Burden of Burns in Brazil from 2000 to 2014: A Nationwide Hospital‐Based Study

Santos, João Vasco; Souza, Júlio; Amarante, José

doi:10.1007/s00268-017-3988-5

Cited by 20 publications

(27 citation statements)

References 44 publications

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“…The overall number of patients treated annually for burn or inhalation injury decreased. This is in line with worldwide observations [ 8 – 12 ], which might indicate that the world is getting safer. Presumably, improved fire safety and changed human behavior play a role in this phenomenon.…”

Section: Discussionsupporting

confidence: 92%

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Yperen

Lieshout

Verhofstad

et al. 2021

Eur J Trauma Emerg Surg

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Purpose The aim of this study was to gain insight into the epidemiology of burn patients admitted to a hospital without a burn center or referred to a burn center. Methods This retrospective, nationwide, cohort study included patients with burns or inhalation trauma, admitted between 2014 and 2018, from a national trauma registry. The primary outcome measure was admission to a hospital with or without a burn center. Secondary outcome measures were patient and injury characteristics, Intensive Care Unit (ICU) admission and length of stay, and hospital length of stay (HLOS). Results Of the 5524 included patients, 2787 (50.4%) were treated at a non-burn center, 1745 (31.6%) were subsequently transferred to a burn center, and 992 (18.0%) were primarily presented and treated at a burn center. The annual number of patients decreased from 1199 to 1055 (− 12.4%). At all admission locations, a clear incidence peak was observed in children ≤ 4 years and in patients of ≥ 80 years. The number of ICU admissions for the entire population increased from 201 to 233 (33.0%). The mean HLOS for the entire population was 8 (SD 14) days per patient. This number remained stable over the years in all groups. Conclusion Half of all burn patients were admitted in a non-burn center and the other half in a burn center. The number and incidence rate of patients admitted with burns or inhalation trauma decreased over time. An increased incidence rate was found in children and elderly. The number of patients admitted to the ICU increased, whereas mean hospital length of stay remained stable.

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Section: Discussionsupporting

confidence: 92%

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Yperen

Lieshout

Verhofstad

et al. 2021

Eur J Trauma Emerg Surg

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“…In many studies, as in ours, men are more often affected by severe burns and require hospitalization, perhaps due to high-risk occupations, an aspect reported especially in low- and middle-income countries [ 24 , 25 ]. This trend is reported in Brazil [ 26 ], Europe [ 2 , 24 ], and Colombia [ 27 ], but not in India, with a 1.7:1 female:male ratio [ 28 ], and there is a slightly more common female predominance in Nepal [ 29 ].…”

Section: Discussionmentioning

confidence: 85%

Emergency Care for Burn Patients—A Single-Center Report

Niculae

Peride

Ţigliş

et al. 2023

JPM

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Burns, one of the main public health problems, lead to significant mortality and morbidity. Epidemiological studies regarding burn patients in Romania are scarce. The aim of this study is to identify the burn etiology, demographics, clinical characteristics, and outcomes in patients requiring treatment in a regional burn unit. Design. We performed a retrospective observational study of 2021. Patients. All patients admitted to our six-bed intensive care unit (ICU) were included. Interventions. The following data were collected for further analysis: demographics, burn pattern (etiology, size, depth, affected body region), type of ventilation, ABSI (Abbreviated Burn Severity Index) score, comorbidities, bioumoral parameters, and hospitalization days. Results. There were 93 burned patients included in our study that were divided into two groups: alive patients’ group (63.4%) and deceased patients’ group (36.6%). The mean age was 55.80 ± 17.16 (SD). There were 65.6% male patients, and 39.8% of the patients were admitted by transfer from another hospital. Further, 59 patients presented third-degree burns, from which 32.3% died. Burns affecting >37% of the total body surface area (TBSA) were noticed in 30 patients. The most vulnerable regions of the body were the trunk (p = 0.003), the legs (p = 0.004), the neck (p = 0.011), and the arms (p = 0.020). Inhalation injury was found in 60.2% of the patients. The risk of death in a patient with an ABSI score > 9 points was 72 times higher. Comorbidities were present in 44.1% of the patients. We observed a median LOS (length of stay) of 23 days and an ICU-LOS of 11 days. Logistic regression analysis showed that admission protein, creatinkinase, and leukocytes were independent risk factors for mortality. The general mortality rate was 36.6%. Conclusion. A thermal factor was responsible for the vast majority of burns, 94.6% of cases being accidents. Extensive and full-thickness burns, burns affecting the arms, inhalation injuries, the need for mechanical ventilation, and a high ABSI score represent important risk factors for mortality. Considering the results, it appears that prompt correction of protein, creatinkinase, and leukocytes levels may contribute to improvement in severe burn patients’ outcomes.

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“…Specifically, in 2016, in a US study, burn incidence for 1998 to 2013 was determined, in which severe thermal burn injuries were included, just as in the present Greek study, at 2.15% [5]. In contrast was a 2017 study for 2000 to 2014 in Brazil, with an incidence at 14.56% that included children under the age of five years who accounted for 24% of imports [6], while for 2016, a similar proportion was also found in the Zuni region of southwestern China, with an impact of 12.7% [7]. It should be noted that the burn incidence of the present study was equal (4.9%) to that of the city Riyadh of Saudi Arabia for 2013 [8].…”

Section: Discussionmentioning

confidence: 91%

Investigating the Six-Month Incidence Rate of Burn Disease in Children in Greece

Tsiampouris¹,

Charcharidou²,

Dousis³

et al. 2020

Cureus

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Introduction Burns in children are painful, can be fatal, and involve a significant risk of complications, along with physical and psychological consequences. This study aimed to investigate the incidence of burns in children, for six months, and the most common causative factors, along with the existing correlations between demographic data and the characteristics of burn injuries. Methods The study was descriptive and prospective, and the sample consisted of minors up to 14 years old with burns in any areas of the body. The research was carried out in the Attica pediatric hospitals' selected departments for six months (from July to December 2018). Sources for completing the created database were the patients, their guardians, and their medical-nursing documentation and records. Results The cumulative six-month incidence rate of childhood burn disease was 4.9%. The most affected age group appeared to be younger than two years (60%), while liquid heat appeared to be the primary form of the burn factor (76%). The average duration of hospitalization for children with a deep partial-thickness to a totalthickness burn degree was 16.5 days. The correlations that emerged related to the extent of the burn were directly related to the accident's site, and patients with an increased likelihood of future additional surgeries had an increased mean total body surface area that was burned. Conclusion Continuous surveillance and removal of hazardous materials from the home environment is of utmost need. Early education/understanding of correct behaviors and proper attention to outdoor activities or excursions can significantly reduce burns. Training courses on burn prevention for parents are needed, as the best form of treatment is prevention.

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Burden of Burns in Brazil from 2000 to 2014: A Nationwide Hospital‐Based Study

Cited by 20 publications

References 44 publications

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Emergency Care for Burn Patients—A Single-Center Report

Investigating the Six-Month Incidence Rate of Burn Disease in Children in Greece

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