ABSTRACT
Objectives: To investigate the determinants of mortality and the lethal area 50 [LA50] in large series of Iranian burn patients admitted to a single burn center
Methods: This cross-sectional study was conducted in Shahid Motahari burn center of Tehran, Iran during a 1-year period from 2011 to 2012. We included all the burn patients who were admitted to our center during the study period. Those with incomplete medical records and those referred to other centers were excluded from the study. The medical records of the included patients were reviewed and the demographic, clinical, laboratory and outcome measures were recorded. The mortality rate was recorded and the determinants of LA50 were analyzed in a univariate and stepwise multivariate model
Result: Overall we included a total number of 1200 subjects with mean age of 30.8+/-18 years. There were 907 [75.6%] men and 293 [24.4%] women among the patients. The total LA50 was 55.5% [95% CI: 52.98%-58.3 %]. There was a significant difference between age group >61 years and two 11-20 and 21-30 groups regarding LA50. The advanced age [p<0.001], female gender [p=0.002], inhalational injury [p<0.001] and burn extension determined by TBSA% [p<0.001] were significantly associated with mortality. In addition, male gender [p=0.087], flame [p=0.156], scald [p=0.088] and chemical injuries [p=0.071] were not associated with mortality
Conclusion: The LA50 determine din our study is still much lower than that reported in developed countries, as a result, the quality of medical care is lower. Female gender, age, inhalational injury and extension of burn determined by TBSA% were found to be the independent risk factors of mortality in burn patients in our series
ABSTRACT
The aim of this research was to introduce the Persian version of Motor Observation Questionnaire for Teachers [PMOQ-T], and evaluate its reliability and several aspects of its validity in identifying children at risk of developmental coordination disorder [DCD] in Iran. We examined discriminate validity, construct validity, concurrent validity, and internal consistency of the PMOQ-T using a sample of 505 school boys and their teachers. Teachers were asked to complete the PMOQ-T, Teachers assessments were compared to students' performance on the Bruininks-Oseretsky Test of Motor Proficiency [BOTMP] and Test of Gross Motor Development-2 [TGMD-2]. PMOQ-T had a high internal consistency [Coronbach's alpha=0.91]. The DCD at risk group scored significantly higher than the normal children in both BOTMP and TGMD-2. Explanatory factor analysis showed that the PMOQ-T was bi-factorial and the Persian version was compatible with the original. Finally, high correlations were observed between the PMOQ-T scores and "BOTMP [-0.75] and TGMD-2 subseales": locomotion [-0.68] and object control [-0.62]. The results imply that the PMOQ-T can be considered a valid and reliable screening tool for Iranian children at risk of DCD
Subject(s)
Humans , Male , Reproducibility of Results , Surveys and Questionnaires , Child , FacultyABSTRACT
There has been an increase in the frequency of substance abuse among hospitalized burn injury patients. However, few studies have investigated substance abuse among burn patients. This study was aimed to identify the incidence of substance abuse in burn injury patients using the "Drug Abuse Screening Test" [DAST-20]. We determined the validity of DAST-20 in spring 2010. Subsequently, this descriptive study was performed on 203 burn injury patients who fit the study's inclusion criteria. We chose a score of 6 as the cutoff and thus achieved a sensitivity of 89% and a specificity of 85% for the DAST-20. During the study, we gathered demographic data, burn features and DAST-20 results for all patients. Patients with scores of 6 or more were considered to be substances abusers. A statistical analysis was conducted using SPSS v16 software. According to the DAST-20 results, 33% of the patients were in the user group. The mean score of DAST-20 was significantly higher among users than it was among nonusers [P<0.05]. The level of substance abuse was severe in 77% of users. No significant differences were found among the substances, with the exception of alcohol. Substance abuse is an important risk factor for burn patients. In addition, this study showed that DAST-20 is a valid screening measure for studies on burn patients