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Bostancı SA, Demir S, Ertürk A, Demirtaş G, Öztorun Cİ, Güney D, Demirkaya Ş, Erten EE, Azılı MN, Şenel E. Management of outpatient pediatric burns at a pediatric burn center. J Burn Care Res 2024:irae043. [PMID: 38477148 DOI: 10.1093/jbcr/irae043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Indexed: 03/14/2024]
Abstract
Burn injuries are a serious emergency. Most burn injuries in children can be treated as outpatients. The aim of this study was to present the clinical and epidemiologic characteristics of pediatric burn injuries treated in our outpatient burn clinic. This study included pediatric patients treated in an outpatient burn clinic over an eight-year period. The demographic and clinical characteristics of the patients were retrospectively analyzed. The patients were divided into four groups according to their age groups, and the differences between the groups were investigated. Statistical analysis was performed using IBM SPSS Statistics, Version 25.0. P<0.05 was accepted as statistically significant. Of the total 5,167 patients, 2,811 (54.4%) were male. Scald burns were the most common cause of burns (81.4%). Contact burns accounted for 12.2% of all burns. There were no differences between sexes for any variable. The highest incidence was seen in children in the 2-5-year-old age group (28.3%). There were differences between age groups in terms of sex, burn area, burn visit, burn type, burn location, need for wound dressing under anesthesia, and need for grafting. Among the patients, 4.9% were hospitalized due to the need for wound dressing under anesthesia. However, most of the patients (95.1%) were treated as outpatients. In conclusion, the majority of pediatric burn patients can be treated as outpatients. This allows pediatric patients to complete treatment in a psychologically comfortable environment and have low complication rates. Outpatient treatment should become the standard for children who are suitable for outpatient follow-up and who have home support.
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Affiliation(s)
- Süleyman Arif Bostancı
- Ankara Bilkent City Hospital, Childrens' Hospital, Deparment of Pediatric Surgery, Pediatric Burn Center, Ankara, Turkey
| | - Sabri Demir
- Health Science University, Ankara Bilkent City Hospital, Childrens' Hospital, Department of Pediatric Surgery, Pediatric Burn Center, Ankara, Turkey
| | - Ahmet Ertürk
- Ankara Yildirim Beyazıt University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey
| | - Gökhan Demirtaş
- Ankara Bilkent City Hospital, Childrens' Hospital, Deparment of Pediatric Surgery, Ankara, Turkey
| | - Can İhsan Öztorun
- Ankara Yildirim Beyazıt University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey
| | - Doğuş Güney
- Ankara Yildirim Beyazıt University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey
| | - Şükrüye Demirkaya
- Ankara Bilkent City Hospital, Childrens' Hospital, Deparment of Pediatric Surgery, Ankara, Turkey
| | - Elif Emel Erten
- Ankara Bilkent City Hospital, Childrens' Hospital, Deparment of Pediatric Surgery, Ankara, Turkey
| | - Müjdem Nur Azılı
- Ankara Yildirim Beyazıt University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey
| | - Emrah Şenel
- Ankara Yildirim Beyazıt University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey
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Şenaylı YA, Keskin G, Akın M, Şenaylı A, Ata R, Demirtaş G, Şenel E. A prospective study for an alternative probe site for pulse oximetry measurement in male patients with severe burn trauma: penile shaf. Turk J Med Sci 2023; 53:504-510. [PMID: 37476869 PMCID: PMC10388062 DOI: 10.55730/1300-0144.5610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 02/02/2023] [Indexed: 07/22/2023] Open
Abstract
BACKGROUND Authors widely use pulse oximetry in clinical monitoring of heart rate (HR) and peripheral oxygen saturation (SpO2) by attachment to the fingers; however, there can be a need for an alternative attachment site, especially for burned patients. We investigate the availability of a pulse oximeter probe attached to the penile shaft as an alternative site in pediatric male patients if all extremities became unavailable for pulse oximetry measurement due to severe burn and/or trauma. METHODS We designed a prospective comparative study in a training and research hospital. After local ethical committee approval, pediatric male cases eligible for penile and extremity pulse measurements were evaluated during general anesthesia for medical dressing and/or grafting due to severe burns. One probe was attached to the fingers of the unburned extremity, and the other was to the penile shaft. Furthermore, we recorded SpO2and HR values at 5-min intervals; 0th (baseline), 5th, 10th and 15th minutes. We compared HR and SpO2values measured by the finger probe with those measured by the penile probe. RESULTS Data of 51 patients (median age, 2.9 years (interquartile range, 2.0-5.0 years)) in whom the duration of dressing was at least 15min were analyzed. There was no significant difference either in comparisons of hemodynamic measurements (HR and SpO2 ) obtainedby finger probe and by a penile probe for each measurement time. The Bland-Altman plot analysis reveals agreement for penile and finger probes with a mean bias value between 0.20 and 0.37 on HR and between 0.43 and -0.20 on SpO2. DISCUSSION This clinical trial demonstrated that pulse oximetry measurement under nonhypoxic conditions we could perform confidently using penile probes in pediatric male patients whose extremities are unavailable for measurement.
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Affiliation(s)
- Yeşim Andıran Şenaylı
- Department of Anesthesia and Reanimation, School of Medicine, Bozok University Yozgat Turkey; Department of Pediatric Surgery, School of Medicine, Ankara Yıldırım Beyazıt University Ankara, Turkey
| | - Gülsen Keskin
- Department of Anesthesia and Reanimation, Ministry of Health Ankara City Hospital Ankara, Turkey
| | - Mine Akın
- Department of Anesthesia and Reanimation, Ministry of Health Ankara City Hospital Ankara, Turkey
| | - Atilla Şenaylı
- Department of Pediatric Surgery, School of Medicine, Bozok University, Yozgat, Turkey
| | - Rabia Ata
- Department of Pediatric Surgery, Çam ve Sakura City Hospital İstanbul, Turkey
| | - Gökhan Demirtaş
- Department of Pediatric Urology, Ministry of Health Ankara City Hospital, Ankara, Turkey
| | - Emrah Şenel
- Department of Pediatric Surgery, School of Medicine, Bozok University, Yozgat, Turkey
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Demirtaş G, Siğirci A, Öztürk M, Görkem SB, Kiliç B, Güngör S. Is cerebral spinal fluid flow associated with body mass index and head circumference in healthy children? A phase contrast magnetic resonance imaging study. Egypt J Radiol Nucl Med 2020. [DOI: 10.1186/s43055-020-00227-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
The aim of this study was to investigate the relationship between age, gender, body mass index (BMI), and head circumference (HC) and cerebral spinal fluid (CSF) flow dynamics in the pediatric population. The prospective study included a total of 137 participants, 75 boys and 62 girls, ranging in age from 2 to 204 months. Quantitative evaluation of CSF flow was made by using phase contrast magnetic resonance imaging (PC-MRI) in the axial plane at the level of the aqueductus cerebri. Flow dynamics were recorded as peak and mean velocity (cm/s); cranial, caudal, and net volume (ml); and aqueductus cerebri area (mm2). Correlation between baseline descriptive parameters, including age, gender, BMI, and HC, and the aforementioned CSF flow dynamics were investigated.
Results
The net volume was significantly lower in girls (p = 0.002). There was no association between age and aqueduct area, mean velocity, and cranial volume. The peak velocity was remarkably higher in children (p = 0.03), whereas cranial and net volume were found to be lower in infants (p = 0.04 and p = 0.03, respectively). Notably, cases with HC below normal values had lower cranial, caudal, and net volume and aqueductus cerebri area (p = 0.01, p = 0.03, p = 0.03, and p = 0.04, respectively). There was no association between BMI and indicators of CSF flow dynamics in PC-MRI.
Conclusion
BMI and HC may be associated with CSF flow dynamics in children. A smaller HC is accompanied by a lower forward flow volume, reverse flow volume, net volume, and aqueductal diameter. These points should be remembered during the design of further trials on determinants of CSF flow in children.
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Affiliation(s)
- Selçuk Akçay
- Afyon Kocatepe University; Department of Economics; Afyonkarahisar Turkey
| | - Gökhan Demirtaş
- Afyon Kocatepe University; Department of Economics; Afyonkarahisar Turkey
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Demirtaş Ö, Demirtaş G, Hurşitoğlu BS, Terzi H, Şekerci Z, Ök N. Is grand multiparity a risk factor for osteoporosis in postmenopausal women of lower socioeconomic status? Eur Rev Med Pharmacol Sci 2014; 18:2709-2714. [PMID: 25317807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE We aimed to determine whether grand multiparity is a risk factor for osteoporosis among postmenopausal women of lower socioeconomic status. PATIENTS AND METHODS We conducted a single center study between February 2012 and February 2013 on 50-60 year old postmenopausal women of lower socioeconomic status without a history of medical disease. Women with a body mass index (BMI) between 20 and 25 were included in the study. The grand multiparous group (group A) consisted of 38 women with 10 or more deliveries. Women with a history of three or fewer deliveries composed the control group (group B). Dual-energy x-ray absorptiometry was used to measure the bone mineral density (BMD) of the proximal femur neck and lumbar spine (L1-L4). RESULTS The mean ages of groups A and B were found to be 54.3 ± 2.5 and 53.1 ± 2.7 years, respectively. Average parity in groups A and B was 11.1 ± 1.7 and 2.4 ± 0.7, respectively. Time since the onset of menopause was 3.6 ± 2.7 years in group A and 6.0 ± 2.9 in group B. The prevalence of osteoporosis was similar in both groups (71.1%-81.4%, p = 0.273). We found that grand multiparity was an ineffective indicator of either femoral or lumbar osteoporosis (p = 0.87 and p = 0.26), but osteoporosis five years after the onset of menopause was found to be significantly higher (p = 0.02). CONCLUSIONS The duration of menopause is an independent risk factor of osteoporosis. However, the number of pregnancies is neither a determinant nor a protective factor for osteoporosis in postmenopausal women coming from a low socioeconomic background.
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Affiliation(s)
- Ö Demirtaş
- Department of Obstetrics and Gynecology, Pamukkale University Faculty of Medicine Hospital, Denizli, Turkey.
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Demirtaş G, Dege N, İçbudak H, Yurdakul Ö, Büyükgüngör O. Experimental and DFT studies on poly[octa-μ 3-acesulfamato- O, O: N, O′; O′, N: O, O-tetraaquatetrabarium(II)] complex. Acta Crystallogr A 2012. [DOI: 10.1107/s0108767312095116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Demirtaş G, Dege N, İçbudak H, Yurdakul Ö, Büyükgüngör O. Experimental and DFT computational study on hexaaquamagnesium(II) acesulfamate. Acta Crystallogr A 2011. [DOI: 10.1107/s0108767311082675] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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