Federico Jiménez - Academia.edu (original) (raw)

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Papers by Federico Jiménez

Burns, 2014

Major burns are injuries with necrosis at the epidermis and the dermis, resulting from thermic, c... more Major burns are injuries with necrosis at the epidermis and the dermis, resulting from thermic, chemical, electric or radiation exposure , with children and the elderly being the most affected . Although scalding injury is the most common mechanism of injury in adults at emergency departments, direct fire is the most common mechanism in hospitalised cases, especially in men, which is associated with greater mortality . The main risk factors associated with mortality identified so far are age, inhalation injury and total burn surface area (%TBSA) . Age contributes significantly to mortality, as survival in most paediatric population series is around 90-100%. Airway injury is reported in up to 43% of all hospitalised patients with major burns, giving an 8-10-fold risk of death . In addition, there is a marked correlation between %TBSA and death rising considerably from >20% TBSA . In a systematic review with >186,500 patients in Europe, Brusselaers reports a mortality rate from 1.4% to 18% (maximum 34%) in major burn patients ; however, much of these data come from reference centres, patients with a mean %TBSA between 11% and 24%, with less strict admission criteria, and patients not necessarily critically ill. On the other b u r n s x x x ( 2 0 1 4 ) x x x -x x x

Burns, 2014

Major burns are injuries with necrosis at the epidermis and the dermis, resulting from thermic, c... more Major burns are injuries with necrosis at the epidermis and the dermis, resulting from thermic, chemical, electric or radiation exposure , with children and the elderly being the most affected . Although scalding injury is the most common mechanism of injury in adults at emergency departments, direct fire is the most common mechanism in hospitalised cases, especially in men, which is associated with greater mortality . The main risk factors associated with mortality identified so far are age, inhalation injury and total burn surface area (%TBSA) . Age contributes significantly to mortality, as survival in most paediatric population series is around 90-100%. Airway injury is reported in up to 43% of all hospitalised patients with major burns, giving an 8-10-fold risk of death . In addition, there is a marked correlation between %TBSA and death rising considerably from >20% TBSA . In a systematic review with >186,500 patients in Europe, Brusselaers reports a mortality rate from 1.4% to 18% (maximum 34%) in major burn patients ; however, much of these data come from reference centres, patients with a mean %TBSA between 11% and 24%, with less strict admission criteria, and patients not necessarily critically ill. On the other b u r n s x x x ( 2 0 1 4 ) x x x -x x x