The impact of electrical injuries on long-term outcomes: A Burn Model System National Database study

Stockly, Olivia; Wolfe, Audrey E; Espinoza, Leda F.; Simko, L C; Kowalske, Karen; Carrougher, Gretchen J.; Gibran, Nicole S.; Bamer, Alyssa M.; Meyer, Walter J.; Rosenberg, Marta; Rosenberg, Laura; Kazis, Lewis E.; Ryan, Colleen M; Schneider, Jeffrey C.

doi:10.1016/j.burns.2019.07.030

Cited by 16 publications

(8 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…AC is three times as dangerous to the body as DC; there are two primary reasons for this. Firstly, AC can cause tetanic spasms in muscles leading to repetitive contractions of those muscles [1,6]. For example, if an individual's hand comes into contact with AC via an exposed electrical wire, the muscles in the hand may contract and the individual is unable to let go of the wire (the 'no let-go' response), leading to increased duration of electrical contact.…”

Section: Pathogenesis and Pathophysiology Of Electrical Injuriesmentioning

confidence: 99%

“…From this point of view, it is unsurprising that many electrically injured people are confronted with serious working difficulties afterwards [5]. In fact, they are less likely to be employed one year post-injury, even compared to survivors of fires [6].…”

Section: Introductionmentioning

confidence: 99%

“…Amputations (with rates of 10-68% in electrically injured survivors) [2,6] neurological impairments (21%) [5], and neuropsychological and behavioural impairments (59.2% in the same survivors) [5] are considered the main complications that affect the ability to return to work [2].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Neurological and neurourological complications of electrical injuries

Yiannopoulou

Papagiannis

Triantafyllou

et al. 2021

Neurol Neurochir Pol.

View full text Add to dashboard Cite

show abstract

Section: Pathogenesis and Pathophysiology Of Electrical Injuriesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neurological and neurourological complications of electrical injuries

Yiannopoulou

Papagiannis

Triantafyllou

et al. 2021

Neurol Neurochir Pol.

View full text Add to dashboard Cite

show abstract

“…Electrical injuries can cause immediate respiratory and cardiac arrest as well as heart failure, cardiomyopathy and myocardial infarction [ 1 – 3 ]. However, electrical injuries are very varied and heterogeneous, ranging from minor injuries or burns to life-threatening damage to internal organs or significant long-term morbidity [ 1 , 4 – 7 ]. The two major cardiac complications of electrical shock are arrhythmias and myocardial tissue injuries.…”

Section: Introductionmentioning

confidence: 99%

Use of troponin assay after electrical injuries: a 15-year multicentre retrospective cohort in emergency departments

Douillet

Kalwant

Amro

et al. 2021

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

Background Patients with electrical injury are considered to be at risk of cardiac arrhythmia. Assessing the risk of developing a major adverse cardiac event (MACE) is the cornerstone of patient management. The aim of this study was to assess the performance of initial troponin and troponin rise to predict Major Adverse Cardiac Events (MACEs) in all patients with electrical injuries admitted to the Emergency Department. Methods This is a multicentre retrospective study in which consecutive patients with electrical injuries admitted to the Emergency Departments (ED) (adult and paediatric) of five French Hospitals were included between 2005 and 2019. The threshold for troponin elevation is based on the European Society of Cardiology guidelines for patients presenting without persistent ST segment elevation. The primary endpoint was the rate of MACE. Results A total of 785 included patients were admitted to ED with a first diagnosis of electrical injury during the study period. Troponin assays were performed in 533 patients (67.9%), including 465 of 663 adults (70.1%) and 68 of 122 children (55.7%) and 17/533 (3.2%) of patients had an initial elevated troponin. If none of the clinical criteria for MACE were present (i.e., previous known heart disease, exposure to a high voltage of ≥ 1000 Volts, initial loss of consciousness, or an abnormal initial ECG), this defined a low-risk subgroup (n = 573, 76.0%) that could be safely discharged. The initial positive troponin assay had a sensitivity of 83.3 (95% CI 35.9–99.6%), a specificity of 97.7 (95% CI 96.1–98.8%), a positive likelihood ratio 36.6 (95% CI 18.8–71.1%) and a negative predictive value of 99.9 (95% CI 99.2–99.9%) in predicting a MACE. Conclusions Troponin assay appears to be a predictive marker of MACE risk and should be considered in high-risk patients.

show abstract

“…29 and short-term as well as long-term sequelae have been documented. [45][46][47] There is little evidence to aid in the understanding of why this population is more likely to participate in this study. Electrical injuries are more likely to be experienced by young, White men and it is possible that these individual demographic characteristics impact enrollment more than the type of injury.…”

Section: Discussionmentioning

confidence: 99%

Burn model system national longitudinal database representativeness by race, ethnicity, gender, and age

Wolfe

Stockly

Abouzeid

et al. 2021

PM&R

View full text Add to dashboard Cite

Introduction: Representativeness of research populations impacts the ability to extrapolate findings. The Burn Model System (BMS) National Database is one of the largest prospective, longitudinal, multi-center research repositories collecting patient-reported outcomes after burn injury. Objective: To assess if the BMS Database is representative of the population that is eligible to participate. Design: Data on adult burn survivors who were eligible for the BMS Database from 2015 to 2019 were analyzed. Setting: Not applicable. Participants: Burn survivors treated at BMS centers meeting eligibility criteria for the BMS Database. Eligibility for the database is based on burn size and receipt of autografting surgery. Interventions: Not applicable. Main Outcome Measure(s): Race, ethnicity, gender, and age were compared between individuals who did and did not enroll. Regression analysis examined the correlation between demographic characteristics and study enrollment. Additional regression analysis examined the association between enrollment and the intersection of race, ethnicity, and gender. Results: A total of 982 adult burn survivors were eligible for the BMS database during the study period. Of those who were eligible, 72.1% Enrolled and 27.9% were Not Enrolled. The Enrolled group included more female and more younger survivors compared to the Not Enrolled group. In regression

show abstract

The impact of electrical injuries on long-term outcomes: A Burn Model System National Database study

Cited by 16 publications

References 43 publications

Neurological and neurourological complications of electrical injuries

Neurological and neurourological complications of electrical injuries

Use of troponin assay after electrical injuries: a 15-year multicentre retrospective cohort in emergency departments

Burn model system national longitudinal database representativeness by race, ethnicity, gender, and age

Contact Info

Product

Resources

About