Öz
Amaçlar:Epilepsi nöbeti sırasında bireyler kendilerini koruyamadıkları için travmalar ve sekonder yaralanmalara karşı savunmasız kalmaktadır. Bu yaralanmalardan biri olan yanıklar ciddi morbiditelere hatta mortalitelere neden olabilmektedir. Bu çalışmada, yanık merkezimizde yatarak tedavi gören epilepsi nöbetine bağlı olarak gelişen yanıklara ait klinik özellikler ve tedavi yöntemlerine ait verilerin sunulması amaçlanmıştır.
Yöntemler:Ocak 2022 - Haziran 2025 tarihleri arasında yanık merkezimizde yatarak tedavi gören hastaların dijital kayıtları retrospektif olarak analiz edilmiştir. Epilepsi nöbeti sırasında yanık yaralanması gelişen 18 yaş ve üzeri hastalar çalışma grubunu oluşturmuştur. Demografik veriler, yanık etiyolojisi, yanık bulguları, tedavi yöntemleri ve yatış süreleri kaydedilerek verilerin analizleri yapılmıştır.
Bulgular:Çalışma periyodunda incelenen 1652 hastanın 17’sinde (%1,02) epilepsi nöbetine bağlı yanık yaralanması saptanmıştır. Medyan yaş 43 (21-67) olup, hastaların %52,8’i kadındı. Yanıkların %76,5’i haşlanma kaynaklıydı ve tamamı ev ortamında meydana geldi. En sık etkilenen bölge alt ekstremitelerdi (%52,9). Olguların %58,8’inde yanık yüzdesi <%10 idi. Cerrahi greft uygulaması sadece iki hastada gerekti, amputasyon ihtiyacı olmadı.
Sonuç:Epilepsi nöbetleri sırasında oluşan yanık yaralanmaları önlenebilir önemli bir morbidite nedenidir. Ev içi güvenlik önlemlerinin artırılması, epilepsi hastalarının düzenli takibi ve eğitim programlarının uygulanması, bu tür yaralanmaların önüne geçilmesinde etkili olabilir.
Anahtar Kelimeler
Epilepsi nöbet sırasında travma önlenebilir morbidite yanıklar
Kaynakça
- He S, Alonge O, Agrawal P, Sharmin S, Islam I, Mashreky SR, et al. Epidemiology of Burns in Rural Bangladesh: An Update. Int J Environ Res Public Health. 2017;14(4):381.
- Chen L, He X, Xian J, Liao J, Chen X, Luo Y, et al. Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes. Sci Rep. 2021;11(1):9374.
- Ahmad I, Singh N. Neuropsychiatric Disorders and Burn Trauma: Insights From a Tertiary Care Hospital. Cureus. 2024;16(10):e72421.
- Thijs RD, Surges R, O'Brien TJ, Sander JW. Epilepsy in adults. Lancet. 2019;393(10172):689-701.
- Boschini LP, Tyson AF, Samuel JC, Kendig CE, Mjuweni S, Varela C, et al. The role of seizure disorders in burn injury and outcome in Sub-Saharan Africa. J Burn Care Res. 2014;35(6):e406-12.
- Jahan I, Dhar LK, Kaiser A, Razia S, Hossain MA, Talukder A. Demographic Study of Epileptic Burn Patient in a Tertiary Level Hospital of Bangladesh. Mymensingh Med J. 2024;33(3):690-695.
- Ghoddusi Johari M, Mohammadi AA, Dastgerdi V. Burn: A Predictable but Preventable Tragedy in Epileptic Patients. World J Plast Surg. 2019;8(2):254-258.
- Mabrouk A, Hammad MR, Mabrouk A, Badawy MS. Epilepsy as a Cause of Burns: Our Experience in Ain Shams University Burn Unit. J Burn Care Res. 2024;45(5):1279-1280.
- Sener Bahce Z, Yigit E. Burn Injuries in Patients with Epilepsy in Our Region: A 10-Year Review. Arch Epilepsy. 2021;27(3):177-182.
- Faurie MP, Allorto NL, Aldous C, Clarke DL. A closer look at burn injuries and epilepsy in a developing world burn service. S Afr J Surg. 2015;53:48-50.
- Wang Y, Luo L, Li H, Li M, Huang Y, Huang Y, et al. Clinical profile, management and risk factors for seizure-related burn injuries among patients with epilepsy in southwest China. Heliyon. 2023;10(1):e23908.
- Wall SL, Osman Y, Buthelezi X, Allorto NL. Amputations secondary to burn injuries in a resource-limited setting. Injury. 2022;53(5):1716-1721.
- Zia Ziabari SM, Mobayen MR, Rimaz S, Nejat DR, Rimaz S. Evaluation of patterns, cause and risk factors of burns in patients with seizure. Int J Burns Trauma. 2022;12(1):23-27.
- Agbenorku P, Adamu Bukari A-R, Effah AT, Agbenorku M, Asare NYO, Bayuo J. Burn injury in epileptics: The trend and risk factors in the middle belt of Ghana. Burn Open. 2018;2(3):122–125.
- Kasenda S, Mategula D, Chokotho T. Burns among adults in a major Malawian burn unit: epidemiology and factors associated with prolonged hospital stay. Malawi Med J. 2023;35(3):132-140.
- Anaje OD, Nwani PO, Nwosu MC, Asomugha LA, Anaje CC, Amaechi IA, et al. Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria. Ann Afr Med. 2024;23(4):628-634.
- Asiri S, Al-Otaibi A, Al Hameed M, Hamhom A, Alenizi A, Eskandrani A, et al. Seizure-related injuries in people with epilepsy: A cohort study from Saudi Arabia. Epilepsia Open. 2022;7(3):422-430.
Öz
Background: During epileptic seizures, individuals are vulnerable to trauma and secondary injuries due to their inability to protect themselves. Among these injuries, burns can lead to significant morbidity and even mortality. The aim of this study is to present data on the clinical features and treatment methods of burns due to epileptic seizures treated in our burn center.
Methods: Digital records of patients who were hospitalized and treated at our burn center between January 2022 and June 2025 were retrospectively analyzed. Patients aged 18 years and older who sustained burn injuries during epileptic seizures constituted the study group. Demographic data, burn etiology, burn characteristics, treatment methods, and length of hospital stay were recorded and analyzed.
Results: Among the 1652 patients evaluated during the study period, burn injuries related to epileptic seizures were identified in 17 cases (1.02%). The median age was 43 years (range: 21–67), and 52.8% of the patients were female. Scalding was the most common cause of burns (76.5%), and all incidents occurred in a home environment. The most frequently affected area was the lower extremities (52.9%). In 58.8% of the cases, the total body surface area (TBSA) affected was less than 10%. Surgical grafting was required in only two patients, and no amputations were needed.
Conclusion: Burn injuries sustained during epileptic seizures represent a preventable but significant cause of morbidity. Enhancing household safety measures, ensuring regular follow-up for epilepsy patients, and implementing educational programs may be effective in preventing such injuries.
Anahtar Kelimeler
Burn injuries epilepsy preventable morbidity seizure-related trauma
Kaynakça
- He S, Alonge O, Agrawal P, Sharmin S, Islam I, Mashreky SR, et al. Epidemiology of Burns in Rural Bangladesh: An Update. Int J Environ Res Public Health. 2017;14(4):381.
- Chen L, He X, Xian J, Liao J, Chen X, Luo Y, et al. Development of a framework for managing severe burns through a 17-year retrospective analysis of burn epidemiology and outcomes. Sci Rep. 2021;11(1):9374.
- Ahmad I, Singh N. Neuropsychiatric Disorders and Burn Trauma: Insights From a Tertiary Care Hospital. Cureus. 2024;16(10):e72421.
- Thijs RD, Surges R, O'Brien TJ, Sander JW. Epilepsy in adults. Lancet. 2019;393(10172):689-701.
- Boschini LP, Tyson AF, Samuel JC, Kendig CE, Mjuweni S, Varela C, et al. The role of seizure disorders in burn injury and outcome in Sub-Saharan Africa. J Burn Care Res. 2014;35(6):e406-12.
- Jahan I, Dhar LK, Kaiser A, Razia S, Hossain MA, Talukder A. Demographic Study of Epileptic Burn Patient in a Tertiary Level Hospital of Bangladesh. Mymensingh Med J. 2024;33(3):690-695.
- Ghoddusi Johari M, Mohammadi AA, Dastgerdi V. Burn: A Predictable but Preventable Tragedy in Epileptic Patients. World J Plast Surg. 2019;8(2):254-258.
- Mabrouk A, Hammad MR, Mabrouk A, Badawy MS. Epilepsy as a Cause of Burns: Our Experience in Ain Shams University Burn Unit. J Burn Care Res. 2024;45(5):1279-1280.
- Sener Bahce Z, Yigit E. Burn Injuries in Patients with Epilepsy in Our Region: A 10-Year Review. Arch Epilepsy. 2021;27(3):177-182.
- Faurie MP, Allorto NL, Aldous C, Clarke DL. A closer look at burn injuries and epilepsy in a developing world burn service. S Afr J Surg. 2015;53:48-50.
- Wang Y, Luo L, Li H, Li M, Huang Y, Huang Y, et al. Clinical profile, management and risk factors for seizure-related burn injuries among patients with epilepsy in southwest China. Heliyon. 2023;10(1):e23908.
- Wall SL, Osman Y, Buthelezi X, Allorto NL. Amputations secondary to burn injuries in a resource-limited setting. Injury. 2022;53(5):1716-1721.
- Zia Ziabari SM, Mobayen MR, Rimaz S, Nejat DR, Rimaz S. Evaluation of patterns, cause and risk factors of burns in patients with seizure. Int J Burns Trauma. 2022;12(1):23-27.
- Agbenorku P, Adamu Bukari A-R, Effah AT, Agbenorku M, Asare NYO, Bayuo J. Burn injury in epileptics: The trend and risk factors in the middle belt of Ghana. Burn Open. 2018;2(3):122–125.
- Kasenda S, Mategula D, Chokotho T. Burns among adults in a major Malawian burn unit: epidemiology and factors associated with prolonged hospital stay. Malawi Med J. 2023;35(3):132-140.
- Anaje OD, Nwani PO, Nwosu MC, Asomugha LA, Anaje CC, Amaechi IA, et al. Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria. Ann Afr Med. 2024;23(4):628-634.
- Asiri S, Al-Otaibi A, Al Hameed M, Hamhom A, Alenizi A, Eskandrani A, et al. Seizure-related injuries in people with epilepsy: A cohort study from Saudi Arabia. Epilepsia Open. 2022;7(3):422-430.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Genel Cerrahi |
| Bölüm | ORIGINAL ARTICLE |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Eylül 2025 |
| Gönderilme Tarihi | 23 Ağustos 2025 |
| Kabul Tarihi | 8 Eylül 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 6 Sayı: 3 |
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