2017, Number 12
Clinical epidemiological characteristics of children with burns and course toward the systemic inflammatory response syndrome
Olivares LEM, Sánchez FB, Bonne FD, Costafreda VM, Dembelé B
Language: Spanish
References: 0
Page: 3324-3332
PDF size: 461.40 Kb.
ABSTRACT
A descriptive, longitudinal and prospective study of 22 children with burns and clinical course toward the systemic inflammatory response syndrome, admitted to the Caumatology Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital was carried out in Santiago de Cuba, from January, 2012 to December, 2014, aimed at characterizing them according to some clinical epidemiological variables. In the case material there was a prevalence of the 1-4 age group (45.5%), female sex (59.1%), tachycardia as diagnostic criterion, AB hypodermic burns (77.3%) and the very serious state prognosis (31.8%). In all the patients the cause of the systemic inflammatory response syndrome emergence was the acute tissue destruction; just three injured patients (13.6%) presented the syndrome for a second time due to sepsis, one of them died due to respiratory failure and the remaining two due to multiple organs dysfunction, after the clinical entity was manifested for a third time in these last two patients. It was concluded that the age, surface-depth relationship of the burns and the delay in liquids resuscitation, could have effects on the emergence of this syndrome.