Sánchez ZMJ, Martínez EV, Juárez GU, Garnica EMA, Tamez CA

Language: Spanish
References: 11
Page: 380-383
PDF size: 202.32 Kb.

ABSTRACT

Introduction: physical disability has a high morbidity in patients who survive severe burns. The main sequelae are linked to restriction, mobility and pain. Objective: the main causes of disability at discharge from the severe burn unit of a tertiary care center for burn patients in Mexico City are presented. Material and methods: retrospective analysis of 68 severely burned patients, who were discharged from the acute unit (Intensive Care Unit, ICU) of a burn care center between the years 2019-2021. They were divided into two groups by fire burn and electrical injury, demographic variables were obtained such as age, sex, ABSI scale (Abbreviated Burn Severity Index) at admission and the most frequent causes of disability at discharge from the ICU were described. Results: sixty-eight patients, 10 women and 58 men, mean age 37 years (SD ± 16.4), mean length of stay 13.7 days (SD ± 11.8), mean ABSI scale 8.9 (SD ± 2.13), 21 patients diagnosed with electrical injury and 47 with fire burns. In the electrical injury group, the most frequent cause of disability was the impossibility of walking 33.3% (consequent of amputation of a limb), while in the fire burn group the most frequent cause was mobility restriction of the four limbs in 59.5%. Pain was the second most frequent symptom associated with disability at ICU discharge, between 76 and 87% in both groups. Conclusions: physical disability in survivors of severe burns has a high incidence, and is usually more severe in those who suffer electrical injury and with higher ABSI on admission.

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