Mortality rate of burn patients can serve as an objective criterion for quality control and as a measure for research and preventive programs. A prospective study of burn victims, from data of burn registry program, w...Mortality rate of burn patients can serve as an objective criterion for quality control and as a measure for research and preventive programs. A prospective study of burn victims, from data of burn registry program, was conducted to determine the etiology, risk factors of mortality and outcome of pediatric burns. We had 514 patients below 15 years old. Burns caused by scalding were the most frequent (55.4%) followed by flames (35.8%). Mean (SD) of age was 3.72 (3.19) years. Male to female ratio was 1.62:1. Mean hospital stay was 14.17 days (range 0 - 46 days). The mean TBSA (SD) was 15.22% (14.31%). Fifty three patients had inhalation injury (11.25%). Inhalation injury increases the risk of death (Odds Ratio: 8.75, p = 0.009). Length of stay increased in accordance with burn area (p < 0.002). Burn wound infection was present in (35.4%) of our patients. The univariate statistics analysis and a pooled, cross-sectional, multivariate logistic regression were done. The major risk factors were: Inhalation injury (OR = 8.75, p = 0.009) and lack of intra-venous fluid resuscitation before reaching the hospital (OR = 40.5%, p = 0.001), cause of burn (flame and chemical) and referral cases from other centers (OR = 3.66, p < 0.0001). The minor risk factor was age. About 83% of our patients discharged with partial recovery, 10% with complete recovery, 0.1% referred to other hospitals and 1.36% died.展开更多
Introduction: Osteoporosis is a multifactorial skeletal disease that is characterized by reduced bone mineral density (BMD). BMD values depend on several factors such as age, sex and age at menopause. The purpose of t...Introduction: Osteoporosis is a multifactorial skeletal disease that is characterized by reduced bone mineral density (BMD). BMD values depend on several factors such as age, sex and age at menopause. The purpose of this study was to determine the prevalence and changes in bone mineral density in Iranian patients. Methods: Three hundred patients were selected through random sampling technique in 2009. BMD was assessed by Norland (Excell) technique at the lumbar and femoral neck. Weight and height were measured through standard methods. A thorough history was taken from each patient. The data was analyzed using SPSS software version 13.0. P-values less than 0.05 were considered statistically significant. Results: From among the 300 studied patients, 86.6% were female. their mean age was 52.7 years. Their average body mass index (BMI) was 28.14 kg/m2. Mean T-Score at lumbar spine and femoral neck was -1.07 ±1.19 and -1.75 ± 1.33 respectively. Mean BMD value at lumbar spine and femoral neck was 0.92 ± 0.19 and 0.77 ± 0.16 respectively. The prevalence of osteoporosis at lumbar spine and femoral neck was 33.7% and 16.7, respectively. There was a significant correlation between age, BMI and BMD values (P-Value Conclusion: This study shows that ageing and low BMI are risk factors associated with bone loss. it is recommended to measure BMD and implement prevention programs for high-risk people.展开更多
文摘Mortality rate of burn patients can serve as an objective criterion for quality control and as a measure for research and preventive programs. A prospective study of burn victims, from data of burn registry program, was conducted to determine the etiology, risk factors of mortality and outcome of pediatric burns. We had 514 patients below 15 years old. Burns caused by scalding were the most frequent (55.4%) followed by flames (35.8%). Mean (SD) of age was 3.72 (3.19) years. Male to female ratio was 1.62:1. Mean hospital stay was 14.17 days (range 0 - 46 days). The mean TBSA (SD) was 15.22% (14.31%). Fifty three patients had inhalation injury (11.25%). Inhalation injury increases the risk of death (Odds Ratio: 8.75, p = 0.009). Length of stay increased in accordance with burn area (p < 0.002). Burn wound infection was present in (35.4%) of our patients. The univariate statistics analysis and a pooled, cross-sectional, multivariate logistic regression were done. The major risk factors were: Inhalation injury (OR = 8.75, p = 0.009) and lack of intra-venous fluid resuscitation before reaching the hospital (OR = 40.5%, p = 0.001), cause of burn (flame and chemical) and referral cases from other centers (OR = 3.66, p < 0.0001). The minor risk factor was age. About 83% of our patients discharged with partial recovery, 10% with complete recovery, 0.1% referred to other hospitals and 1.36% died.
文摘Introduction: Osteoporosis is a multifactorial skeletal disease that is characterized by reduced bone mineral density (BMD). BMD values depend on several factors such as age, sex and age at menopause. The purpose of this study was to determine the prevalence and changes in bone mineral density in Iranian patients. Methods: Three hundred patients were selected through random sampling technique in 2009. BMD was assessed by Norland (Excell) technique at the lumbar and femoral neck. Weight and height were measured through standard methods. A thorough history was taken from each patient. The data was analyzed using SPSS software version 13.0. P-values less than 0.05 were considered statistically significant. Results: From among the 300 studied patients, 86.6% were female. their mean age was 52.7 years. Their average body mass index (BMI) was 28.14 kg/m2. Mean T-Score at lumbar spine and femoral neck was -1.07 ±1.19 and -1.75 ± 1.33 respectively. Mean BMD value at lumbar spine and femoral neck was 0.92 ± 0.19 and 0.77 ± 0.16 respectively. The prevalence of osteoporosis at lumbar spine and femoral neck was 33.7% and 16.7, respectively. There was a significant correlation between age, BMI and BMD values (P-Value Conclusion: This study shows that ageing and low BMI are risk factors associated with bone loss. it is recommended to measure BMD and implement prevention programs for high-risk people.
