scholarly journals Profil de l’ionogramme sanguin chez les enfants brûlés du Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle de Ouagadougou (Burkina Faso)

2021 ◽  
Vol 15 (2) ◽  
pp. 426-436
Author(s):  
Fabienne Marie Soudre ◽  
Alice Kiba ◽  
Arnaud Kouraogo ◽  
Raoul Karfo ◽  
Salam Tiendrebeogo ◽  
...  

Les brûlures de l’enfant peuvent être à l’origine de troubles ioniques graves, entrainant une morbi-mortalité importante. Ce travail avait pour objectif de décrire les perturbations de l’ionogramme sanguin chez les enfants brûlés, afin de contribuer à l’amélioration des soins. Il s’est agi d’une étude transversale rétrospective allant du 01 janvier 2017 au 30 juin 2019. Ont été inclus les enfants hospitalisés dans le service de chirurgie du CHU pédiatrique Charles de Gaulle pour brûlure et chez lesquels un ionogramme sanguin a été réalisé. L’étude a porté sur 212 enfants, avec un âge moyen de 38,52 mois et un sex ratio de 1,12. La surface corporelle brûlée moyenne était de 26,60% et le délai moyen d’admission de 5,71 heures. La mortalité était de 16,98%. L’ionogramme sanguin à l’entrée a retrouvé une hyponatrémie (27,88%), une hypobicarbonatémie (53,95%), une hypoprotidémie (26,67%) et une hyperchlorémie (53,59%). Au contrôle, ces troubles ioniques étaient toujours présents. S’y sont associées une hypocalcémie (30,43%), une hypomagnésémie (27,27%) et une hyperphosphatémie (28,79%). La natrémie, la bicarbonatémie et la protidémie à l’entrée étaient significativement plus basses chez les patients décédés. Les brûlures de l’enfant sont fréquentes. Leur évolution est marquée par des perturbations de l’ionogramme sanguin et une mortalité élevée.Mots clés : Brûlure, Ionogramme sanguin, Enfants, Burkina Faso.   English title: Blood ionogram profile in burned children at the Charles de Gaulle University Pediatric Hospital of Ouagadougou (Burkina Faso)Burns in children can be the cause of serious ionic disorders, leading to significant morbidity and mortality. The aim of this study was to describe the disturbances in the blood ionogram of burnt children, in order to contribute to the improvement of care. This was a retrospective cross-sectional study from 01 January 2017 to 30 June 2019. Children hospitalised in the surgery department of the Charles de Gaulle Pediatric University Hospital for burns and in whom a blood ionogram was carried out were included. Our study involved 212 children, with an average age of 38.52 months and a sex ratio of 1.12. The average body surface area burned was 26.60% and the average admission time was 5.71 hours. Mortality was 16.98%. The blood ionogram at the entrance showed hyponatremia (27.88%), hypobicarbonatremia (53.95%), hypoprotidemia (26.67%) and hyperchloremia (53.59%). At the control, these ionic disorders were still present. They were associated with hypocalcaemia (30.43%), hypomagnesemia (27.27%) and hyperphosphatemia (28.79%). Natremia, bicarbonateemia and protidemia were significantly lower on admission in patients who died in the course of the evolution. Childhood burns are frequent at the CHUP-CDG; their evolution is marked by disturbances of the blood ionogram and high mortality.Keywords: Burns, Blood Ionogram, Children, Burkina Faso.

2018 ◽  
Vol 08 (02) ◽  
pp. 199-206
Author(s):  
A. Kaboré ◽  
A. Diallo ◽  
H. Savadogo ◽  
S. A. P. Ouédraogo ◽  
K. Nagalo ◽  
...  

2021 ◽  
Author(s):  
Timuçin Erol ◽  
Kamran Mahmudzada ◽  
Busenur Kırımtay ◽  
Doğukan Doğu ◽  
Mustafa Oruç ◽  
...  

Abstract Background Sudden change in general surgery practice during pandemic caused a detrimental effect on residency training. The main objective of this study is to reveal the effect of Covid-19 pandemic on general surgery practice and surgical residency education. Methods This retrospective cross sectional study included all patients operated at a tertiary university hospital, general surgery department between 11-March 2019/ 11- January-2019 (Pre-Covid 19 Period) and 11-march 2020- 11- January − 2020 (Covid 19 period). Two period compared in terms of case volume, complexity difference and effect of this difference on residents training. Results Overall 2740 cases included to study. Elective case volume significantly decreased during pandemic (p = 0.001). This decrease is much more obvious for B-C category operations. Intermediate seniority resident’s case volumes and complexity of the cases they performed decreased during pandemic. Conclusion Surgical residency programs must be revised urgently in order to provide adequte training which altered due to Covid-19 pandemic.


2008 ◽  
Vol 18 (1) ◽  
pp. 015-018
Author(s):  
Fla KouÉta ◽  
Diarra YÉ ◽  
Lassina Dao ◽  
Alice Zoungrana-KaborÉ ◽  
Sylvie Armelle P OuÉdraogo ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Kaspar Küng ◽  
Thierry Carrel ◽  
Brigitte Wittwer ◽  
Sandra Engberg ◽  
Natalie Zimmermann ◽  
...  

The purpose of this study was (1) to determine frequency and type of medication errors (MEs), (2) to assess the number of MEs prevented by registered nurses, (3) to assess the consequences of ME for patients, and (4) to compare the number of MEs reported by a newly developed medication error self-reporting tool to the number reported by the traditional incident reporting system. We conducted a cross-sectional study on ME in the Cardiovascular Surgery Department of Bern University Hospital in Switzerland. Eligible registered nurses () involving in the medication process were included. Data on ME were collected using an investigator-developed medication error self reporting tool (MESRT) that asked about the occurrence and characteristics of ME. Registered nurses were instructed to complete a MESRT at the end of each shift even if there was no ME. All MESRTs were completed anonymously. During the one-month study period, a total of 987 MESRTs were returned. Of the 987 completed MESRTs, 288 (29%) indicated that there had been an ME. Registered nurses reported preventing 49 (5%) MEs. Overall, eight (2.8%) MEs had patient consequences. The high response rate suggests that this new method may be a very effective approach to detect, report, and describe ME in hospitals.


2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Anum Arif ◽  
Farhat Jaleel ◽  
Khalid Rashid

Objective: To determine the accuracy of BISAP score in comparison with Ranson’s score in detection of severe acute pancreatitis. Methods: This cross sectional study was performed in Emergency department and Surgery department of Dow university hospital from January 2015 to December 2015. A total of 206 patients were included. Those diagnosed with acute pancreatitis on the basis of epigastric pain, serum amylase levels more than 300 (more than 3 times normal) and meeting the inclusion criteria were subjected to investigations for Ranson’s and BISAP scoring. BISAP score was calculated at 24 hours and Ranson’s score both at 24 and 48 hours. A score of > 3 was used to label severe acute pancreatitis according to both scoring systems. Results: In our study accuracy to predict SAP by BISAP score was 76.2 % and Ranson’s score was 82.2%. On the basis of sensitivity, Ranson’s scores predicted SAP more accurately than BISAP scores (97.4% vs. 69.2%). Regarding specificity, both scores predicted SAP almost equally (78.4% vs. 77.8%). Conclusion: BISAP score is a valuable tool in predicting severe Acute Pancreatitis in early hours. doi: https://doi.org/10.12669/pjms.35.4.1286 How to cite this:Arif A, Jaleel F, Rashid K. Accuracy of BISAP score in prediction of severe acute pancreatitis. Pak J Med Sci. 2019;35(4):---------.  doi: https://doi.org/10.12669/pjms.35.4.1286 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Sign in / Sign up

Export Citation Format

Share Document