Burns in patients over 60 years old: epidemiology and mortality

Tejerina, C.; Reig, A.; Codina, José; Safont, J.; Mirabet, Vicente

doi:10.1016/0305-4179(92)90015-m

Cited by 33 publications

(16 citation statements)

References 4 publications

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“…In the elderly, domestic burns (78% to 85%) [79,86,88] were followed by recreational accidents in 7% to 12% [80,83]. In adults, one third were work related [2,20,35,41].…”

Section: Resultsmentioning

confidence: 99%

“…The pediatric burns occurred mainly in the kitchen (75%), caused by hot food or beverages, with the bathroom as second most common location (mostly by immersion, leading to deeper and more extensive burns) [61,66-68]. Scalds in the elderly usually occurred in the bathroom (by immersion), in contrast to scalds in children, which usually occur in the kitchen [75,79,80,83,85,86]. …”

Section: Resultsmentioning

confidence: 99%

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Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

et al. 2010

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IntroductionBurn injury is a serious pathology, potentially leading to severe morbidity and significant mortality, but it also has a considerable health-economic impact. The aim of this study was to describe the European hospitalized population with severe burn injury, including the incidence, etiology, risk factors, mortality, and causes of death.MethodsThe systematic literature search (1985 to 2009) involved PubMed, the Web of Science, and the search engine Google. The reference lists and the Science Citation Index were used for hand searching (snowballing). Only studies dealing with epidemiologic issues (for example, incidence and outcome) as their major topic, on hospitalized populations with severe burn injury (in secondary and tertiary care) in Europe were included. Language restrictions were set on English, French, and Dutch.ResultsThe search led to 76 eligible studies, including more than 186,500 patients in total. The annual incidence of severe burns was 0.2 to 2.9/10,000 inhabitants with a decreasing trend in time. Almost 50% of patients were younger than 16 years, and ~60% were male patients. Flames, scalds, and contact burns were the most prevalent causes in the total population, but in children, scalds clearly dominated. Mortality was usually between 1.4% and 18% and is decreasing in time. Major risk factors for death were older age and a higher total percentage of burned surface area, as well as chronic diseases. (Multi) organ failure and sepsis were the most frequently reported causes of death. The main causes of early death (<48 hours) were burn shock and inhalation injury.ConclusionsDespite the lack of a large-scale European registration of burn injury, more epidemiologic information is available about the hospitalized population with severe burn injury than is generally presumed. National and international registration systems nevertheless remain necessary to allow better targeting of prevention campaigns and further improvement of cost-effectiveness in total burn care.

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“…In the elderly, domestic burns (78% to 85%) [79,86,88] were followed by recreational accidents in 7% to 12% [80,83]. In adults, one third were work related [2,20,35,41].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

et al. 2010

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“…[1][2][3][4]7 The risk of scalds and hot water burns in young, active, and curious children is high because they are less likely to appreciate the dangers of hot water. Young children also are less able to respond quickly to a situation involving contact with hot water because they have not fully developed physically.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] They are among the most devastating injuries that a child can sustain, resulting in considerable pain, sometimes requiring prolonged treatment, and often resulting in long-term physical and psychologic complications. 5 In older people, coupled with pre-existing medical conditions, scalds can be very problematic and result in prolonged hospital stay and a relatively high rate of mortality.…”

mentioning

confidence: 99%

Epidemiology of Scalds in Vulnerable Groups in New South Wales, Australia, 1998/1999 to 2002/2003

Boufous¹,

Finch²

2005

Journal of Burn Care & Rehabilitation

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In this study, the recently introduced International Classification of Disease, 10th revision, code for hot tap water scalds was used to examine the epidemiology of these cases and other scalds injuries in children younger than 5 years of age and adults aged 65 years and older. Although the trunk was the most common area in which scalds occurred, young children were more likely to sustain head and neck scalds (15%, 95% confidence interval 10.8-18.3) because of hot tap water than older people (2%, 95% confidence interval 0.2-4.4). Hospital separation rates for hot water scalds decreased significantly during the study period in both boys (chi(2) = 15.6, df = 1, P < .001) and girls (chi(2) = 5.6, df = 1, P < .001) who were younger than 5 years of age, which might be attributable to the introduction of new standards regulating the provision of hot tap water to various buildings. The severity of scalds cases did not seem to be correlated with the length of hospital stay, which remained unchanged in both age groups.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Various authors have identified issues surrounding hot tap water scalds, and reported on intervention programs aimed at reducing the incidence and severity of these scalds. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] A crucial factor is the temperature of the water.…”

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confidence: 99%

Barriers to safe hot tap water: results from a national study of New Zealand plumbers

Jaye

Simpson²,

Langley³

2001

Inj Prev

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Introduction-Many countries still have unacceptably high hospitalizations and deaths from scalds from hot tap water. Prevention strategies implemented in some countries may not work in others. Legislation aimed at changing environments that are conducive to hot tap water scalds may not be eVective in many situations for a number of reasons, including lack of acceptability and practicality. Method-A qualitative study of a purposefully selected group of craftsman plumbers across New Zealand was conducted using a structured format with open ended questions. The questionnaire was administered by telephone. Information was sought on the opinions, knowledge, and practice of these plumbers regarding hot tap water safety in homes. Results-Several barriers to hot tap water safety in homes were identified by the plumbers. These included common characteristics of homes with unsafe hot tap water, such as hot water systems heated by solid fuel, and public ignorance of hot tap water safety. Other factors that emerged from the analysis included a lack of knowledge by plumbers of the hazards of hot tap water, as well as a lack of importance given to hot tap water safety in their plumbing practice. Shower performance and the threat to health posed by legionella were prioritized over the prevention of hot tap water scalds. Conclusion-The findings of this study allow an understanding of the practical barriers to safe hot tap water and the context in which interventions have been applied, often unsuccessfully. This study suggests that plumbers can represent a barrier if they lack knowledge, skills, or commitment to hot tap water safety. Conversely, they represent a potential source of advocacy and practical expertise if well informed, skilled, and committed to hot tap water safety. (Injury Prevention 2001;7:302-306)

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Burns in patients over 60 years old: epidemiology and mortality

Cited by 33 publications

References 4 publications

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

Epidemiology of Scalds in Vulnerable Groups in New South Wales, Australia, 1998/1999 to 2002/2003

Barriers to safe hot tap water: results from a national study of New Zealand plumbers

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