The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury

Introduction Inhalation injury (ini) makes burn disease more severe. However, it remains unexplored what is the minimum area of the burn that can significantly aggravate of the course of ini.The objective was to compare the incidence of acute respiratory failure (arf), pneumonia, and mortality betwe...

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Main Authors: E. A. Zhirkova, T. G. Spiridonova, E. I. Eliseenkova, A. V. Sachkov, V. S. Borisov, P. A. Brygin, A. M. Gasanov
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2022-09-01
Series:Неотложная медицинская помощь
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Online Access:https://www.jnmp.ru/jour/article/view/1416
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author E. A. Zhirkova
T. G. Spiridonova
E. I. Eliseenkova
A. V. Sachkov
V. S. Borisov
P. A. Brygin
A. M. Gasanov
author_facet E. A. Zhirkova
T. G. Spiridonova
E. I. Eliseenkova
A. V. Sachkov
V. S. Borisov
P. A. Brygin
A. M. Gasanov
author_sort E. A. Zhirkova
collection DOAJ
description Introduction Inhalation injury (ini) makes burn disease more severe. However, it remains unexplored what is the minimum area of the burn that can significantly aggravate of the course of ini.The objective was to compare the incidence of acute respiratory failure (arf), pneumonia, and mortality between patients with ini and ini with superficial skin burns up to 3% total body surface area (tbsa).Material and methods 125 patients with ini and i–ii degree skin burns up to 3% tbsa were allocated into 4 groups: ini without skin burns, ini with burns up to 1% tbsa, up to 2%, and up to 3% tbsa.Results In the group with ini and skin burns up to 2%, the number of arf, pneumonia cases, and deaths did not statistically significantly differ from the ini group, however in group of ini and burns of more than 2% tbsa, there were more of those complications.Conclusion Skin burns of i–ii degree over 2% tbsa increase the incidence of acute respiratory failure, pneumonia, and death in patients with ini.
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publishDate 2022-09-01
publisher Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
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spelling doaj-art-902e2dca10d1445d802f6db33419b78d2025-08-20T02:59:27ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172022-09-0111229430010.23934/2223-9022-2022-11-2-294-300781The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation InjuryE. A. Zhirkova0T. G. Spiridonova1E. I. Eliseenkova2A. V. Sachkov3V. S. Borisov4P. A. Brygin5A. M. Gasanov6Department of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineDepartment of Acute Thermal Injury N.V. Sklifosovsky Research Institute for Emergency MedicineIntroduction Inhalation injury (ini) makes burn disease more severe. However, it remains unexplored what is the minimum area of the burn that can significantly aggravate of the course of ini.The objective was to compare the incidence of acute respiratory failure (arf), pneumonia, and mortality between patients with ini and ini with superficial skin burns up to 3% total body surface area (tbsa).Material and methods 125 patients with ini and i–ii degree skin burns up to 3% tbsa were allocated into 4 groups: ini without skin burns, ini with burns up to 1% tbsa, up to 2%, and up to 3% tbsa.Results In the group with ini and skin burns up to 2%, the number of arf, pneumonia cases, and deaths did not statistically significantly differ from the ini group, however in group of ini and burns of more than 2% tbsa, there were more of those complications.Conclusion Skin burns of i–ii degree over 2% tbsa increase the incidence of acute respiratory failure, pneumonia, and death in patients with ini.https://www.jnmp.ru/jour/article/view/1416inhalation injuryskin burnsacute respiratory failurepneumoniafatal outcomemortalitydeath
spellingShingle E. A. Zhirkova
T. G. Spiridonova
E. I. Eliseenkova
A. V. Sachkov
V. S. Borisov
P. A. Brygin
A. M. Gasanov
The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury
Неотложная медицинская помощь
inhalation injury
skin burns
acute respiratory failure
pneumonia
fatal outcome
mortality
death
title The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury
title_full The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury
title_fullStr The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury
title_full_unstemmed The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury
title_short The Impact of Area-Limited Skin Burns in the Severity of the Burn Disease and Outcome of Inhalation Injury
title_sort impact of area limited skin burns in the severity of the burn disease and outcome of inhalation injury
topic inhalation injury
skin burns
acute respiratory failure
pneumonia
fatal outcome
mortality
death
url https://www.jnmp.ru/jour/article/view/1416
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