Severe burns in Australian and New Zealand adults: Epidemiology and burn centre care

Toppi, Jason; Cleland, Heather; Gabbe, Belinda

doi:10.1016/j.burns.2019.04.006

Cited by 45 publications

(42 citation statements)

References 33 publications

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“…In the present study, the majority of burns occurred at home, were relatively common in summer and winter, and flame and flash burns were the major risk factors for elderly patients. These findings are consistent with previous reports [2,12,14,[18][19][20]. Therefore, strengthening the investigation of burn hazards in the homes of elderly patients with burns and increasing preventive measures, such as installing smoke alarms and improving wire quality, are important measures to prevent burns in the elderly population [21].…”

Section: Discussionsupporting

confidence: 92%

“…In the present study, the mortality rate did not increase with age and burn area, which might be related to the insufficient sample size. However, we observed a significantly higher mortality rate in patients with inhalation injury (38.5% versus 17.1%), consistent with previous reports [19,20]. Meanwhile, significant difference in the mortality rates was not observed between patients without a pre-existing comorbidity and patients with 1 or 2 pre-existing comorbidities (18.9% versus 19.5%); however, when older patients had 3 or more pre-existing comorbidities, the mortality rate was significantly higher, up to 60%.…”

Section: E918537-8supporting

confidence: 93%

“…Even with the same degree of burns, the prognosis of the elderly is often worse [3]. The literature published over the last decade reports a mortality rate of burns in the elderly ranging from 8% to 67%, and the average is approximately 15-20% in most reports [14,[18][19][20]32,34,35]. In the present study, the mortality rate of the elderly patients with severe burns was 24.8%.…”

Section: E918537-8mentioning

confidence: 51%

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Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Wang

Zhang

et al. 2020

Med Sci Monit

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Background: The treatment of elderly patients with severe burns is difficult and the mortality rate is high. The aim of this study was to investigate the epidemiological features of elderly patients with severe burns. Material/Methods: Data from 109 elderly patients with severe burns between January 2009 and December 2018 were retrospectively analyzed. Demographic data, clinical characteristics, treatments, and outcomes were statistically analyzed. Results: Among the 109 elderly patients with severe burns, the male-to-female ratio was 1.73: 1.0. The median age of the elderly patients was 67 years, and the median total body surface area (TBSA) burned was 42%. Notably, 67.9% of burns occurred at home and most frequently occurred in summer (38.5%) and winter (28.4%); flame and flash burns predominated (83.4%). The incidence of inhalation injury was 35.8%, and pre-existing comorbidities were observed in approximately 51.4% of the patients. The median length of stay in the hospital per TBSA burned was 0.4 days. The mortality rate in the elderly patients was 24.8%, and the mortality rates in the ³70% TBSA group, inhalation injury group, and patients with 3 or more pre-existing comorbidities were significantly higher than in the other groups. The risk of death increased with an increase in the number of pre-existing comorbidities (odds ratio: 2.222; 95% confidence interval: 1.174-4.205). Conclusions: At a major burn center in Southwest China, the incidence and mortality of elderly patients with severe burns displayed no downward trend. There are etiological characteristics of these age groups that should be considered for prevention. Meanwhile, multidisciplinary treatment in a hospital and an increase in the social support for the elderly population might improve outcomes.

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Section: Discussionsupporting

confidence: 92%

Section: E918537-8supporting

confidence: 93%

Section: E918537-8mentioning

confidence: 51%

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Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Wang

Zhang

et al. 2020

Med Sci Monit

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“…In epidemiological studies conducted in burn centres, mean age of the patients with burns was reported to be 37.4 to 30.38 years 11,12 . It has been reported that severe burns are more common in the 18 to 40 age group 9 . In our study, 82% of the patients in the burn unit were children therefore the mean age was low (11 ± 5 years); mean age results of our study suggest that the burn injuries are more severe in adults and that they are followed in burn centres, not in burn units, since they require intensive care follow‐up.…”

Section: Discussionmentioning

confidence: 99%

“…Although the mortality rate has been reduced thanks to the improvements in burn treatment, morbidity remains a major problem 8 . Epidemiological studies can be beneficial in understanding the reasons for burns, developing measures to prevent burns and in terms of management of patients with burns, quality of life, and patient costs 9 . Developing countries with high incidence of burn injuries, in particular, need preventive programs due to the serious economic burden it poses on the spend on health.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological analysis of patients with burns in third‐line hospitals in Turkey

Bahçe

Öztaş

2020

International Wound Journal

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Burns are a major health problem worldwide. Burn injury resulting from making contact with hot objects, direct or indirect contact with flame, and exposure to chemical agents or electric current is usually preventable. In this study, epidemiological data of the patients who had been hospitalised in the burn unit was assessed. The records of 1453 patients who were admitted to the burn unit of Diyarbakir Gazi Yaşargil Training and Research Hospital between July 2008 and April 2018 were retrospectively examined. Out of 1453 cases, 81.7% (1187) were children and 18.3% (266) were adults, 58.3% of the cases were male (847) and 41.7% (606) were females. Patients had a mean age of 11 ± 5 years (1‐81 years). The most common cause of burns was contact with hot liquids (82.86%) while other causes were flame burns (12.04%), electrical contact burn (3.02%) contact with chemical substances (2.06%). Most of the cases were found to have burned 10% to 20% of the body surface. Localization was most frequently seen in the lower extremity and less frequently in the upper limb, trunk, head and neck, and perineal regions. The majority of burn injuries are preventable. Therefore, epidemiological studies in the field of burns will provide vital preventive information to develop strategies to reduce injury frequency and spend on health. Because burns are a social problem, prevention efforts require social co‐operation. Promotional meetings in schools are important to increase family‐school cooperation to inform children of school age, to give lectures and first aid measures to rural areas.

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Self-Immolation in High-Income Countries

Santos

Ravindran

Castel

et al. 2021

Suicide by Self-Immolation

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Severe burns in Australian and New Zealand adults: Epidemiology and burn centre care

Cited by 45 publications

References 33 publications

Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Epidemiological Investigation of Elderly Patients with Severe Burns at a Major Burn Center in Southwest China

Epidemiological analysis of patients with burns in third‐line hospitals in Turkey

Self-Immolation in High-Income Countries

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