Journal Title: بهار 94
Article title: The effect of Escharectomy on Platelet Count and the Prognosis of Extensive Burn Patients

Article PDF File:
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Article abstract:
Introduction & Objective: Multiple hematological changes occur in patients with severe burns. One of these changes is thrombocytopenia that may occur during the treatment of extensive burns for various reasons, including infection. Daily monitoring of platelet count is important in the early detection of infection and secondary complications after extensive burns. In this study, we have evaluated the effects of escharectomy on the platelet counts and the reduction of the mortality rate of extensive burn patients. Materials & Methods: This cross-sectional study was done on 52 patients with 40-50% burn who were referred to the Shohadaye Yaft Abad hospital. Laboratory data were measured daily, especially platelet count per day were recorded. The platelet count was measured before and after escharectomy in all patients. Paired t test used to compare parametric or equivalent platelet count in both groups before and after surgery and to compare parametric independent t-test or equal to the difference between the platelets before and after surgery were analyzed between groups and all results were analyzed by SPSS 16.0 statistical software. Results: The patients’ mean age was 29.69 ± 16.70 standard deviation. Of these 74% (38 patients) were treated and discharged, but 26% (14 people) of the population died. Given the normal distribution, independent t-test was used to compare the differences which were found to be of no significance (P = 0.091). Conclusions: From the results, it can be concluded that escharectomy surgery in burn patients, both cases of those who died and those who survived, increases the platelet count. But this increase was not significant in either group and can not serve as a determinant of prognosis and mortality.
Article KeyWords:
Escharectomy, Thrombocytopenia, Platelet, Burn
Article Authors:

	دکتر سارا حسینی زواره	First Author
	دکتر محمد جواد فاطمی	Other Author	fatemi41@yahoo.com
	میترا نیازی	Other Author
	فاطمه خدایی	Other Author