지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.7
- 수록면
- 1 - 9 (9page)
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Purpose: Inhalation injury is one of the most severe morbidity and mortality factors in burn patients. The purpose of this study is to analyze the impact of inhalation injury to the prognosis of burn patients and to investigate the relationship between the inhalation injury assessment and the prognosis of patients. Methods: Bronchoscopy was performed in 170 patients who had the suspicion of inhalation injury and the patients were reviewed retrospectively from January 2008 to December 2009. Mortality was compared between the factors of brochoscopic findings, age, total body surface area (TBSA) burned, carboxyhemoglobin (COHb) level, PaO2/FiO2 (P/F) ratio. Results: Of 170 patients, 28 patients had no inhalation bronchoscopic finding. 109 patients had mild inhalation, 31 patients had moderate inhalation, only 2 patients had severe inhalation findings. The patients of moderate and severe inhalation findings had higher mortality (48.5%) than mild inhalation patients (31.1%). The larger total burnsurface area in inhalation patients, the greater the mortality. When compared to total admitted burn patients during the same period, inhalation patients showed higher mortality in the patients between 10 to 40% total burn surface area. Inhalation patients whose P/F ratio was below 300 showed higher mortality than above 300. But inhalation patients whose COHb level was below 1.5 had no difference in mortality with patients above 1.5. The COHb level and P/F ratio was the statistically different factors between inhalation patients and non-inhalation group in the mortality. Conclusion: Bronchoscopic findings, age, TBSA burned, P/F ratio were related with mortality in inhalation patients. When the international standardization of bronchoscopic classification developed, it can be possible to assess the inhalation patients more objectively and that will lead to the advancement in inhalation treatment and research.
목차
Purpose
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (11)
참고문헌 신청
1. [학술지(정기간행물)] - Thompson PB / 1986 / Effect on mortality of inhalation injury / J Trauma 26 : 163 ~ 165
2. [학술지(정기간행물)] - Smith DL / 1994 / Effect of inhalation injury, burn size, and age on mortality: a study of 1447 consecutive burn patients / J Trauma 37 : 655 ~ 659
3. [학술지(정기간행물)] - Edelman DA / 2006 / Factors affecting prognosis of inhalation injury / J Burn Care Res 27 : 848 ~ 853
4. [단행본] - Herndon DN / 2007 / Total burn care. 3rd ed / Saunders Elsevier : 262 ~
5. [학술지(정기간행물)] - Masanès MJ / 1995 / Using bronchoscopy and biopsy to diagnose early inhalation injury. Macroscopic and histologic findings / Chest 107 : 1365 ~ 1369
2. [학술지(정기간행물)] - Smith DL / 1994 / Effect of inhalation injury, burn size, and age on mortality: a study of 1447 consecutive burn patients / J Trauma 37 : 655 ~ 659
3. [학술지(정기간행물)] - Edelman DA / 2006 / Factors affecting prognosis of inhalation injury / J Burn Care Res 27 : 848 ~ 853
4. [단행본] - Herndon DN / 2007 / Total burn care. 3rd ed / Saunders Elsevier : 262 ~
5. [학술지(정기간행물)] - Masanès MJ / 1995 / Using bronchoscopy and biopsy to diagnose early inhalation injury. Macroscopic and histologic findings / Chest 107 : 1365 ~ 1369
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UCI(KEPA) : I410-ECN-0101-2013-514-002684897