Epidemiological and socio-cultural study of burn patients in m. y. hospital, indore, india

Abstract

Background: developing countries have a high incidence of burn injuries, creating a formidable public health problem. the exact number of cases is difficult to determine: however in a country like india, with a population of over 1 billion, we would estimate 700,000 to 800,000 burn admissions annually. objective: the study was done to investigate the epidemiology of various causations and their outcomes in terms of morbidity and mortality. also, the effect of social stigma and cultural issues associated with burns on the victim and his family was assessed.Materials and methods: All burn cases (n=412) admitted to the burns unit of m. y. hospital, indore over a period of one year (2005-2006) were investigated. the data regarding sex, age predisposition, geographical origin, mode and nature of injury were obtained by questionnaire-interview with the patient themselves. clinical assessment was done in the form of depth and extent of injury and complications. in case of mortality, again various factors like age, sex and cause of death were analyzed. the data was analyzed by spss 11.0 version. the interrelationship between various factors was studied using multivariate logistic regression analysis.Results: Burns were found more commonly in middle-aged groups. the incidence was more in females as an absolute number (70.3%) as well as when stratified by age. most burns were domestic, with cooking being the most prevalent activity. flame (80.3%) was the most common agent. most of the cases of burn were accidental (67.7%). moreover, the patients had third degree burn that leads to more mortality in our circumstances. death occurred in more than one-half (62.3%) of cases with septicaemia and disseminated intravascular coagulation (35.4%) as the leading causes. when using logistic regression analysis, the outcome of the burn injury was significantly associated with degree, depth, extent and mode of injury.Conclusion: This series provides an overview of the most important aspects of burn injuries for hospital and non-hospital healthcare workers. the majority of deep burns are accidental, seen in middle-aged housewives as a result of flame burns, and lead to death. so measures should be taken to provide proper education to prevent these accidents and ensure safety.

Pattern of burn injury admissions at a teaching hospital of Karnataka, India: a three year retrospective study

“…Younger age group burns was found to be common in studies done at similar tertiary care centres. [6][7][8][9][10] Females showed higher burns rate similar to many other studies who have reported increased prevalence in females. 1,[6][7][8] Although superficial burns were more common among men (53.9%) than women.…”

“…5 In different communities the aetiological factor of burn injuries varies considerably, hence a careful analysis of the epidemiological factors in every community is needed before planning and implementation of a sound prevention programme. 6 Hence, this study was undertaken to study the sociodemographic profile of burn patients and also to evaluate the aetiology, manner, and circumstances of occurrence of burn injuries along with their outcome.…”

Medico-legal Aspects of Burned Cases Admitted to Burn Unit in Tanta University Hospital

“…This was in line with El-Farouny et al, (2007) who reported 47% improvement among burnt cases in Minoufiya University Hospital Burn Unit. Whereas, the mortality rate was widely variable as it ranged from (13.1%) in the study of Hassen et al, (2010) in Assuit, Egypt, (2.2%) in the study of El-Zuway and Heshmat, (2007) in Benghazi, Libya and (62.4%) in the study of Jaiswal et al, (2007) in Indore, India. This wide difference may be due to difference in manner of injury, facilities and regimens of treatment in every country and in different burn centers (Akther et al, 2010).…”

“…This could be a reflection of the high incidence of scald injuries in this study which generally causes more or less superficial burns (Ali, 1997). On the other hand, Jaiswal et al, (2007) reported that third degree burns were the commonest degree of burn among burned cases in Indore, India.…”

A comparative study to evaluate the effect of honey dressing and silver sulfadiazene dressing on wound healing in burn patients

“…The exact number of cases is difficult to determine; however, in a country like India, with a population of over 1 billion, we would estimate 700,000-800,000 burn admissions annually. [1] Burn injury to the integument causes cellular death, capillary damage in varying degrees and coagulation of proteins. The loss of protective function of the skin as a barrier to micro-organisms results in infection.…”