Incidence and treatment of burns: A twenty-year experience from a single center in Germany

Theodorou, Panagiotis; Xu, Weiguo; Weinand, Christian; Perbix, Walter; Maegele, Marc; Lefering, Rolf; Phan, Truong Quang Vu; Zinser, Max; Spilker, G.

doi:10.1016/j.burns.2012.05.003

Cited by 32 publications

(20 citation statements)

References 23 publications

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“…Although the epidemiological data of burn victims vary greatly from one country to another, some data in this study are similar to the national and international literature, such as male predominance (Gawryszewski et al, 2012;Van Loey et al, 2011;Vendrusculo, Balieiro, Echevarría-Guanilo, Farina Junior & Rossi, 2010), aged between 20 and 40 years (Dyster-Aas, Kildal, & Willebrand, 2007;Jarrett, McMahon, & Stiller, 2008;Theodorou, Xu, Weinand, Perbix, & Maegele, 2013), low level of education (Gawryszewski et al, 2012;Ringo & Chilonga, 2014), fire as the main etiological agent (Jarrett et al, 2008;Ricci et al, 2014), the home and the workplace as the places of higher frequency of occurrence (Ricci et al, 2014;Papp & Haythornthwaite, 2014;Elsherbiny, Salem, El-Sabbagh, Elhadidy, & Eldeen, 2011). The TBSA < 10% was the most prevalent and for the burned areas, Peck (2012) points out that the upper body is more susceptible and upper limbs are the most affected (Jarrett et al, 2008;Ringo & Chilonga, 2014).…”

Section: Discussionsupporting

confidence: 81%

“…Still, there was a high rate of overweight and class I and II obesity, after hospital discharge, with mean BMI of 26.5 ± 5.1 kg m -2 , as noticed by Theodorou et al (2013). The only study available comparing functional results in obese and nonobese individuals shows that BMI can contribute to the lower functional scores (Farrell et al, 2008), but there is a need for studies that explain the reasons that lead to weight gain in patients after a burn.…”

Section: Discussionmentioning

confidence: 99%

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<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Itakussu

Valenciano

Fujisawa

et al. 2017

Acta Sci. Health Sci.

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ABSTRACT. Burns cause different impacts on the individual life. Many are the problems faced by survivors, such as hypermetabolism that may persist years after the event. The aim was to assess aerobic capacity, level of physical activity and pain in adult burn victims after hospital discharge. This is a descriptive, cross-sectional study. Participants (n = 60) were adult victims of moderate to severe burns, evaluated by six-minute walk test (6MWT), Pain Scale and International Physical Activity Questionnaire (IPAQ). We applied Student's t-test for independent samples and Mann-Whitney test for comparisons between medium and large burned; Chi-square test to compare the level of physical activity. Large burned (73%) patients prevailed among the 60 participants; there was a statistically significant trend in the distance predicted between groups (p = 0.066), with no change in performance of the aerobic capacity. 60% reported physical activity practice at least three times a week: walking, cycling and soccer. As for the level of pain, 40% reported moderate to severe persistent pain, even after complete healing of wounds. Most participants showed aerobic capacity within the normal range, despite the high body mass index reported, they reported doing physical activities of moderate intensity.Keywords: physical therapy, walking, exercise test, assessment.Capacidade aeróbica, atividade física e dor em adultos vítimas de queimaduras moderadas a graves após alta hospitalar RESUMO. As queimaduras causam diversos impactos na vida do indivíduo. Inúmeros são os problemas enfrentados pelos sobreviventes, como o hipermetabolismo, que pode persistir por anos após o evento. O objetivo deste estudo foi avaliar a capacidade aeróbica, o nível de atividade física e a dor em adultos, vítimas de queimaduras após alta hospitalar. Neste estudo descritivo e transversal, participaram 60 adultos, vítimas de queimaduras moderadas a graves, avaliados pelo teste de caminhada de seis minutos (TC6min), pela Escala de Dor e pelo Questionário Internacional de Atividade Física (IPAQ). Utilizou-se Teste t Student independente e Mann-Whitney para comparações entre médios e grandes queimados; o Qui quadrado para comparação do nível de atividade física. Dos 60 pacientes, predominaram os grandes queimados (73%) e encontrou-se tendência estatística na distância predita entre os grupos (p = 0,066), sem alteração no desempenho da capacidade aeróbica. 60% referiram praticar atividade física pelo menos três vezes por semana: caminhadas, bicicleta e futebol. Quanto ao nível de dor, 40% dos avaliados mencionaram dores persistentes de moderadas a intensas, mesmo após a cicatrização total das feridas. A maioria dos adultos, vítimas de queimaduras moderadas a graves, encontra-se com a sua capacidade aeróbica dentro da normalidade e, apesar do elevado índice de massa corpórea, afirma realizar atividades físicas de moderada intensidade.Palavras-chave: fisioterapia, caminhada, teste de esforço, avaliação.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Itakussu

Valenciano

Fujisawa

et al. 2017

Acta Sci. Health Sci.

View full text Add to dashboard Cite

show abstract

“…However, 15 studies from 10 countries (Australia, Austria, Bulgaria, Chile, China, Germany, Israel, the Netherlands, Taiwan and the United States) reported a decrease of injury severity [9,13,15,16,19,20,24,27,30,32,33,38,46,51,52]. In 2 studies, one from Canada [29] and one from China [31], no trends of burn severity have been observed.…”

Section: Resultsmentioning

confidence: 99%

“…A decline of LOS was seen in 16 studies from 11 countries (Australia, Austria, Bulgaria, China, Germany, Israel, the Netherlands, the Oman, Sweden, the United Kingdom, and the United States [15,19–23,25,27,32,33,38,44,46,47,52,53]). Six studies from 4 countries (Canada, China, Israel and Singapore) described no temporal trends in LOS [9,16,28,31,39,48].…”

Section: Resultsmentioning

confidence: 99%

Recent trends in burn epidemiology worldwide: A systematic review

Smolle

Cambiaso‐Daniel

Forbes

et al. 2017

Burns

431

194

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Burn injuries have been more prevalent among low socioeconomic populations and in less developed regions. Incredible advances in burn care and social development over the recent decades, however, should have placed the incidence and severity of burns in a downwards trend. The aim of this review was to give an overview on current trends in burn epidemiology across the world. Also the socioeconomic development in countries that have published epidemiological data used in this study has been taken into account when comparing the results. There was a worldwide downwards trend of burn incidence, burn severity, length of hospital stay, and mortality rate. These findings were particularly pronounced in very highly developed countries. Data from highly and medium developed countries were more heterogeneous. No studies could be obtained from low developed countries. Comparisons between the different studies were compromised by the fact that studies emerged from specialized facilities on one hand and general hospitals on the other. Analyzed studies were also frequently focusing on limited patient populations such as “children” or “elderly”. Our findings indicate the need for an international burn database with a minimal data-set in order to obtain objective and comparable results in respect of burn epidemiology.

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“…With the continuous development of society and labour protection measures, morbidity and mortality due to fire and burns have declined in developed countries. The low incidence of burns in America and European countries fully confirms this fact; preventative programmes, legislation, and a regional system for burn care have all likely contributed to the decline in the morbidity and mortality rates [11][12][13]. The welfare system of any industrialised country is incomplete without an excellent burn care system [14].…”

Section: Discussionmentioning

confidence: 77%

Basic investigation into the present burn care system in China: Burn units, doctors, nurses, beds and special treatment equipment

Feng¹,

Zheng²,

You³

et al. 2015

Burns

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Incidence and treatment of burns: A twenty-year experience from a single center in Germany

Cited by 32 publications

References 23 publications

<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

<b>Aerobic capacity, physical activity and pain in adult victims of moderate to severe burns after discharge

Recent trends in burn epidemiology worldwide: A systematic review

Basic investigation into the present burn care system in China: Burn units, doctors, nurses, beds and special treatment equipment

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