Efectos de la escarectomía temprana y tardía en pacientes quemados Hospital Francisco de Icaza Bustamante enero-diciembre 2014
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Los pacientes quemados son una realidad existente en nuestro medio que va en incremento, implica no solo costos económicos altos para el estado y sus familias sino también afectación psicosocial por la larga estadía hospitalaria, secuelas que deforman y avergüenzan al paciente que las padece, el objetivo fue determinar los efectos de la escarectomía temprana y tardía en pacientes quemados del hospital del niño “Francisco de Icaza Bustamante”, periodo 2014, la metodología fue correlacional transversal no experimental, el universo fueron 172 pacientes con quemaduras de segundo y tercer grado hospitalizados en la unidad de quemados, cirugía plástica y tras salas quirúrgicas del 1 de enero al 31 de diciembre del 2014, se aplicaron los criterios de exclusión siendo al muestra 81 pacientes a los cuales se les realizó escarectomía temprana y tardía, las quemaduras que requieren escarectomía afectaron más al género masculino en 62.57%, femenino 37.43%; el grupo etario más afectado fue de 1 a 4 años con 48.16%, las zonas que requirieron escarectomía fueron: tórax 36.95%, abdomen 29.34%, extremidades 14.28%, cara y cabeza 6.98%, manos y pies 13.45%, el porcentaje de superficie corporal quemada de más del 10% un 82.72% y en zonas especiales con menos del 10% 17.28%, los días de hospitalización promedio fueron 14 días, se concluye que los efectos de la escarectomía tardía aumenta el costo económico para el estado y las familias de los pacientes quemados, así también se aumentaron los conflictos familiares, deserción estudiantil y en algunos casos pérdida laboral.
Palabras claves: Escarectomía, pediatría, quemaduras, efectos
Burned patients are an existing reality in our growing environment, it implies not only high economic costs for the state and its families but also psychosocial affection for the long hospital stay, sequels that deform and embarrass the patient who suffers them, the objective Was to determine the effects of early and late escharectomy in burned patients of the Francisco de Icaza Bustamante child hospital, period 2014, the methodology was non-experimental cross-correlational, the universe was 172 patients with second and third degree burns hospitalized in the Burn unit, plastic surgery and after surgical rooms from January 1 to December 31, 2014, the exclusion criteria were applied and 81 patients were selected as the sample for whom both early and late esophorectomy were performed. More to the male gender in 62.57%, female 37.43%; The most affected age group was 1 to 4 years old with 48.16%; areas that required a stearectomy were chest 25.92%, hands and feet 23.45%, body burned percentage of more than 10% 82.72% and in special areas with Less than 10% 17.28%, the average days of hospitalization were 14 days, It is concluded that the effects of late lactation increases the economic cost for the state and the families of burn patients, as well as family conflicts, student desertion and, in some cases, labor loss.
Burned patients are an existing reality in our growing environment, it implies not only high economic costs for the state and its families but also psychosocial affection for the long hospital stay, sequels that deform and embarrass the patient who suffers them, the objective Was to determine the effects of early and late escharectomy in burned patients of the Francisco de Icaza Bustamante child hospital, period 2014, the methodology was non-experimental cross-correlational, the universe was 172 patients with second and third degree burns hospitalized in the Burn unit, plastic surgery and after surgical rooms from January 1 to December 31, 2014, the exclusion criteria were applied and 81 patients were selected as the sample for whom both early and late esophorectomy were performed. More to the male gender in 62.57%, female 37.43%; The most affected age group was 1 to 4 years old with 48.16%; areas that required a stearectomy were chest 25.92%, hands and feet 23.45%, body burned percentage of more than 10% 82.72% and in special areas with Less than 10% 17.28%, the average days of hospitalization were 14 days, It is concluded that the effects of late lactation increases the economic cost for the state and the families of burn patients, as well as family conflicts, student desertion and, in some cases, labor loss.
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Escarectomía, Pediatría, Quemaduras, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador