Study of clinical pattern of limb loss in electrical burn injuries

Dash, Suvashis; Arumugam, Praveen Kumar; Muthukumar, Vamseedharan; Kumath, Manish; Sharma, Sonam

doi:10.1016/j.injury.2021.04.028

Cited by 9 publications

(4 citation statements)

References 18 publications

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“…As industrialization progressed, the incidence of electrical burns increased substantially 29 . Electrical burns and hot crush injuries often cause destructive deep burns involving tendons, nerves, bones, and other important structures, with a high rate of amputation and disability [30][31][32][33] . Whereas, chemical burns not only cause large local damage, but are also often combined with poisoning, and sometimes even small chemical burns can be fatal 34,35 .…”

Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics and outcomes of special-cause burns: analysis of 33,619 burn patients in a major regional burn center in China from 2004 to 2021

Li,

Jiang,

et al. 2023

Preprint

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Special-cause burn injuries are usually more severe and difficult to manage, and often and often contribute a high mortality in severely injured patients. The aim of this study was to present the epidemiological characteristics of special-cause burn in a major regional burn center in China between 2004 and 2021 and determine the risk factors associated with the mortality of burn patients. A total of 33619 burn patients were included the study, among which 4452 (13.2%) were special-cause burn patients. Compared to the thermal burn group, the special-cause burn patients were usually male, elder, married and III-IV degree of burn with onset of upper extremity in summer and autumn. Moreover, a greater proportion of patients in the special-cause burn group underwent surgical treatment and amputation and had a higher median hospital stay and treatment costs. During the multivariate logistic regression, older age, male, unmarried, winter, III-IV degree of burn, ≥ 3 burn sites, and larger total body surface area (TBSA) of burn were significantly associated with higher burn mortality (all P < 0.05), however, patients with special-cause burn injuries have not increased odds for mortality (P > 0.05). These results suggested that special cause-burn patients suffer more severe injuries, resulting in longer hospital stays and higher health care expenditures, but it did not significantly improve the mortality risk. Therefore, burn clinicians should not only have the responsibility to cure burns, but also need to know and popularize burn epidemiological characteristic and precaution.

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Section: Discussionmentioning

confidence: 99%

Epidemiological characteristics and outcomes of special-cause burns: analysis of 33,619 burn patients in a major regional burn center in China from 2004 to 2021

Li,

Jiang,

et al. 2023

Preprint

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“…Collaboration of different specialties is the key to successful management 12,13 . But this is preventable through program for educating people regarding safe habits and use of equipment in workplace and at house 14 .…”

Section: Discussionmentioning

confidence: 99%

Upper Limb Amputations Following Electric Burn: Experience Sharing from Tertiary Hospitals in Bangladesh

Begum¹,

Ahmed²,

Moni³

et al. 2022

J. Bangladesh Coll. Phys.

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Introduction: High voltage electrical burn is one of the most devastating burn injuries involving upper limbs in Bangladesh. It causes serious disfigurement and may lead to loss of the whole upper limb. The aim of this study was to see the severity of electric burn injury involving upper limbs pausing amputations at different levels in two tertiary level referral hospitals of Bangladesh. Methods: A prospective observational study was designed to collect the data from Burn and Plastic Surgery Unit, Dhaka Medical College Hospital and Sheikh Hasina National Institute of Burn and Plastic Surgery from January 2019 to December 2019. One hundred and sixty-nine (169) patients with high voltage electrical burn injury involving upper limb underwent amputation were analyzed according to the severity based on clinical assessment. Results: Male predominance (89%) was observed where right upper limb was involved in 49% of the cases and in 11% cases amputation was bilateral. The most alarming finding was 57.4% patients were below the age of 21 years. Below elbow amputation was done in 48.5% cases followed by above elbow amputations in 32.54% cases. Conclusion: Male sex and younger age are the two most common association with electric burn and subsequent limb amputation. The incidence in higher in upper limbs. This study will help us to create the awareness and for prevention of electric burn. J Bangladesh Coll Phys Surg 2022; 40: 279-286

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“…Celik et al reported an amputation rate of 26% [ 12 ] while Alemayehu et al reported that 12% of the patients had to undergo rehabilitation because of amputation [ 17 ]. A study conducted by Dash et al reported an amputation rate of 38% [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Impact of Electrical Burn in Children: A Follow-Up Study Conducted at a Tertiary Care Hospital

Shahid¹,

Gondal²,

Sabah³

et al. 2022

Cureus

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IntroductionElectrical burn injuries are very common in the pediatric population and are usually accidental and sometimes occupational. The objective of our study was to evaluate the epidemiology of electrical burn injuries and prospectively evaluate the long-term psychosocial impact of electrical burn injuries in children. Materials and methodsA qualitative interview study was conducted prospectively among sixty patients presented to Holy Family Hospital, Rawalpindi, Pakistan. Demographic details, mode of presentation, detail of injury, total body surface area, initial condition, and surgical interventions were noted during their stay at the hospital. Their physical and psychological outcomes were evaluated by administering the Strength and Difficulties Questionnaire (SDQ) and Body Dysmorphic Disorder Questionnaire (BDDQ) via telephonic interviews after six weeks of discharge from the hospital. The study was conducted over a span of 1 year from January 2021 to January 2022. ResultsThere were 60 patients who presented to the department of pediatric surgery during the span of the study. The mean age was 9.9 years ± 3.133 years (SD) and 80% of the patients were above 8 years of age with a male-to-female percentage of 86.67% to 13.33%, respectively. Forty-two (70%) patients incurred highvoltage electrical burns while 18 (30%) suffered low-voltage electrical burns. Mortality was 13.33% (n=8). Out of 52 patients who survived, 35 (67.30%) were labeled as having Body Dysmorphic Disorder upon administration of BDDQ through a six-week follow-up. The majority of the patients had abnormal or borderline results in different scales of SDQ. ConclusionThe long-term psychological stress and the varied spectrum of psychiatric disorders in electrical burn patients are profound. The prevention of burn injuries can be effectively achieved by educating parents about safety measures and improving health infrastructure. Implementation of a dedicated national program for psychological support of burn patients should be made accessible to all patients.

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Study of clinical pattern of limb loss in electrical burn injuries

Cited by 9 publications

References 18 publications

Epidemiological characteristics and outcomes of special-cause burns: analysis of 33,619 burn patients in a major regional burn center in China from 2004 to 2021

Epidemiological characteristics and outcomes of special-cause burns: analysis of 33,619 burn patients in a major regional burn center in China from 2004 to 2021

Upper Limb Amputations Following Electric Burn: Experience Sharing from Tertiary Hospitals in Bangladesh

Psychosocial Impact of Electrical Burn in Children: A Follow-Up Study Conducted at a Tertiary Care Hospital

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