<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092023000500380</article-id>
<article-id pub-id-type="doi">10.35366/113045</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Discapacidad física en sobrevivientes de quemaduras graves]]></article-title>
<article-title xml:lang="en"><![CDATA[Physical disability in survivors of severe burns]]></article-title>
<article-title xml:lang="pt"><![CDATA[Incapacidade física em sobreviventes de queimaduras graves]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Zúñiga]]></surname>
<given-names><![CDATA[Martín de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Estrada]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Juárez Guzmán]]></surname>
<given-names><![CDATA[Uriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garnica Escamilla]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamez Coyotzin]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Rehabilitación «Luis Guillermo Ibarra Ibarra» Centro Nacional de Investigación y Atención de Quemados ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>5</numero>
<fpage>380</fpage>
<lpage>383</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000500380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000500380&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000500380&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la discapacidad física tiene un alta morbilidad en los pacientes sobrevivientes a quemaduras graves. La principales secuelas están ligadas a la restricción, a la movilidad y el dolor.  Objetivo:  presentar las principales causas de discapacidad al egreso, de la unidad de quemados graves, de un centro de tercer nivel de atención de pacientes quemados en la Ciudad de México.  Material y métodos:  análisis retrospectivo de 68 pacientes quemados graves egresados de la Unidad de Agudos, Unidad de Cuidados Intensivos (UCI), de un centro de atención a quemados entre 2019-2021. Se dividieron en dos grupos: por quemadura por fuego y por lesión por electricidad; se obtuvieron variables demográficas como edad, sexo, escala de ABSI (Abbreviated Burn Severity Index) al ingreso y se describieron las causas más frecuentes de discapacidad al egreso de la UCI.  Resultados:  sesenta y ocho pacientes, 10 mujeres y 58 hombres, promedio de edad 37 años (DE ± 16.4), tiempo de estancia promedio de 13.7 días (DE ± 11.8), escala de ABSI promedio de 8.9 (DE ± 2.13), 21 pacientes con diagnóstico de lesión por electricidad y 47 de quemadura por fuego. En el grupo de lesión por electricidad la causa más frecuente de la discapacidad fue la imposibilidad de la marcha en 33.3% (consecuente de amputación de alguna extremidad); mientras que en el grupo de quemaduras por fuego, la causa más frecuente fue la restricción de la movilidad de las cuatro extremidades en 59.5%. El dolor fue el segundo síntoma más frecuente asociado a la discapacidad al egreso de UCI, entre 76 y 87% en ambos grupos.  Conclusiones:  la discapacidad física en los sobrevivientes de quemaduras graves tiene una alta incidencia y suele ser más delicado en aquellos que sufren lesión por electricidad y con ABSI más elevados al ingreso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  physical disability has a high morbidity in patients who survive severe burns. The main sequelae are linked to restriction, mobility and pain.  Objective:  the main causes of disability at discharge from the severe burn unit of a tertiary care center for burn patients in Mexico City are presented.  Material and methods:  retrospective analysis of 68 severely burned patients, who were discharged from the acute unit (Intensive Care Unit, ICU) of a burn care center between the years 2019-2021. They were divided into two groups by fire burn and electrical injury, demographic variables were obtained such as age, sex, ABSI scale (Abbreviated Burn Severity Index) at admission and the most frequent causes of disability at discharge from the ICU were described.  Results:  sixty-eight patients, 10 women and 58 men, mean age 37 years (SD ± 16.4), mean length of stay 13.7 days (SD ± 11.8), mean ABSI scale 8.9 (SD ± 2.13), 21 patients diagnosed with electrical injury and 47 with fire burns. In the electrical injury group, the most frequent cause of disability was the impossibility of walking 33.3% (consequent of amputation of a limb), while in the fire burn group the most frequent cause was mobility restriction of the four limbs in 59.5%. Pain was the second most frequent symptom associated with disability at ICU discharge, between 76 and 87% in both groups.  Conclusions:  physical disability in survivors of severe burns has a high incidence, and is usually more severe in those who suffer electrical injury and with higher ABSI on admission.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a incapacidade física tem alta morbidade em pacientes que sobrevivem a queimaduras graves. As principais sequelas estão ligadas à restrição, mobilidade e dor.  Objetivo:  são apresentadas as principais causas de incapacidade na alta da unidade de queimados graves de um centro de terceiro nível de atenção para pacientes queimados na Cidade do México.  Material e métodos:  análise retrospectiva de 68 pacientes gravemente queimados, que receberam alta da Unidade de Terapia Intensiva (UTI) de um centro de tratamento de queimados entre os anos de 2019-2021. Os pacientes foram divididos em dois grupos, por queimaduras por fogo e lesões elétricas, obtiveram-se variáveis demográficas como idade, sexo, escala ABSI (Abbreviated Burn Severity Index) na admissão e descritas as causas mais frequentes de incapacidade na alta da UTI.  Resultados:  68 pacientes, 10 mulheres e 58 homens, idade média de 37 anos (DE ± 16.4), tempo médio de internação de 13.7 dias (DE ± 11.8), escala ABSI média de 8.9 ± 2.13, 21 pacientes diagnosticados com lesão elétrica e 47 com queimaduras por fogo. No grupo das lesões elétricas, a causa mais frequente de incapacidade foi a impossibilidade de andar 33.3% (consequência da amputação de um membro), enquanto no grupo das queimaduras a causa mais frequente foi a restrição da mobilidade das quatro extremidades em 59.5%. A dor foi o segundo sintoma mais frequente associado à incapacidade na alta da UTI, entre 76 e 87% em ambos os grupos.  Conclusões:  a incapacidade física em sobreviventes de queimaduras graves tem alta incidência, sendo geralmente mais grave naqueles que sofrem lesão elétrica e com maior ABSI na admissão.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[quemaduras graves]]></kwd>
<kwd lng="es"><![CDATA[discapacidad]]></kwd>
<kwd lng="es"><![CDATA[Unidad de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[severe burns]]></kwd>
<kwd lng="en"><![CDATA[disability]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
<kwd lng="pt"><![CDATA[queimaduras graves]]></kwd>
<kwd lng="pt"><![CDATA[incapacidade]]></kwd>
<kwd lng="pt"><![CDATA[Unidade de Terapia Intensiva]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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