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Incidence of Sinusitis in Burn Victims and Association With Inhalational Injury
- Source :
- Journal of burn careresearch : official publication of the American Burn Association. 38(6)
- Publication Year :
- 2017
-
Abstract
- The purpose of this study is to determine the incidence of sinusitis in mechanically ventilated burn victims and to examine if the presence of inhalational injury increases the likelihood of developing sinusitis. The authors hypothesize that the incidence of sinusitis will be increased in burn victims who have concomitant inhalational injury. A retrospective chart analysis was performed on all patients who were admitted to the Nathan Speare Regional Burn Treatment Center over a 24-month time frame. Patients who were mechanically ventilated for greater than 24 hours were then selected, resulting in a total of 137 patients for analysis. Multiple variables including number of days on mechanical ventilation, presence of confirmed inhalational injury by bronchoscopy, and method of diagnosis were examined. Of 137 patients, a diagnosis of sinusitis was made in 32 patients (23%). In patients with sinusitis, 87.5% had inhalational injury confirmed with bronchoscopy, compared with only 33.3% of patients without sinusitis (P < .01). Rates of nasotracheal/nasogastric intubation, nasoenteric feeding, and length of mechanical ventilation before sinusitis diagnosis were not significantly different. Patients with sinusitis were found to have suffered inhalational injury at a significantly higher rate than those who did not develop sinusitis. This suggests that inhalational injury is a significant risk factor for developing sinusitis.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Bronchoscopy
Risk Factors
otorhinolaryngologic diseases
medicine
Humans
In patient
030212 general & internal medicine
Significant risk
Sinusitis
Retrospective Studies
Mechanical ventilation
medicine.diagnostic_test
business.industry
Incidence (epidemiology)
Incidence
Rehabilitation
030208 emergency & critical care medicine
Middle Aged
medicine.disease
Respiration, Artificial
Surgery
Concomitant
Anesthesia
Emergency Medicine
Nasogastric intubation
Female
business
Burns, Inhalation
Subjects
Details
- ISSN :
- 15590488
- Volume :
- 38
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of burn careresearch : official publication of the American Burn Association
- Accession number :
- edsair.doi.dedup.....3c455e11a056344ef145633b794b23e1