TY  - JOUR
PY  - 2016//
TI  - Inhalation injury after exposure to indoor fire and smoke: the Brazilian disaster experience
JO  - Burns: journal of the International Society for Burn Injuries
A1  - Rech, Tatiana Helena
A1  - Boniatti, Márcio Manozzo
A1  - Franke, Cristiano Augusto
A1  - Lisboa, Thiago
A1  - Wawrzeniak, Iuri Christmann
A1  - Teixeira, Cassiano
A1  - Maccari, Juçara Gasparetto
A1  - Schaich, Felipe
A1  - Sauthier, Angelica
A1  - Schifelbain, Luciele Medianeira
A1  - Riveiro, Diego Fontoura Mendes
A1  - da Fonseca, Deisi Leticia Oliveira
A1  - Berto, Paula Pinheiro
A1  - Marques, Leonardo
A1  - dos Santos, Moreno Calcagnotto
A1  - de Oliveira, Vanessa Martins
A1  - Dornelles, Carlos Fernando Drumond
A1  - Vieira, Sílvia Regina Rios
SP  - 884
EP  - 890
VL  - 42
IS  - 4
N2  - OBJECTIVE: To describe the pre-hospital, emergency department, and intensive care unit (ICU) care and prognosis of patients with inhalation injury after exposure to indoor fire and smoke. <br><br>MATERIALS AND METHODS: This is a prospective observational cohort study that includes patients admitted to seven ICUs after a fire disaster. The following data were collected: demographic characteristics; use of fiberoptic bronchoscopy; degree of inhalation injury; percentage of burned body surface area; mechanical ventilation parameters; and subsequent events during ICU stay. Patients were followed to determine the ICU and hospital mortality rates. <br><br>RESULTS: Within 24h of the incident, 68 patients were admitted to seven ICUs. The patients were young and had no comorbidities. Most patients (n=35; 51.5%) only had an inhalation injury. The mean ventilator-free days for patients with an inhalation injury degree of 0 or I was 12.5±8.1 days. For patients with an inhalation injury degree of II or III, the mean ventilator-free days was 9.4±5.8 days (p=0.12). In terms of the length of ICU stay for patients with degrees 0 or I, and patients with degrees II or III, the median was 7.0 days (5.0-8.0 days) and 12.0 days (8.0-23.0 days) (p<0.001), respectively. In addition, patients with a larger percentage of burned surface areas also had a longer ICU stay; however, no association with ventilator-free days was found. The patients with <10% of burned body surface area showed a mean of 9.2±5.4 ventilator-free days. The mean ventilator-free days for patients who had >10% burned body surface area was 11.9±9.5 (p=0.26). The length of ICU stay for the <10% and >10% burned body surface area patients was 7.0 days (5.0-10.0 days) and 23.0 days (11.5-25.5 days) (p<0.001), respectively. <br><br>CONCLUSIONS: We conclude that burn patients with inhalation injuries have different courses of disease, which are mainly determined by the percentage of burned body surface area.<br><br>Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0305-4179
UR  - http://dx.doi.org/10.1016/j.burns.2016.02.017
ID  - ref1
ER  -