Mortality of burn injuries in Jordan

Ragheb, Sameeh Abu; Qaryoute, Salah; Ei-Muhtaseb, Husam

doi:10.1016/0305-4179(84)90086-x

Cited by 31 publications

(7 citation statements)

References 3 publications

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“…As regards sex distribution, the female preponderance in the age group 20-40 years concurs with other reports from developing countries such as India [5] and Jordan [6] as well as other Egyptian studies [7,8] and might be explained by the involvement of females in domestic activities and also dowry deaths. Socio-cultural factors are among the major causes of different sex predisposition of burn injury in developing countries like India compared to other developed nations.…”

Section: Discussionsupporting

confidence: 89%

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

Jaiswal

Aggarwal²,

Solanki³

et al. 2007

Indian J Plast Surg

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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.

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Section: Discussionsupporting

confidence: 89%

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

Jaiswal

Aggarwal²,

Solanki³

et al. 2007

Indian J Plast Surg

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“…Similarly, Copeland (1985) reported a survival period of less than 24 hours in 92% of the victims. Ragheb et al (1984) reported 58% of burns deaths occurring with in one week and Vilasco and Bomdurand (1995) reported 40% of deaths occurring between three and seven days after a burns injury.…”

Section: Discussionmentioning

confidence: 99%

Alleged Dowry Death: A study of homicidal burns

Shaha

Mohanthy

2006

Med Sci Law

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Homicidal burning of married women in India is a major concern for the Government, law-enforcing authorities, the judiciary, the police and medico-legal experts all over the country who are associated with dowry disputes. Dowry death, a heinous crime, is gradually engulfing and polluting the entire society. Sections 304(B) and 498(A) of the Indian Penal Code (IPC) have been introduced and Sections 174 Criminal Procedure Code (Cr PC) and 176 Cr PC have been modified but, instead of deterring dowry deaths, the occurrences are increasing day by day and the number of cases coming for post-mortem examination is rising. Both parties, that is, the parents and in-laws of the deceased, are becoming adept at manufacturing circumstantial evidence to serve their own interests. Therefore, to establish the truth and for the smooth administration of justice, reliable unbiased medical evidence has to be corroborated. This study presents retrospective research carried out in the tertiary care teaching hospital of MKCG Medical College, Berhampur, Eastern India, for a five-year period between January 1998 to December 2002. From a total of 58 burned wives, 32 (55.1%) were homicidal burns. These cases were analyzed in view of epidemiological and medico-legal aspects. The majority of the affected women (90.63%) were in the 18 to 26 years of age group. Death occurred within the first few years of marriage and most of them had no children. All the victims belonged to the Hindu religion and 62.5% of incidents occurred during the daytime. In 71.87% cases the incident occurred in rural areas. Eighty-three per cent of cases occurred in a joint family within the house. In most cases, kerosene was the accelerant and flame was the causative agent. In more than 68.75% of cases the total body surface area involved was more than 80%. Most victims died at the time of the incident, or within the subsequent 24 hours, due to hypovolumeic shock. The education status in 70.21% cases was either illiterate or under matriculation. More stringent laws and female independence both mentally and economically will reduce the homicidal burns in young brides.

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“…In contrast, Maya Natu et al (1974) found the survival period of less than 24 hours in only 16% victims in their study of 277 burns deaths. Ragheb et al (1984) reported 58% of burns deaths occurring within a week of injury, while Vilasco and Bondurand (1995) report 40% of deaths occurring between three and seven days after injury.…”

Section: Discussionmentioning

confidence: 99%

Burnt Wives: A study of homicides

Kumar¹,

Tripathi

2004

Med Sci Law

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The death of married females nowadays is very common in India, usually being associated with dowry disputes. In India, dowries are a continuing series of gifts endowed before and after the marriage. When dowry expectations are not met, the young bride may be killed or compelled to commit suicide, most frequently by burning. In a cohort of 152 burned wives, 47 (31%) were homicidal burns and these cases were analyzed in view of epidemiological and medicolegal aspects. Homicide by burning amongst women is a major concern in India as it has become pervasive throughout all social strata and geographical areas. In this series, most women were from extended families (i.e. multigenerational groups of related individuals living under a single roof) and the homicides occurred within the first few years of their marriages. The majority of the affected wives were 16-25 years of age (77%) at the time of the incident and sustained more than 70% total body surface area (TBSA) burn injuries. Many of them were doused with kerosene and set alight. Most died at the time of the incident or within the subsequent 24 hours, most commonly from shock.

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Mortality of burn injuries in Jordan

Cited by 31 publications

References 3 publications

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

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

Alleged Dowry Death: A study of homicidal burns

Burnt Wives: A study of homicides

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