Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Özalp, Burhan; Calavul, Abdulkadir

doi:10.5152/etd.2017.16103

Cited by 6 publications

(11 citation statements)

References 14 publications

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“…2,3,8,[13][14][15] Between 75.8% and 82.8% of burn-related amputations were attributable to electrical burns. 3,16 Furthermore, Soto et al described that electrical burns increased the likelihood of amputation by 13.8 times. 2 The majority of these patients are working males.…”

Section: Discussionmentioning

confidence: 99%

Amputation Following Burn Injury

Bartley

Atwell

Purcell

et al. 2019

Journal of Burn Care &Amp; Research

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Amputation following burn injury is rare. Previous studies describe the risk of amputation after electrical burn injuries. Therefore, we describe the distribution of amputations and evaluate risk factors for amputation following burn injury at a large regional burn center. We conducted a retrospective analysis of patients ≥17 years admitted from January 2002 to December 2015. Patients who did and did not undergo an amputation procedure were compared. A multivariate logistic regression model was used to determine the risk factors for amputation. Amputations were further categorized by extremity location and type (major, minor) for comparison. Of the 8313 patients included for analysis, 1.4% had at least one amputation (n = 119). Amputees were older (46.7 ± 17.4 years) than nonamputees (42.6 ± 16.8 years; P = .009). The majority of amputees were white (47.9%) followed by black (39.5%) when compared with nonamputees (white: 57.1%, black: 27.3%; P = .012). The most common burn etiology for amputees was flame (41.2%) followed by electrical (23.5%) and other (21.9%). Black race (odds ratio [OR]: 2.29; 95% confidence interval [CI]: 1.22–4.30; P = .010), electric (OR: 13.54; 95% CI: 6.23–29.45; P < .001) and increased %TBSA (OR: 1.03; 95% CI: 1.02–1.05; P < .001) were associated with amputation. Burn etiology, the presence of preexisting comorbidities, black race, and increased %TBSA increase the odds of post burn injury. The role of race on the risk of amputation requires further study.

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Section: Discussionmentioning

confidence: 99%

Amputation Following Burn Injury

Bartley

Atwell

Purcell

et al. 2019

Journal of Burn Care &Amp; Research

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“…Similar results like mean total body surface area of 12.4±7.9% (2-60%) were reported by Ozalp et al in their study titled 'amputation in burn patients'. 18 In our study majority had digital amputation (n=5, 45.5%) followed by above elbow amputation (n=2, 18.2%). Similar results like digital amputation (35%) were reported by Ghavami et al in their study titled 'electrical burn injury: a five year survey of 682 patients'.…”

Section: Burn Type and Amputationmentioning

confidence: 47%

“…Similar results like mean total body surface area (12.4±7.9%) were reported by Ozalp et al in their study titled 'amputation in burn patients'. 18 Males showed predominance (n=17, 70.8%) over females (n=7, 29.2%) in view of percentage of amputation. Similar results like males (93%) predominate over females (7%) were reported by Handschin et al in their study titled 'surgical treatment of high voltage electrical injuries'.…”

Section: Burn Type and Amputationmentioning

confidence: 94%

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Retrospective and prospective study of amputation in burn patients in Kashmir

Shiekh¹,

Lone²,

Sheikh

2022

Int J Res Med Sci

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Background: Burn is the coagulation necrosis of tissue caused as a result of application of heat which is categorized depending upon its depth. Amputation in burn patient is widely reported especially in severe burn to enhance survival. Though the number of amputations is low in civilian population but it represents a significantly large economic loss. Objective was to do a retrospective and prospective study of amputation in burn patients in Kashmir.Methods: This study was conducted retrospectively from July 2007 to June 2017 and prospectively from July 2017 to June 2019 in department of plastic and reconstructive surgery, SKIMS, Srinagar. For prospective group the patients were admitted and resuscitated as per the protocol and then shifted to the burn unit. The patients were closely monitored and the procedures like early and delayed amputation were done as needed.Results: We had finally a total of 35 patients with 24 in retrospective and 11 in prospective group. In retrospective group, 9 patients had minor while as 15 had major amputation. Majority of the patients were in the age group of 20-40 years (58.3%). In prospective group, 6 patients had major while as 5 patients had minor amputation. Majority of the patients belonged to the age group of 20-40 years (45.5%).Conclusions: The amputation rate in burn patients is not reassuring in Kashmir with minor or major amputation needed in almost all patients and the most effected age group is the “productive age group” representing a significant economic loss.

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“…The frequency of all extremity amputations in burn injury has been reported between 1.1% and 3.8% and the mortality rates have varied between 6% and 14%. [1][2][3][5][6][7][8][9] Of the 12 997 admissions, the 77 amputees in this study had a frequency of 0.6% for upper extremity amputations with a mortality of 18.2%. Bartley et al 3 had 47 patients with upper extremity amputations with a mean age of 45 years old, mainly flame burn injury (47.7%), a smaller Hispanic/Latino (6.8%), similar White population (56.8%), and larger Black (29.6%) population compared to the ethnic population in this institution.…”

Section: Discussionmentioning

confidence: 66%

Burn Center Patients at Risk for Upper Extremity Amputations

Thornburg¹,

Swanson²,

Spadafore³

et al. 2021

Plast Surg (Oakv)

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Introduction Burn center patients present not only with burn injuries but also necrotizing infections, purpura fulminans, frostbite, toxic epidermal necrolysis, chronic wounds, and trauma. Burn surgeons are often faced with the need to amputate when limb salvage is no longer a viable option. The purpose of this study was to determine factors which predispose patients to extremity amputations. Methods: This retrospective registry review (2000-2019) compared patients who required upper extremity amputations with those who did not. Cases were pair-matched by age, sex, percent total body surface area (%TBSA), and type/location of injury to control for possible confounding variables. Results: There were 77 upper extremity amputee patients (APs) and 77 pair-matched non-amputees (NAPs) with the median age 45- and 43-years, %TBSA 21 and 10, respectively; second and third degree burn injuries were similar in the 2 groups. The AP group had longer hospitalizations (median 40 vs 15 days) P < .0001, with more intensive care unit days (median 28 vs 18 days). APs presented with significantly more cardiac, renal, and pulmonary comorbidities, acquired infections (61 [64%] vs 35 [36%]), escharotomies, and fasciotomies than the NAP, P < .0001. Mortality was similar (AP 14 [18.2%] vs NAP 9 [11.7%]), P = .26. Conclusions: Escharotomies, fasciotomies, sepsis, pneumonia, wound, and urinary tract infections contributed to prolonged hospitalizations and increased risk for upper extremity amputations in the AP group.

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Amputations in Burn Patients with a Special Emphasis on Pediatric Patients

Cited by 6 publications

References 14 publications

Amputation Following Burn Injury

Amputation Following Burn Injury

Retrospective and prospective study of amputation in burn patients in Kashmir

Burn Center Patients at Risk for Upper Extremity Amputations

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