Epidemiology and financial implications of self-inflicted burns

George, Samuel; Javed, Muhammad; Hemington-Gorse, Sarah; Wilson-Jones, Nick

doi:10.1016/j.burns.2015.10.010

Cited by 17 publications

(6 citation statements)

References 19 publications

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“…The causes of burns differ by age, gender, and sociocultural structure. In some studies, the most common cause of burns was electric shock, 15 while in others it was reported as flame burns 12 and in others such as our study, it was reported as a scald burns. 5,13,16,17 In studies where child burns were examined, burns were reported…”

Section: Discussionsupporting

confidence: 50%

“…10 In epidemiological studies conducted in burn centres, mean age of the patients with burns was reported to be 37.4 to 30.38 years. 11,12 It has been reported that severe burns are more common in the 18 to 40 age group. 9 In our study, 82% of the patients in the burn unit were children therefore the mean age was low (11 ± 5 years); mean age results of our study suggest that the burn injuries are more severe in adults and that they are followed in burn centres, not in burn units, since they require intensive care follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Burns—although about 90% of the cases are preventable—are still one of the most common causes of injury 10 . In epidemiological studies conducted in burn centres, mean age of the patients with burns was reported to be 37.4 to 30.38 years 11,12 . It has been reported that severe burns are more common in the 18 to 40 age group 9 .…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological analysis of patients with burns in third‐line hospitals in Turkey

Bahçe

Öztaş

2020

International Wound Journal

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Burns are a major health problem worldwide. Burn injury resulting from making contact with hot objects, direct or indirect contact with flame, and exposure to chemical agents or electric current is usually preventable. In this study, epidemiological data of the patients who had been hospitalised in the burn unit was assessed. The records of 1453 patients who were admitted to the burn unit of Diyarbakir Gazi Yaşargil Training and Research Hospital between July 2008 and April 2018 were retrospectively examined. Out of 1453 cases, 81.7% (1187) were children and 18.3% (266) were adults, 58.3% of the cases were male (847) and 41.7% (606) were females. Patients had a mean age of 11 ± 5 years (1‐81 years). The most common cause of burns was contact with hot liquids (82.86%) while other causes were flame burns (12.04%), electrical contact burn (3.02%) contact with chemical substances (2.06%). Most of the cases were found to have burned 10% to 20% of the body surface. Localization was most frequently seen in the lower extremity and less frequently in the upper limb, trunk, head and neck, and perineal regions. The majority of burn injuries are preventable. Therefore, epidemiological studies in the field of burns will provide vital preventive information to develop strategies to reduce injury frequency and spend on health. Because burns are a social problem, prevention efforts require social co‐operation. Promotional meetings in schools are important to increase family‐school cooperation to inform children of school age, to give lectures and first aid measures to rural areas.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

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Epidemiological analysis of patients with burns in third‐line hospitals in Turkey

Bahçe

Öztaş

2020

International Wound Journal

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“…17 In the United Kingdom, a study looking at the epidemiology and financial implications of self-inflicted burns showed that the critical care cost of treating a self-inflicted burn patient was £225,000 vs. £338 for those not receiving critical care. 18 The presence of a pre-existing major psychiatric disorder in burn injury patients may present significant management challenges of the burn patient. The associated aberrant and erratic behaviors may compromise recovery.…”

Section: Discussionmentioning

confidence: 99%

Incidence of self-inflicted burn injury in patients with Major Psychiatric Illness

Atwell

Bartley

Cairns

et al. 2019

Burns

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Introduction: Psychiatric disorders are mental illnesses that impair judgment, thought process and mood that can result in physical and emotional disability. According to DSM-IV, mental disorders increases risk of traumatic injury, particularly burn. 1 However, there are few studies that look at patients with pre-existing major psychiatric disorders and burn outcomes. We aim to assess the incidence and intentionality of burn injury in patients with pre-existing psychiatric disorders. Methods: This is a retrospective study of patients admitted to the UNC Jaycee Burn Center from 2002-2015 and entered in the burn registry. Variables analyzed include basic demographics, insurance status, total body surface area (TBSA) of burn, Charlson comorbidity index (CCI), burn etiology, presence of inhalation injury, burn circumstance, intensive care unit (ICU) and hospital length of stay (LOS) and mortality. Chi-square, Analysis of Variance (ANOVA), Kruskal-Wallis test and Multivariate logistic regression was used to analyze the data. Results: 11,650 adult and pediatric patients were entered in the burn registry from 2002-2015 and 494 (4.2%) adult and pediatric patients had preexisting major psychiatric illness (MPI). Within the large cohort of admitted burn patients, 90 (0.8 %) patients presented with self-inflicted burn injuries. 41% of patients with SIB (n=37/90) had MPI. The incidence of self-inflicted burn injury (SIB) within the MPI (n=494) cohort was 7.5% (n=37). Mean age of patients with and without self-inflicted burn injury was 35.3 (±11.6) vs. 41.8 (±17.3), respectively. Mean TBSA was significantly higher in patient with SIB at 18.6(±16.5) vs. 8.5(±12.2) p<0.001. Non-white race had significantly higher rate of SIB compared to white cohort. There was no significant difference in mortality rates between SIB and Non-SIB (5.4% vs. 3.7%, p=0.609), respectively. Median Hospital LOS was significantly increased in patients with SIB compared to NSIB 31 (IQR=55) vs. 9 (IQR=20) days, p=0.004. Multivariate logistic regression for predictors of self-inflicted burn injury showed that minorities were more likely to incur self-inflicted burn injury among patients with major psychiatric illnesses.

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“…A pre-morbid mental health history is common in patients with severe burns to the point [3][4][5][6][7][8]. Self-harm or self-inflicted burn injuries were certainly leading to financial impact to the society.…”

Section: Introductionmentioning

confidence: 99%

Mental health history—a contributing factor for poorer outcomes in burn survivors

Coombs

2018

Burns &Amp; Trauma

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BackgroundA pre-morbid mental health history is common in patients with severe burn injuries. This creates challenges in providing rehabilitation. The aim of this study is to cross examine the possible impact of psychological co-morbidities on outcomes.MethodsA notes audit was carried out examining patients that were admitted to Concord Hospital Burns Unit in a 3-year period (2010–2012). Patients with total body surface area (TBSA) of 20% or greater and aged between 16 and 50 years were included. Subjects were divided into a mental health group and a control group. SPSS version 21 statistic program was used for analysis the data.ResultsData collected included length of stay, time to achieve independence, %TBSA, types of burns and surgery required. Results of 69 files showed that the average length of stay per %TBSA was nearly double in the patients with a mental health problem (1.47 vs 0.88). They also had a higher rate of re-graft (52% vs 22%) due to infection and poor nutrition. The average time for patients to achieve independence in daily living activity was significantly higher (p = 0.046) in the mental health group (36.2 days) versus the control group (24.1 days).ConclusionPatients with a mental health history may have poorer general health. This may result in a higher failure rate of grafting, leading to a requirement of re-graft. Hence, it took a longer time to achieve independence, as well as a longer hospital stay. A mental health history in burn survivors can be a contributing factor for poorer outcomes in the adult population.

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Epidemiology and financial implications of self-inflicted burns

Cited by 17 publications

References 19 publications

Epidemiological analysis of patients with burns in third‐line hospitals in Turkey

Epidemiological analysis of patients with burns in third‐line hospitals in Turkey

Incidence of self-inflicted burn injury in patients with Major Psychiatric Illness

Mental health history—a contributing factor for poorer outcomes in burn survivors

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