Epidemiology and Outcome Analysis of 470 Patients with Hand Burns: A Five-Year Retrospective Study in a Major Burn Center in Southwest China

Abstract Introduction Early excision and grafting for deeper hand burns is important for preservation of long-term hand function. Little information exists on long-term reconstructive and revision operations after acute grafting. Limited quantitative data is available on early predictors of this outcome. This study retrospectively examines a cohort of patients who underwent excision and grafting of acute hand burns and details their reconstructive course in the years after injury. Predictors of future reconstructive hand surgery are examined. Methods A retrospective review was conducted using medical records of patients admitted with acute burn injury to a major regional burn center from February 1999 to October 2015 and who subsequently underwent excision and grafting for closure of the acute wound. Information collected included demographics, burn size and etiology, anatomical involvement, grafting, contracture release, local tissue rearrangement, and regional and distant flaps. Regression analysis assessed for demographic and clinical predictors for future contracture release with grafts and/or local tissue rearrangement surgery. Results A total of 704 hands in 532 adults (71% male, median age 40 years, average burn size 14.9% TBSA) met study criteria (Table 1). Ninety-eight patients underwent at least one reconstructive surgery (122 burned hands). Mean length of follow-up was 1000 days. Multivariable logistic regression analysis showed that male gender was negatively associated (p< 0.001; OR 0.369; 90% CI, 0.233–0.584) with contracture release with graft whereas white race (p=0.030; OR 2.060; 90% CI, 1.192–3.560) and burn size ≥21% TBSA (p< 0.001; OR 3.962; 90% CI, 2.224–7.057) were positively associated. Males had a negative association (p=0.023; OR 0.527; 90% CI, 0.332–0.837) and burn size a positive association with local tissue rearrangement (5–10% TBSA - p=0.041; OR 2.149; 90% CI, 1.161–3.975 and >21% TBSA - p< 0.001; OR 4.230; 90% CI, 7.927). Conclusions Approximately 1 in 6 acutely grafted hands underwent at least one reconstructive surgery of clinically significant contractures, primarily in digits and web spaces. Female gender and burn size were positive predictors of both categories of reconstructive surgery while white race was a positive predictor of release and graft.

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Clinical features and treatment of 140 cases of Marjolin's ulcer at a major burn center in southwest China

Experimental and Therapeutic Medicine ◽

10.3892/etm.2019.7364 ◽

2019 ◽

Author(s):

Fei Xiang ◽

Hua‑Pei Song ◽

Yue‑Sheng Huang

Keyword(s):

Clinical Features ◽

Southwest China ◽

Burn Center ◽

Marjolin’S Ulcer ◽

Major Burn

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Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Medical Science Monitor ◽

10.12659/msm.918537 ◽

2020 ◽

Vol 26 ◽

Author(s):

Wensheng Wang ◽

Junhui Zhang ◽

Yanling Lv ◽

Peng Zhang ◽

Yuesheng Huang ◽

...

Keyword(s):

Elderly Patients ◽

Southwest China ◽

Epidemiological Investigation ◽

Burn Center ◽

Severe Burns ◽

Major Burn

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The characteristics of coronary stenosis in 11,267 patients from Southwest China: a retrospective study

Journal of Thrombosis and Thrombolysis ◽

10.1007/s11239-017-1568-z ◽

2017 ◽

Vol 45 (1) ◽

pp. 142-150

Author(s):

Zhao Yin ◽

Chunyu Zeng ◽

Xiaoqun Zhang ◽

Chengming Yang ◽

Hongyong Wang ◽

...

Keyword(s):

Retrospective Study ◽

Coronary Stenosis ◽

Southwest China

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Comparison of Outcomes Between Anti-Nuss Operation and Modified Anti-Nuss Operation Using a Flexible Plate for Correcting Pectus Carinatum: A Retrospective Study

Frontiers in Surgery ◽

10.3389/fsurg.2020.600755 ◽

2021 ◽

Vol 7 ◽

Author(s):

Lei Wang ◽

Juan Liu ◽

Saie Shen ◽

Yao Li ◽

Tienan Feng ◽

...

Keyword(s):

Retrospective Study ◽

Steel Plate ◽

Outcome Analysis ◽

Nuss Procedure ◽

Flexible Plate ◽

Pectus Carinatum ◽

Short Term ◽

Plate Removal ◽

Traditional Procedure ◽

Operation Duration

Introduction: The anti-Nuss procedure has gradually been found to have several shortcomings in clinical practice. Accordingly, our department previously designed and introduced a new steel plate. However, there is limited evidence regarding its safety and efficacy. Thus, we aim to compare the efficacy and safety of the conventional anti-Nuss operation with those of a modified anti-Nuss operation using a flexible plate.Methods: Patients with pectus carinatum who underwent surgery between January 2014 and August 2019 were consecutively enrolled in this single-center, retrospective study. In all, 53 patients underwent the modified procedure using the new steel plate (new procedure group), whereas 43 underwent the conventional anti-Nuss procedure (traditional procedure group). Outcome analysis was performed using SPSS to compare the intraoperative and postoperative short-term outcomes.Results: All patients in the new procedure group had shorter operation duration (75.23 ± 11.90 vs. 82.45 ± 9.30 min, p = 0.008), postoperative hospitalizations (3.42 ± 0.95 vs. 4.64 ± 1.53 days, p = 0.039), and plate removal surgery durations (40.60 ± 3.47 vs. 60.30 ± 9.75 min, p = 0.041) than patients in the traditional procedure group. There were no significant differences in the length of incision, postoperative Haller index, cost, postoperative surgical outcome, and incidence of complications between the two groups.Conclusion: Our data reveal that the main clinical outcomes were similar for after anti-Nuss operation and modified anti-Nuss operation. However, the modified procedure for pectus carinatum had a shorter operation duration, postoperative hospitalization, and plate removal surgery duration.

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