Eficacia y seguridad de la cobertura cutánea temprana en quemaduras de II y III grado Hospital del Niño Dr. Francisco Ycaza Bustamante 2014-2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Las quemaduras son la segunda causa de muerte accidental en niños. Son lesiones
que desvitalizan los tejidos. Con la cirugía temprana y remoción del tejido
desvitalizado más cobertura cutánea de las áreas afectadas se epiteliza rápidamente y
con excelentes resultados
En el Hospital del niño Dr. Francisco Icaza Bustamante, la estancia hospitalaria de
un niño con quemaduras de II grado superficial se encuentra entre 2-3 semanas y de II
grado profunda y III grado se prolonga de 4-6 semanas. Con el empleo de la
cobertura cutánea temprana, se disminuyó la estancia y gasto hospitalario, por lo que
este aporte quirúrgico brinda un recurso práctico y económico además de la reducción
de secuelas antiestéticas al niño quemado.
Los objetivos fueron: demostrar la eficacia y seguridad de la cobertura cutánea
temprana en quemaduras de II y III grado, la reducción del tiempo de tratamiento y
comparar la eficacia y bioseguridad de la cobertura cutánea temprana vs tratamiento
convencional.
Se realizó un estudio retrospectivo, observacional y comparativo de enero del 2014
a Diciembre del 2015, donde se encontró que el 48% de los pacientes con
quemaduras de II y III grado recibieron cobertura cutánea temprana. El X2 de los
factores de riesgo para quemaduras de II y III grado fue de 3.89, con un grado de
libertad: V= 1.Con la cobertura cutánea temprana se redujo el tiempo de estancia
hospitalaria a un promedio de 15 días, con una H 0 validada por x2= 8.21, mayor al
v= 3, en comparación con las curaciones diarias para un promedio de 20 o más días.
The burns are the second leading cause of accidental death in children. They are lesions that diminish the tissues. With the surgery early and removal of the devitalised tissue more coverage skin of the areas affected are epiteliza quickly and with excellent results. In the Hospital of the child Dr. Francisco Icaza Bustamante, the burns of II and III have hospitalized extends from 2-3 months and many die by them complications into the hospital. With the use of early cutaneous coverage, decreased the stay and hospital spending, by which this contribution surgical provides a practical and economic resource as well as the reduction of unsightly sequels to the burned child. The objectives were to: demonstrate the efficacy and safety of early cutaneous coverage at Burns II and III extent, the reduction of treatment time and compare the efficacy and biosafety of cutaneous coverage early vs conventional treatment. We realized a retrospective, observational and comparative study from January 2014 to December 2015, where it was found that 26% of patients with burns II and III degree received early cutaneous coverage. The X 2 of the Burns risk factors was 3.89, with on V = 1. with early cutaneous coverage is reduced hospital stay time to an average of 15 days, 0 h validated by x 2 = 8.21, greater than the v = 3, compared with daily cures for an average of 20 or more days.
The burns are the second leading cause of accidental death in children. They are lesions that diminish the tissues. With the surgery early and removal of the devitalised tissue more coverage skin of the areas affected are epiteliza quickly and with excellent results. In the Hospital of the child Dr. Francisco Icaza Bustamante, the burns of II and III have hospitalized extends from 2-3 months and many die by them complications into the hospital. With the use of early cutaneous coverage, decreased the stay and hospital spending, by which this contribution surgical provides a practical and economic resource as well as the reduction of unsightly sequels to the burned child. The objectives were to: demonstrate the efficacy and safety of early cutaneous coverage at Burns II and III extent, the reduction of treatment time and compare the efficacy and biosafety of cutaneous coverage early vs conventional treatment. We realized a retrospective, observational and comparative study from January 2014 to December 2015, where it was found that 26% of patients with burns II and III degree received early cutaneous coverage. The X 2 of the Burns risk factors was 3.89, with on V = 1. with early cutaneous coverage is reduced hospital stay time to an average of 15 days, 0 h validated by x 2 = 8.21, greater than the v = 3, compared with daily cures for an average of 20 or more days.
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Palabras clave
Quemaduras, Tejido desvitalizado, Cobertura cutánea temprana, Cirugía plástica reconstructiva estética, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador, Pediatría