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Fırat Tıp Dergisi
2021, Cilt 26, Sayı 3, Sayfa(lar) 136-141
[ Turkish ] [ Tam Metin ] [ PDF ]
Investigation of Electrical Injuries From Emergency Department 2014/2018 Years Retrospective Registry Study
Songül ARAÇ1, Eşref ARAÇ2, Mehmet ÖZEL1, Nazlı GÖRMELİ KURT3
1Sağlık Bilimleri Üniversitesi Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Dı̇yarbakır, Türkiye
2Sağlık Bilimleri Üniversitesi Gazi Yaşargil Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği, Dı̇yarbakır, Türkiye
3Ankara Şehir Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye

Objective: Electrical injuries can range from minor skin burns to life-threatening visceral damage. In this study, it was aimed to examine all age groups who applied to the emergency service with electrical injury and to evaluate them in terms of risk of complications and death.

Material and Method: The study was conducted on the files of 178 patients who were admitted to the emergency department of our hospital between 2014 and 2018 due to electrical injuries. The study is a retrospective data research. Chisquare test, Mann Whitney U test, Binary Logistic regression test were used in the data analysis. p <0.05 was considered significant.

Results: The majority of 178 electrical injuries occurred in men (73.6%), adults (69.7%) and at home. Workplace injuries are more common in males (p <0.05).Twenty point two percent of electrical injuries are high voltage injuries and the total mortality rate is 5.1%. Hospital stays are longer in high-voltage injuries, and the complication rate is 28 times and the death rate is 9 times higher. Factors that increase the risk of death in electrical injuries; high voltage electrical injury, presence of intracranial or pulmonary complications, high CK, and lactate levels. Serum CK and lactate levels were significantly higher in patients who underwent amputation, escharotomy, fasciotomy and who died.

Conclusion: High voltage electrical injuries are more dangerous. CK and lactate elevation may be a prognostic factor in electrical injuries.


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