Diffuse electrical injury

Morse, Jennifer S.; Morse, Michael S.

doi:10.1016/j.jpsychores.2004.06.001

Cited by 14 publications

(5 citation statements)

References 12 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The significant persistent symptoms were pain, loss of sensation, and/or muscle weakness (Rådman et al 2016). Pain has also been observed as a significant long-term sequela of EIs in other studies (Bailey et al 2008;Chudasama et al 2010;Morse and Morse 2005;Piotrowski et al 2014).…”

Section: Introductionmentioning

confidence: 72%

Unspecified pain and other soft tissue disorders following electrical injuries: a register-based matched cohort study

Poulsen

Carstensen

Kærgaard

et al. 2021

Int Arch Occup Environ Health

View full text Add to dashboard Cite

Objective This study investigates whether individuals who have sustained an electrical injury (EI) are diagnosed with unspecified pain or pain related to the musculoskeletal system in the years following the injury. Methods Individuals listed in Danish registers as having sustained EIs were matched for sex, age, and year of injury in a cohort study with individuals having experienced dislocations/sprains (match 1), eye injuries (match 2), and a sample of individuals with the same occupation without a history of electrical injuries (match 3). Outcomes were unspecified pain and unspecified soft tissue disorders. Conditional logistic regression and conditional Cox regression were applied. Results We identified 14,112 individuals who sustained EIs. A higher risk of both outcomes was observed for all three matches, and was highest at the 6- and 12-month follow-ups. The risk of both outcomes was considerably higher for match 3. Conclusions This study confirms that exposure to EIs increases the risk of being diagnosed with unspecified pain or unspecified soft tissue disorders both at short and long terms. Our results also showed that the risk of unspecified pain as sequelae is related to the severity of the injury.

show abstract

Section: Introductionmentioning

confidence: 72%

Unspecified pain and other soft tissue disorders following electrical injuries: a register-based matched cohort study

Poulsen

Carstensen

Kærgaard

et al. 2021

Int Arch Occup Environ Health

View full text Add to dashboard Cite

show abstract

“…Morse et al describe the theoretical current pathway as the linear path from entry point to exit point, but they also refer to studies that report symptoms remote from this theoretical pathway [ 5 ]. The explanation for this could be that the current does not follow just the shortest linear line, but also follows other paths depending on the resistance in the tissue and the surface.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have often been retrospective, imposing a risk of selection bias and recall bias, and are based on populations recruited from burn units, which means that the injuries were typically rather severe. Morse et al describe the theoretical current pathway as the linear path from entry point to exit point, but they also refer to studies that report symptoms remote from this theoretical pathway [5]. The explanation for this could be that the current does not follow just the shortest linear line, but also follows other paths depending on the resistance in the tissue and the surface.…”

Section: Introductionmentioning

confidence: 99%

Unconsciousness and amnesia after cross-body electric shocks not involving the head–A prospective cohort study

et al. 2023

View full text Add to dashboard Cite

Introduction Little is known about how electrical current passes through the human body except that it follows the physical rule of least resistance. Whether organs remote from the shortest route of the current can be affected is unknown, as different types of tissue vary in resistance. This may explain why some people exposed to electrical injury report symptoms from the central nervous system (CNS). In this study, we examined the association between exposure to cross-body electrical current and immediate CNS symptoms. Material and methods In a prospective cohort study, we followed 6960 members of the Danish Union of Electricians for 26 weeks using weekly questionnaires. We identified 2356 electrical shocks, and for each shock we asked whether the exposure was cross-body or same-side. We excluded those who reported exposure to the head as well as those who could not report the entry and exit points of the current. We examined two outcomes: becoming unconscious or having amnesia of the event. We use percentages to describe the data and logistic regression to analyze the results. Results We found that unconsciousness and amnesia following electric shocks were rare events (0.6% and 2.2%, respectively). We found an increased risk of reporting unconsciousness and amnesia in those exposed to cross-body electrical shock exposure compared to those with same-side exposure (Odds Ratio 2.60[0.62 to 10.96] and Odds Ratio 2.18[0.87 to 5.48]). Conclusion Although the outcomes investigated are rare, we cannot rule out a possible effect on the CNS when persons are exposed to cross-body electrical current even though it does not pass through the head.

show abstract

“…Neurological, neuropsychological, and psychiatric symptoms are also consistently found in cases of EI and may be present whether the head is a point of contact with the electrical current or not ( 4 ). Electrical injury is more prevalent in men, probably due to exposure to industrial environments and jobs at construction ( 3 , 5 ). Physical and neurological sequelae have been studied more consistently in recent years, yet long-term cognitive and psychiatric disorders have not been described in the context of the Brazilian population.…”

Section: Introductionmentioning

confidence: 99%

Case Report in the Brazilian Context: Cognitive and Behavioral Changes Following an Electric Injury

et al. 2021

View full text Add to dashboard Cite

Electrical injury (EI) is the sequel of an electrical shock. Physical sequelae are most common, but also other symptoms can happen, such as neurological symptoms, psychiatric alteration, and cognitive decline. The repercussion of EI can happen whether or not the head is a point of contact with the electrical current. There are no official diagnostic criteria for cognitive repercussions of EI, which may lead to incorrect diagnostics and confusion with other most frequent causes of dementia, such as frontotemporal dementia, pseudodementia, or dementias for reversible causes. In this case report, we described a right-handed man, aged 56 years old, referred to our service due to behavioral changes and cognitive alterations related to electric shock. The psychiatric team has monitored him, but cognitive deficits have raised doubts about the presence of dementia syndrome. The neuropsychological evaluation revealed severe deficits and loss of functionality, which filled the criteria for major neurocognitive disorder according to the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-5). Adding these findings to the patient's history and after a detailed investigation of other causes of dementia, we concluded that this is a possible case of EI with strong neuropsychological symptoms. This case report should help clinicians to recognize this condition and its features. We aimed to share the importance of recognizing the neuropsychological and psychiatric features of EI, mainly in the Brazilian context.

show abstract

Diffuse electrical injury

Cited by 14 publications

References 12 publications

Unspecified pain and other soft tissue disorders following electrical injuries: a register-based matched cohort study

Unspecified pain and other soft tissue disorders following electrical injuries: a register-based matched cohort study

Unconsciousness and amnesia after cross-body electric shocks not involving the head–A prospective cohort study

Case Report in the Brazilian Context: Cognitive and Behavioral Changes Following an Electric Injury

Contact Info

Product

Resources

About