, Abiola OO. Amputation from burn following epileptic seizure. Surg J 2008;3:78–81.
27. Lunardi Mdos S, Soliman LA, Pauli C, Lin K. Epilepsy and occupational accidents in Brazil: A national statistics study. Arq Neuropsiquiatr 2011;69(2B):332–5

APA	şener bahçe z (2021). Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. , 177 - 182.
Chicago	şener bahçe zeynep Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. (2021): 177 - 182.
MLA	şener bahçe zeynep Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. , 2021, ss.177 - 182.
AMA	şener bahçe z Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. . 2021; 177 - 182.
Vancouver	şener bahçe z Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. . 2021; 177 - 182.
IEEE	şener bahçe z "Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review." , ss.177 - 182, 2021.
ISNAD	şener bahçe, zeynep. "Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review". (2021), 177-182.

APA	şener bahçe z (2021). Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. Epilepsi, 27(3), 177 - 182.
Chicago	şener bahçe zeynep Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. Epilepsi 27, no.3 (2021): 177 - 182.
MLA	şener bahçe zeynep Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. Epilepsi, vol.27, no.3, 2021, ss.177 - 182.
AMA	şener bahçe z Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. Epilepsi. 2021; 27(3): 177 - 182.
Vancouver	şener bahçe z Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review. Epilepsi. 2021; 27(3): 177 - 182.
IEEE	şener bahçe z "Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review." Epilepsi, 27, ss.177 - 182, 2021.
ISNAD	şener bahçe, zeynep. "Burn Injuries in Patients with Epilepsy in Our Region: A10-Year Review". Epilepsi 27/3 (2021), 177-182.