Alcohol-related burns during the COVID-19 pandemic

Miles, Joanna Caroline; Johnson, Amy K.; Lloyd, Nola

doi:10.1016/j.burns.2020.12.013

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…This indicates that adults are the most affected by burns, even during the pandemic. 22 In this study, 40.3% of the participants who suffered from burns during the pandemic were of a high socioeconomic status. This differs 27 It is believed that low-income people are more vulnerable to burns because of the lack of guidance on care and prevention of burns and low access to sources of media.…”

Section: Discussionmentioning

confidence: 68%

“…Due to the measures imposed during the COVID-19 pandemic, the risks of the population experiencing traumatic burn injuries while in isolation are considerably higher. 22 In Brazil, burn injuries resulted in around 26,173 hospital admissions in 2020, a majority being in the Southeast area with 9,298 cases and 745 deaths. 23 A previous study evaluating the number of hospitalizations and deaths caused by burn injuries in pre-pandemic Brazil, identified the South and Midwest regions as having higher hospital admission rates.…”

Section: Discussionmentioning

confidence: 99%

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Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study

et al. 2023

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BACKGROUND: Due to "stay at home" restrictions during the coronavirus disease 2019 (COVID-19) pandemic, people spent more time at home leading to an increase in home accidents, including burns. OBJECTIVE: To investigate the epidemiology of burns that occurred within homes during the COVID-19 pandemic in Brazil. DESIGN AND SETTINGS: This was a quantitative, descriptive, and cross-sectional study with a non-probabilistic sample. METHODS: Data were collected through the distribution of survey links on social networking sites and websites, and through email between December 2020 and February 2021. Participants were over 18 years of age, living in Brazil. Data analysis was performed using descriptive and dispersion statistics. RESULTS: A total of 939 adults (aged > 18 years) participated in this study. The mean age was 37.2 years (standard deviation [SD] = 12.5), 75.6% were female, 70.0% self-reported white skin color, 74% had completed higher education, and 28.1% had an income of 3 to 6 times the monthly minimum wage. A total of 21.6% suffered burns during the pandemic, 44.3% from a hot object. Approximately 49.3% never had access to a burn prevention campaign. CONCLUSION: It is necessary to develop burn prevention strategies that reach a wider population and to strengthen public policies to reduce the prevalence of domestic burns, especially during the pandemic.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study

et al. 2023

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“…O uso do álcool coloidal é incentivado por apresentar menor volatilidade e menor potencial de combustão que o álcool líquido tradicional, sem perder a eficiência bactericida, segundo Arrunátegui e cols., atributo que torna mais seguro o uso desse tipo de álcool 28,29 . Indubitavelmente, a pandemia da COVID-19 e a popularização do uso do álcool como agente sanitizante (mesmo em casa) contribuíram para o aumento da incidência de queimaduras relacionadas ao álcool nos últimos anos 30 . A prática domiciliar de higienização das mãos com álcool 70% se difundiu notavelmente desde 2020 e, por sua vez, culminou no aumento da incidência de queimaduras acidentais domiciliares causadas por esse novo hábito de higiene, que se perpetuou desde o período de quarentena até os dias atuais, conforme brevemente relatado por Hohl, que mostrou que casos de queimaduras relacionadas ao álcool durante a pandemia da COVID-19 no Brasil resultaram em vítimas graves, com até 40% da área de superfície corporal queimada e quase 40% desses casos necessitaram de desbridamento cirúrgico e cobertura da pele por enxerto 30,31 .…”

Section: Discussionunclassified

Queimaduras autoprovocadas no Brasil: revisão sistemática e meta-análise

NASCIMENTO,

SOUZA FILHO,

TOMAZ

et al. 2024

Rev. Col. Bras. Cir.

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RESUMO Introdução: Queimaduras representam um componente fundamental do trauma no Brasil, sendo responsáveis por 2 milhões de incidentes e 2.500 mortes anualmente. Queimaduras autointencionais estão associadas a pior prognóstico, maior superfície corporal queimada, maiores taxas de infecção e morte. A falta de estudos sobre a problemática da autoimolação levanta questões epidemiológicas em relação às vítimas brasileiras. O estudo se objetivou investigar o perfil das queimaduras associados ao comportamento autolesivo entre vítimas brasileiras. Métodos: Esta revisão sistemática foi realizada de acordo com as diretrizes PRISMA 2020 e avaliou a correlação entre comportamento autolesivo como causa de queimaduras em vítimas brasileiras e suas implicações epidemiológicas nos últimos 20 anos (2003-2023). Os termos MeSH “Burns”, “Self-Injurious Behavior”, “Epidemiology” e “Brazil” foram elencados no PubMed/MEDLINE, SciELO e Cochrane Library e, após seleção por critérios de inclusão/exclusão, os estudos mais relevantes foram analisados criticamente. Resultados: Dos 1.077 estudos pré-selecionados, 92 foram potencialmente elegíveis, resultando em 7 manuscritos incorporados nesta revisão. Das 3.510 vítimas queimadas reunidas no conjunto de estudos selecionados, 311 casos apresentaram comportamento autolesivo. Pacientes que tentaram autoimolação apresentam maior risco de morte (p<0,05; RR=5,1 [3,2-8,1]) e maior superfície corporal queimada (p<0,05; MD=19,2 [10-28,2]), em comparação com casos acidentais. Ademais, o sexo feminino apresentou maior risco para tentativa de autoimolação (p<0,05; RR=4,01 [2,9-5,5]). Conclusão: Nossos resultados mostram que os casos de queimaduras autoprovocadas foram associados a uma maior área de superfície corporal queimada e a um maior risco de morte, e o sexo feminino foi identificado como um fator de risco relevante no Brasil.

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“…Colloidal alcohol use is encouraged because it presents lower volatility and lower combustion potential than traditional liquid alcohol, without losing bactericidal efficiency, according to Arrunátegui et al, an attribute that makes the use of this type of alcohol safer 28,29 . Undoubtedly, the COVID-19 pandemic and the popularization of alcohol use as a sanitizer agent (even at home) contributed to increasing alcoholrelated burn incidence in the past few years 30 . The athome practice of hand sanitizing using 70% alcohol has remarkably spread since 2020 and, in turn, has culminated in the rise of accidental household burns incidence caused by this new hygiene habit, which perpetuated from the quarantine period to the present day, as briefly reported by Hohl, who showed that cases of alcohol-related burns during the COVID-19 outbreak in Brazil resulted in serious victims with up to 40% of burned body surface area and almost 40% of these cases needed surgical debridement and skin coverage graft 30,31 .…”

Section: Discussionmentioning

confidence: 99%

Self-inflicted burns in Brazil: systematic review and meta-analysis

NASCIMENTO,

SOUZA FILHO,

TOMAZ

et al. 2024

Rev. Col. Bras. Cir.

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Introduction: burns represent a pivotal component of trauma in Brazil, accounting for 2 million incidents and 2,500 deaths annually. Self-intentional burns are associated with a worse prognosis, larger burned surface area, higher infection rates, and death. The lack of studies on the issue of self-immolation raises epidemiological questions regarding Brazilian victims. This study aimed to investigate the profile of burn events associated with self-injurious behavior among Brazilian victims. Methods: this systematic review was performed according to PRISMA 2020 guidelines and evaluated the correlation between self-injurious behavior as a cause of burns in Brazilian victims and its epidemiological implications in the last 20 years (2003-2023). The MeSH terms “Burns”, “Self-Injurious Behavior”, “Epidemiology” and “Brazil” were queried in the PubMed/MEDLINE, SciELO, and Cochrane Library databases, and, after selection by inclusion/exclusion criteria, the most relevant studies were critically analyzed. Results: From 1,077 pre-selected studies, 92 were potentially eligible, resulting in 7 manuscripts incorporated in this review. From 3,510 burned victims assembled in the pool of selected studies, 311 cases displayed self-injurious behavior. Burned patients who attempted to burn their lives have a higher risk of death (p<0.05; RR=5.1 [3.2-8.1]) and larger burned surface area (p<0.05; MD=19.2 [10-28.2]), compared to accidental cases. Moreover, the female gender was at a higher risk of attempting self-immolation (p<0.05; RR=4.01 [2.9-5.5]). Conclusion: our results show that self-inflicted burn cases were associated with a larger burned surface area and a higher risk of death, and the female gender was identified as a relevant risk factor in Brazil.

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Alcohol-related burns during the COVID-19 pandemic

Cited by 5 publications

References 18 publications

Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study

Domestic burns that occurred during the COVID-19 pandemic in Brazil: a descriptive cross-sectional study

Queimaduras autoprovocadas no Brasil: revisão sistemática e meta-análise

Self-inflicted burns in Brazil: systematic review and meta-analysis

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