Role of Topical Heparin Therapy in Thermal Burns
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 11
Abstract
Introduction: The quest for advancement in burn care continues to reduce mortality and morbidity. Heparin is used mainly in medical specialties for its antithrombotic properties is made utilized in treatment of burns. Study aimed to assess the efficacy and safety of topical heparin therapy in thermal burns. Material and methods: It is a prospective study 100 consecutive thermal burn patients admitted for a period of 2 years. All patients selected with certain specifications like thermal burns of mostly 2nd degree, with range 20- 60%% and age group 15-45 yrs of less than 48hrs duration. Results: All the demographic parameters are not significant in the groups. Pain medication required for burn patients is less when heparin therapy is advocated. There is a significant difference in fluids requirements between two groups with H group requiring less amount of fluid (p< 0.001). Average duration of hospital stay in C group is 34.72 days and in H group it was 21.36 days with all same facilities and care apart from topical wound care (p< 0.001) which is significant. 30% of control group required skin grafts and one contracture release later after discharge. In H group 20% had skin graft and none had any post burn contracture. Conclusion: We conclude that Heparin can improve clinical outcomes in the treatment of burn injury.
Authors and Affiliations
M. Swatantra Bharathi, P. V. Sudhakar
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