<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902017000400053</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quemaduras autoinfligidas en elCentro Nacional de Quemados]]></article-title>
<article-title xml:lang="en"><![CDATA[Self-inflicted burns at the National Burns Center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lena]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Otormín]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Di Stefano]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jacobo]]></surname>
<given-names><![CDATA[Óscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Graciano]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Clínicas  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Clínicas  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Clínicas  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital de Clínicas Cátedra de Cirugía Plástica Reparadora y Estética y Centro Nacional de Quemados ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>53</fpage>
<lpage>67</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902017000400053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902017000400053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902017000400053&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las lesiones por quemaduras son un problema de salud pública a nivel mundial. En Uruguay las quemaduras autoinfligidas son una causa importante de ingreso de quemados críticos y de riesgo al Centro Nacional de Quemados (CENAQUE). El objetivo es describir el perfil epidemiológico de pacientes ingresados en el CENAQUE en general, y en particular de aquellos con quemaduras autoinfligidas, incluyendo sus indicadores biológicos, demográficos y hospitalarios.  Método: estudio retrospectivo, descriptivo y observacional realizado en el CENAQUE desde 1995 a 2015. Se incluyeron todos los pacientes quemados del CENAQUE y seleccionamos el grupo con quemaduras autoinfligidas para el análisis particular. Se describen: edad, sexo, origen geográfico, procedencia institucional, agente causal, porcentaje de superficie corporal total quemada (SCTQ), profundidad y topografía de quemaduras, injuria inhalatoria, patología psiquiátrica, antecedente de intento de autoeliminación, alcoholismo, tiempo de internación y letalidad  Resultado:  se registraron 2.723 ingresos al CENAQUE; 275 pacientes con quemaduras autoinfligidas (10% del total): 57% hombres, con promedio de edad de 40 años; 37% registraba intento de autoeliminación (IAE) previo, 57% patología psiquiátrica y 18% alcoholismo. Presentaron injuria inhalatoria 54%, requiriendo 33 días de internación promedio, con 33% de mortalidad  Conclusiones:  los pacientes con quemaduras autoinfligidas fueron en su mayoría hombres, con promedio de edad de 40 años y antecedente de patología psiquiátrica, predominando la cobertura por la Administración de los Servicios de Salud del Estado. La mayoría presentó injuria inhalatoria, un tercio fueron grandes quemados, registrando una mortalidad de 33%.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Burn related surgeries are a global health problem. In Uruguay, self-inflicted burns are an important cause of admission of critical and at risk burned patients to the National Burns Center (CENAQUE). The study aims to describe the epidemiological profile of patients admitted to the CENAQUE in general, and in particular, those who are admitted due to self-inflicted burns, including their biological, demographic and hospital-related indicators.  Method : retrospective, descriptive and observational study conducted at the CENAQUE from 1995 to 2015. All burned patients at the CENAQUE were included in the study, and also a group with self-inflicted burns were selected to analyse the cases in detail. Age, sex, geographical background, medical institution, cause of burn, total body surface area affected by burns (TBSA), depth and topography of burns, inhalation injury, psychiatric disorder, history of suicide attempt, alcohol abuse, hospital stay day and mortality were described.  Results : 2.723 admissions were recorded at the CENAQUE 275 patients were admitted with self-inflicted burns (10% of total number of cases): 57% men, average age was 40 years old. 37% had a history of previous suicide attempts, 57% had psychiatric disorders and 18% alcohol abuse. 54% evidenced inhalation injury, requiring 33 hospital stay days and mortality accounted for 33%.  Conclusions : most patients with self-inflicted burns were men, average age was 40 years old and had a history of psychiatric disorders. Also, the vast majority´s health insurance was covered by the National Administration of Health Services. Most of them also evidenced inhalation injuries, a third of which consisted of severely burned patients, mortality being 33%.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: As lesões por queimaduras são um problema de saúde pública em todo o mundo. No Uruguai as queimaduras auto provocadas são uma causa considerável de ingresso de queimados críticos e de risco ao Centro Nacional de Quemados (CE.NA.QUE). O objetivo deste trabalho é descrever o perfil epidemiológico dos pacientes ingressados ao CE.NA.QUE de maneira geral, e em particular aqueles com queimaduras auto provocadas, incluindo seus indicadores biológicos, demográficos e hospitalares.  Método : é um estudo retrospectivo, descritivo e observacional, realizado no CE.NA.QUE no período 1995-2015. Foram incluídos todos os pacientes queimados atendidos no CE.NA.QUE sendo que o grupo com queimaduras auto provocadas foi selecionado para análise especial. Foram incluídos os dados relativos à idade, sexo, origem geográfica, procedência institucional, agente causal, porcentagem de superfície corporal total queimada (SCTQ), profundidade e topografia de queimaduras, lesão inalatória, patologia psiquiátrica, antecedente de tentativa de suicídio, alcoolismo, tempo de internação e letalidade.  Resultado : foram registrados 2.723 ingressos ao CE.NA.QUE. sendo que 275 eram pacientes com queimaduras auto provocadas (10% do total): 57% eram homens, com idade média de 40 anos. 37% registravam tentativas de suicídios prévias, 57% patologia psiquiátrica e 18% alcoolismo. 54% apresentavam lesão inalatória, sendo necessário um período médio de internação de 33 dias y 33% de mortalidade.  Conclusões : a maioria dos pacientes com queimaduras auto provocadas eram homens, com idade média de 40 anos e antecedentes de patologia psiquiátrica, predominando o plano de saúde público da Administración de Servicios de Saluddel Estado (ASSE). A maioria apresentou lesão inalatória, um terço foram grandes queimados, registrando-se uma mortalidade de 33%.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Intento de suicidio]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="en"><![CDATA[Burns]]></kwd>
<kwd lng="en"><![CDATA[Attempted suicide]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
<kwd lng="pt"><![CDATA[Queimaduras]]></kwd>
<kwd lng="pt"><![CDATA[Tentativa de suicídio]]></kwd>
<kwd lng="pt"><![CDATA[Epidemiologia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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