The effect of seasonality on burn incidence, severity and outcome in Central Malawi

Tyson, Anna F.; Gallaher, Jared; Mjuweni, Stephen; Cairns, Bruce A.; Charles, Anthony

doi:10.1016/j.burns.2017.01.037

Cited by 19 publications

(23 citation statements)

References 11 publications

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“…As in previous studies, the most frequent cause of paediatric burn injuries in the current study was determined to be scalds . The major reasons for scalds have been reported to be low socioeconomic and education levels of the family and a high number of children in the home . The majority of the cases in the current study were from rural and suburban regions.…”

Section: Discussionsupporting

confidence: 56%

“…Paediatric burn cases are the third most common cause of accidental mortality after vehicle accidents and drownings. Burn injuries in the first 10 years of life are a major cause of mortality and morbidity, which are actually preventable in nature . The results of the current study indicate that, with the exception of electricity and fire burn injuries, all other burn types are more frequently encountered in paediatric cases <5 years old.…”

Section: Discussionmentioning

confidence: 60%

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The seasonal and monthly distribution of body limbs affected by burns in paediatric patients in southeast Turkey

Asena

Akelma

Salık

et al. 2019

International Wound Journal

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Studies on the frequency of burned limbs according to season and months are limited. The burning of some body limbs, especially in some months, shows that the causes of burns are different, and knowing the reasons is important for providing preventive measures. The aims of this study were to determine the distribution rate of child burns by months and seasons and to contribute to preventive measures by determining the distribution of the burning of body limbs by months. We retrospectively evaluated 419 paediatric patients (0‐17 years of age) who were hospitalised in the burn unit between 1 May 2017 and 1 November 2018. The demographic characteristics of the patients were recorded according to age, gender, months, and seasons of the patients admitted; cause of burns; degree of burns; total body surface area; and burning regions. The distribution of burns by months was established as being mainly in May to October. As for the distribution of the patients according to the seasons, it was found that it was most common in summer, 122 (29.1%), and in the autumn season as well, it was 122 (29.1%). While body burns increased in the summer‐autumn seasons (P < .023), genital area burns were the lowest in winter and were the highest in summer and autumn seasons. Genital site burns increased statistically in September, October, and November (P < .010). Burn traumas are observed to be more frequent in some seasons and months. The environments where individuals live, forms of life, forms of warming, areas of interest, and sociocultural and economic levels are the causes of this variability.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 60%

The seasonal and monthly distribution of body limbs affected by burns in paediatric patients in southeast Turkey

Asena

Akelma

Salık

et al. 2019

International Wound Journal

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“…This is concluded to be the cause of high number of flame and scald burns. 29,30 The current study revealed that there was a highly significant increase in number of cases in winter season than other seasons. Our results showed that the highest percentage of the cases of burn in years of 2015 (27.5%) and 2016 (31.6%) was found in winter.…”

Section: Discussionmentioning

confidence: 80%

The Medicolegal Aspects of Burn Cases Admitted to Assiut University Hospitals During Years of 2015 and 2016

George

Abdellah

2017

Zagazig Journal of Forensic Medicine

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Background: Burns are not uncommon in Egypt, for successful prevention of such accidents it is essential to analyze the medicolegal aspects of these cases. The present study was conducted in Assiut university hospitals. Burn cases that were admitted to the emergency units during years of 2015 and 2016 were retrospectively analyzed from the available records. Purpose: to investigate medicolegal aspects and demography of burn cases presented in emergency units at Assiut University Hospitals during years 2015 and 2016 to identify vulnerable personnel, and to evaluate their outcomes. Methods: A retrospectives study analyzing data from the records between 01/01/2015 to 31/12/2016. Data regarding age, gender, type of burn, percentage of body surface area involved in burn, hospital stay of victims, fate of cases, and survival period of deceased victims was collected and analyzed using SPSS. Results: The study revealed male predominance, 258 (75.26%) male victims out of total 380 victims. The mean age for victims was 15.57 years with most of the victims (52.89%) of burn were between the ages of 0 to 10 years, the minim age was 2 months while the maximum age was 73 years. Hot liquids and flame were the commonest causes of burn. 77.11% of burns in children age less than 11 years were due to hot liquids. The highest percentage of cases of burn was found in winter (29.2%). 32.89% of victims were students. The mean of hospital stay was 8.29 days. 17.63 % of burn victims admitted during these two years died. Conclusions: Male victims represent most burn patients with children being more vulnerable. Preventive measures against burns should be taken in order to prevent burns particularly in children.

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“…The reason for this seasonality is not clear. There have been studies which showed a significant difference in the incidence of burns according to season, but mortality was not different between seasons 17,18 . A previous study in United States reported the seasonal variation in surgical outcomes, although it is not limited to burn patients 19 .…”

Section: Discussionmentioning

confidence: 99%

Effects of Diabetes Mellitus on the Mortality, Length of Hospital Stay and Number of Operations in Burn Patients

2019

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Background: The effects of diabetes mellitus (DM) on mortality and morbidities in burn patients have not been sufficiently elucidated. Objective: The present study aimed to investigate the effects of DM on the mortality, length of hospital stay, and number of operations in burn patients. Methods: A retrospective cohort study was performed using medical records of 3,220 burn patients. Multiple logistic regression, linear regression, and Poisson regression models were used to determine whether DM increases mortality in patients with burn injury, whether DM prolongs length of hospital stay in burn survivors, and whether DM increases the number of operations in burn survivors, respectively. Results: After adjusting for potential confounding factors, DM significantly increased odds of death in burn patients (adjusted odds ratio 3.225 [95% confidence interval 1.405∼7.400], p=0.006). DM also increased the mean length of hospital stay in burn survivors (adjusted mean ratio 1.312 [95% confidence interval 1.198∼1.437], p＜0.001). Furthermore, DM significantly increased the mean number of operations in burn survivors (adjusted mean ratio 1.576 [95% confidence interval 1.391∼ 1.785], p＜0.001). Conclusion: DM increases mortality, elongates hospital stay and makes more operations required in patients with burn injury. (Ann Dermatol 31(1) 51∼58, 2019

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The effect of seasonality on burn incidence, severity and outcome in Central Malawi

Cited by 19 publications

References 11 publications

The seasonal and monthly distribution of body limbs affected by burns in paediatric patients in southeast Turkey

The seasonal and monthly distribution of body limbs affected by burns in paediatric patients in southeast Turkey

The Medicolegal Aspects of Burn Cases Admitted to Assiut University Hospitals During Years of 2015 and 2016

Effects of Diabetes Mellitus on the Mortality, Length of Hospital Stay and Number of Operations in Burn Patients

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