Case-controlled study of patients with self-inflicted burns

Horner, B. M.; Ahmadi, Hootan; Mulholland, R. I.; Myers, Simon; Catalán, José

doi:10.1016/j.burns.2004.12.006

Cited by 48 publications

(28 citation statements)

References 15 publications

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“…Paint thinner burn assaults result with higher morbidity and mortality rated compared to accidental burns as the TBSA is significantly larger. Moreover, paint thinner induced burns are relatively deeper and result with higher overall morbidity and mortality rated because of coexisting inhalation injuries [3][4][5]. In the present study; however, there were no paint thinner assault burns.…”

Section: Discussioncontrasting

confidence: 63%

“…Moreover, paint thinner induced burns are relatively deeper and result with higher overall mo1tality rates because of coexisting injuries of the respiratory system [3][4][5]. The most frequent etiologic factor is using paint thinner to kindle a fire, accidents at work, suicidal and homicidal assaults, and flame burns occurring during sniffing paint thinner.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Little negligence leading to irreparable harm: thinner burns

Arslan¹,

Atay²,

Sekmenli³

et al. 2017

Med-Science

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The aim of the present study is to evaluate the epidemiology and outcome of paint thinner induced burn injuries at a local burn center. A retrospective analysis of 55 patient paint thinner thermal burn cases was conducted. Relevant patients' data such as age, sex, etiologic factors, burn extent and localization, employed methods of treatment, hospitalization period, and results were evaluated in retrospect from patients' records. 50 male and five female patients with a mean age of 26,78 (14-47) years participated in the presented study. Kindling fire with paint thinner was the most frequent etiologic factor. Total body surface burn area was 22,5 % (5-90). The mean hospitalization period of the survivors was 24 (5-64) days. Early excision and split-thickness sking grafting was applied in 22 patients. The remaining 26 patients were treated with topical agents. Total mortality was only 7 (12.7%). These patients had paint thinner induced burned body surfaces of 60 % with accompanying inhalation injuries. Paint thinner may cause catastrophic thermal injuries even with terminal outcomes and should therefore never used to kindle a fire.

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Section: Discussioncontrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Little negligence leading to irreparable harm: thinner burns

Arslan¹,

Atay²,

Sekmenli³

et al. 2017

Med-Science

View full text Add to dashboard Cite

show abstract

“…Adult burn injury may also result from an industrial or work-related accident or occur as a result of suicide attempts, assault, and unintentional injury due to alcohol and/or drug use (32,211,265,332,368). A significant proportion of adult burn patients also suffer from a high degree of mental illness (344).…”

Section: Magnitude and Risk Factors Of Civilian Burn Injurymentioning

confidence: 99%

Burn Wound Infections

Church

Elsayed

Reid³

et al. 2006

Clin Microbiol Rev

1,600

1,345

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SUMMARYBurns are one of the most common and devastating forms of trauma. Patients with serious thermal injury require immediate specialized care in order to minimize morbidity and mortality. Significant thermal injuries induce a state of immunosuppression that predisposes burn patients to infectious complications. A current summary of the classifications of burn wound infections, including their diagnosis, treatment, and prevention, is given. Early excision of the eschar has substantially decreased the incidence of invasive burn wound infection and secondary sepsis, but most deaths in severely burn-injured patients are still due to burn wound sepsis or complications due to inhalation injury. Burn patients are also at risk for developing sepsis secondary to pneumonia, catheter-related infections, and suppurative thrombophlebitis. The introduction of silver-impregnated devices (e.g., central lines and Foley urinary catheters) may reduce the incidence of nosocomial infections due to prolonged placement of these devices. Improved outcomes for severely burned patients have been attributed to medical advances in fluid resuscitation, nutritional support, pulmonary and burn wound care, and infection control practices.

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“…9 Self-inflicted burns account for about 4% of burn injuries worldwide (Horner BM et al), incidence is 25% according to a study done in south India by Dr. R. Raja Shanmugakrishnan et al in 2008 with wide variations from 0.4 to -25% and there are indications that the numbers are increasing. 1,10 The goal of rehabilitation efforts after a major burn is to support the natural adaptation process in order to obtain as good an end result as possible in the widest sense. WHO has chosen to include the concept of rehabilitation in its International Classification of Impairments, Disease and Handicaps.…”

Section: Discussionmentioning

confidence: 99%

Analysis of psychiatric problems in burn patients in a tertiary burn unit: a prospective study

2017

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Background: Burn injuries in our part of the world generally occurs in the lower socio-economic groups. A large part of these patients suffers from underlying psychiatric disorders. This study is to see the prevalence rates and clinical diagnosis of psychiatric disorders and psychosocial problems as a predisposing factor to burns and squeal to burns in our population, hence necessitate the consultation with the psychiatric team management to improve the outcome from the time of critical phase recovery to the rehabilitation phase.Methods: 114 patients admitted with suicidal burns above the age of 15 years were included in the study at Dept. of Plastic, Reconstructive and Burn Surgery, Govt. Kilpauk Medical College and Hospital for a period of 2 years and evaluated.Results: The patients were mostly married females in the 2nd to 3rd decade of life. Most of them had some form of pre-morbid psychopathology. 60% of patients had >50% burns and only 17% were survivors. After 1 year of psychotherapy, most patients had returned to normalcy.Conclusions: In our study deformity related depression were more after recovery hence prevention of deformity with usage of appropriate splintage, wound management, early grafting and intense physiotherapy will produce a drastic change in their wellbeing and coping ability and help long term rehabilitation and return to normalcy.

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Case-controlled study of patients with self-inflicted burns

Cited by 48 publications

References 15 publications

Little negligence leading to irreparable harm: thinner burns

Little negligence leading to irreparable harm: thinner burns

Burn Wound Infections

Analysis of psychiatric problems in burn patients in a tertiary burn unit: a prospective study

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