Epidemiology of work-related burn injuries presenting to burn centres in Australia and New Zealand

McInnes, Judith; Cleland, Heather; Tracy, Lincoln M.; Darton, Anne; Wood, Fiona; Perrett, Tracey; Gabbe, Belinda

doi:10.1016/j.burns.2018.09.011

Cited by 23 publications

(19 citation statements)

References 26 publications

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“…This finding is consistent with previous studies identifying that burn injuries in younger adults are more commonly the result of a work-related accident. 33 , 37 , 42 , 45 - 47 The proportion of patients with comorbid conditions increased with age, which is consistent with expectations and previous reports. 48 , 49 The increase in the presence of comorbid conditions within the older adult population may also partly explain the increased LOS in hospital, the increased proportion of in-hospital mortality, and the decreased proportion of patients being discharged to their home or usual place of residence in this cohort of patients.…”

Section: Discussionsupporting

confidence: 90%

Epidemiology of burn injury in older adults: An Australian and New Zealand perspective

Tracy

Singer

Schrale

et al. 2020

Scars, Burns & Healing

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Introduction: The ageing global population presents a novel set of challenges for trauma systems. Less research has focused on the older adult population with burns and how they differ compared to younger patients. This study aimed to describe, and compare with younger peers, the number, causes and surgical management of older adults with burn injuries in Australia and New Zealand. Methods: The Burns Registry of Australia and New Zealand was used to identify patients with burn injuries between 1 July 2009 and 31 December 2018. Temporal trends in incidence rates were evaluated and categorised by age at injury. Patient demographics, injury severity and event characteristics, surgical intervention and in-hospital outcomes were investigated. Results: There were 2394 burn-injured older adults admitted during the study period, accounting for 13.4% of adult admissions. Scalds were the most common cause of burn injury in older adults. The incidence of older adult burns increased by 2.96% each year (incidence rate ratio = 1.030, 95% confidence interval = 1.013–1.046, P < 0.001). Compared to their younger peers, a smaller proportion of older adult patients were taken to theatre for a surgical procedure, though a larger proportion of older adults received a skin graft. Discussion: Differences in patient and injury characteristics, surgical management and in-hospital outcomes were observed for older adults. These findings provide the Australian and New Zealand burn care community with a greater understanding of burn injury and their treatments in a unique group of patients who are at risk of poorer outcomes than younger people. Lay Summary The number and proportion of older persons in every country of the world is growing. This may create challenges for healthcare systems. While burn injuries are a unique subset of trauma that affect individuals of all ages, less is known about burns in older adults and how they differ from younger patients. We wanted to look at the number, type, management, and outcomes of burns in older adults in Australia and New Zealand. To do this, we used data from the Burns Registry of Australia and New Zealand, or BRANZ. The BRANZ is a database that collects information on patients that present to Australian and New Zealand hospitals that have a specialist burns unit. Our research found that one in eight adult burns patients was over the age of 65, and that the rate of burn injuries in older adults has increased over the last decade. Older adult burns patients were most commonly affected by scalds after coming in contact with wet heat such as boiling liquids or steam. Fewer older adults went to theatre for an operation or surgical procedure compared to their younger counterparts. However, a larger proportion of older adults that went to theatre had a skin graft (where skin is removed from an uninjured part of the body and placed over the injured part). This research provides important information about a unique and growing group of patients to the local burn care community. It also highlights potential avenues for injury prevention initiatives.

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Section: Discussionsupporting

confidence: 90%

Epidemiology of burn injury in older adults: An Australian and New Zealand perspective

Tracy

Singer

Schrale

et al. 2020

Scars, Burns & Healing

Self Cite

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“…Evidence-Based Complementary and Alternative Medicine to be the vulnerable group of burn injuries [24]. One thing to be wary of is that most burn injurers in females occur at homes, which also reminds us the necessity to strengthen residents' knowledge education on fire use and fire prevention at home.…”

Section: Discussionmentioning

confidence: 99%

The Trend of Burn Injury Patients in Ningbo between 2012 and 2021: A Clinical Study

Fan

Jin

Pan

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. This study was designed to understand the local changes of burn injuries in recent 10 years, so as to provide reliable reference data and viewpoints for prevention and vigilance of local burn injuries. Methods. In this study, 184 patients with a burn injury admitted to our hospital from 2012 to 2021 were enrolled and analyzed retrospectively. According to their information in the electronic database, the number of patients with burn injuries and the location of each disaster each year were analyzed, and the age, sex, hospital stay and hospitalization expense of each patient were collected. With 5 years as the boundary, the patients were divided into a 2012–2016 group and a 2017–2021 group and the differences of the two groups in the abovementioned aspects were compared. Results. During 2012–2021, the incidence rate of burn injuries in men was higher than that in women and workplaces had a higher burn injury rate than residents’ homes. Compared with the period of 2012–2016, the number of fires or explosions and the number of patients with a burn injury during 2017–2028 both increased, but there was no significant change in disaster location, male-female ratio, age, average hospital stay, and average hospitalization expense. Conclusion. In the face of the increasing prevalence of burn injuries, we should strengthen fire-fighting knowledge-related education and fire prevention management and actively explore post-burn injury treatment strategies and potential treatment targets to promote the development of burn injury management and treatment strategies.

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“…In a study conducted in Bangladesh, 78.6% of burn patients were found to be injured at home. [44] In a study by McInnes et al [45] evaluating adult burn injuries from burn center records in Australia and New Zealand, work-related injuries made up 17%. In the study by Aitbenlaassel et al [46] on the epidemiology of burns in Marrakech, 75% of burn injuries were caused by accidents at home and 20% by accidents at work.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of clinical outcomes and comparison of prediction models in the burn population hospitalized from the emergency department: Can burn mortality scores be used in a post-conflict area such as northwest Syria?

Karaca

Çelik

Emem

2023

Ulus Travma Acil Cerrahi Derg

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Epidemiology of work-related burn injuries presenting to burn centres in Australia and New Zealand

Cited by 23 publications

References 26 publications

Epidemiology of burn injury in older adults: An Australian and New Zealand perspective

Epidemiology of burn injury in older adults: An Australian and New Zealand perspective

The Trend of Burn Injury Patients in Ningbo between 2012 and 2021: A Clinical Study

Evaluation of clinical outcomes and comparison of prediction models in the burn population hospitalized from the emergency department: Can burn mortality scores be used in a post-conflict area such as northwest Syria?

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