• Login
    View Item 
    •   Home
    • Colleges, Departments, and Organizations
    • College of Medicine - Phoenix
    • Scholarly Projects
    • Scholarly Projects 2020
    • View Item
    •   Home
    • Colleges, Departments, and Organizations
    • College of Medicine - Phoenix
    • Scholarly Projects
    • Scholarly Projects 2020
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Clinical and demographic features of burn patients at Arizona Burn Center Emergency Department

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    SP_2020_CoraKopnina_Thesis.pdf
    Size:
    187.2Kb
    Format:
    PDF
    Download
    Thumbnail
    Name:
    SP_2020_CoraKopnina_Poster.pdf
    Size:
    332.2Kb
    Format:
    PDF
    Download
    Author
    Cora Kopnina, Yanet
    Issue Date
    2020
    Keywords
    Emergency Medicine
    Surgery
    Burns
    Arizona
    MeSH Subjects
    Emergency Medicine
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Description
    A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
    URI
    http://hdl.handle.net/10150/641600
    Abstract
    Background: Burns are a common cause of injury worldwide that can lead to death, physical disability, psychological trauma and financial burden. Incidence of burn injuries, mortality and emergency department admission rates vary by race, age, gender and socioeconomic status. In addition to patient demographic characteristics, clinical features of their burns influence patient outcomes and management strategies. In addition, clinical features of burns influence patient outcomes and management strategies. Despite having a nationally verified adult and pediatric tertiary burn center, Arizona-specific data regarding clinical features and patient demographics for non-fatal burns is not available in the literature. With this study, we aim to provide state-specific clinical and demographic characteristics of burn patients over a 3-month period. Additionally, we aim to identify differences in burn etiology between adult and pediatric patients. Methods: A retrospective chart review of all adult and pediatric patients who presented to the Arizona Burn Center emergency department at Valleywise Health from June through August of 2016 was performed. Demographic and clinical characteristics were reported as means and standard deviation for continuous variables, while frequencies and percentages were used for categorical variables. The Wilcoxon Rank Sum was used to compared continuous variables while Chi-Squared/Fisher’s Exact test was used to compare categorical variables. Multivariate logistic regression was used to associate variables and all regression models were controlled for age, gender, race, income, total body surface area (TBSA), and the total number of comorbidities. Exploratory descriptive analysis was used to ascertain frequencies and percentages of burn type and mechanism of burn in pediatric and adult groups. The one sample Z-test of proportions was used to assess percentage differences between each mechanism of burn and burn type respectively. Results: Of 651 patients, 240 (36.9%) were female, ages ranged between 0-93 years and the average of age was 31.3 ± 22.3 years. Adults accounted for 69.4% and the 18-29 years old group was affected more than other ages (19.1%). Children under 5 were affected more frequently (55.3%) within the pediatric population. White/Caucasian patients were affected more frequently (533, 81.9%), and 221 patients (33.9%) identified as Hispanic. Medicaid/other government insurance was the most common payment method (204, 31.3%) without including Medicare, followed by self pay/uninsured (154, 23.7%). Most common body part affected was upper extremities (372, 57.1%) and mean TBSA burned was 3.67 ± 8.31%. Admission was required in 163 (25%) of patients, and their LOS averaged 14.7 ± 22.2 days. Tobacco use was seen at higher frequency (20.9%). Most common burn type among all patients was scalding (253, 38.9%) and most burn injuries occurred at home (279, 42.9%). Scalding (41.2%) and contact burn (38.2%) affected children more often than adults, but there was no difference in incidence between these two etiologies among children (p=0.38). Adults were affected by flame burn more often than children (13.3% vs 5.53%, p=0.02). Within the adult group, scalding (37.8 %) was the most common cause of burn (p <0.001). Tar/asphalt was the most common mechanism of contact burns (61.5%, p<0.001) in adults. Conclusions: Demographic and clinical features vary among burn patients seen at the Arizona Burn Center ED. Scalding is the most common cause of burn in adults while scalding and contact equally affect children. Tar/asphalt is the most common cause of contact burns. The sample period was during the summer, so contact burns from hot asphalt are likely overrepresented, while burns from fires (fireplaces, furnaces, and heaters) are likely under-represented compared to an analysis of an entire year.
    Type
    text
    Electronic Thesis
    Poster
    Language
    en
    Collections
    Scholarly Projects 2020

    entitlement

     
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.