Epidemiological clinical profile and outcome of electric burn at our tertiary care center in Hadoti region

Abstract

Introduction: The incidence of electrical accidents has increased due to the use of electricity in households, institutions, and industries. Electrical injury is a major cause of burn injury and significant cause of mortality, morbidity, and disability. Materials and Methods: This prospective analytical study which was conducted in the department of surgery of our tertiary care center MBS hospital from July 2016 to June 2017. A total of 120 patients of electric burn were included in our study burn unit. We reviewed the following variables such as age, sex, occupation, socioeconomic status, mechanism of injury, body surface area involve, voltage, course at hospital stay, prognosis, and surgical modalities. Results: There were 111 males and 9 females. Seventy-four electric injuries were due to high-tension line above 1000 V and remaining by household line. In 84% of patients, upper limbs were involved. Most of the patients were farmer and student who belong to farmer families and most were of the working age group. Twenty-three (19.17%) patients underwent major amputation due to extensive tissue and bone destruction. During the follow-up period, 22 patients had only the ability to perform their usual and daily activities and could not work at all. Conclusions: Electric burns are preventable public health problem. Preventative strategies need to be put in place to decrease the incidence of electrical injuries. The prevention is possible by increasing awareness through primary education and advice precautions such as the use of insulated gloves and footwear.