Long term outcome and follow up of electrical injury

Karimi, Hamid; Momeni, Maryam; Vasigh, Mahtab

doi:10.1016/s2221-6189(15)30018-4

Cited by 12 publications

(14 citation statements)

References 23 publications

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“…12 Males outnumbered the females which is quite similar to that observed in other studies. 13 Cutaneous burn size was of lesser magnitude compared to the non-electric burn population . Mean burn size was 20.84 as seen in other population.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and outcomes of electric burn injury: a study of 768 patients in a high volume tertiary care centre of North India

Srivastava

Kumari

Singh

et al. 2018

Int J Community Med Public Health

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Background: Electrical burn injuries (EBI) comprise a small proportion of the total burn admissions but they inflict significant morbidity. The objective of this study was to analyse recent epidemiologic data and identify prevention measures.Methods: A retrospective study was conducted by reviewing the medical records of all burn admissions from April 2016 to March 2018 and data was analysed for demographic characteristics and outcomes and patterns of electric burn injury.Results: A total of 3136 admissions were made. Male to female ratio was 1.5:1.0. Rural: urban ratio was 2:1. Mode of injury was accidental (79%), suicidal (12%) and homicidal (9%). Flame burn (64.47%) topped the list of etiologic factors. Electric burn represented 24.49% which was quite significant when compared to other parts of the world. 1042 patients expired (33.22%). Out of the total electric burn admissions, 768 (24.49%) patients were of electric injury. 207 (27.01%) patients sustained low voltage (<1000 kv) injuries while 561 (73.04%) patients had high voltage (>1000 kv) injury. Most of the injuries were work related. There was a rise in serum creatine phosphokinases, myoglobinuria, renal failure, abnormal cardiac events and other concomitant injuries in the high voltage group. Reconstructive surgeries performed in both high and low voltage group was high. A total of 71 (9.24%) fasciotomy and 123 (16.01%) amputations were done. The mortality rate was 10.5%.Conclusions: EBI has a devastating influence on burn survivors. We advocate a low threshold for managing associated injuries, educating safety principles and improving infrastructure by the state to curb this preventable danger.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and outcomes of electric burn injury: a study of 768 patients in a high volume tertiary care centre of North India

Srivastava

Kumari

Singh

et al. 2018

Int J Community Med Public Health

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“…After discharge, the sequelae of electrical injuries can result in neurological and psychological incapacities. These include cerebral injury, transverse myelitis as well as central and peripheral motor nerve injuries 7. For this patient, in addition to his initial injuries, this resulted in the onset of a delayed electrical injury after discharge (1–5 years later), of a physical, neurological and psychological nature 10.…”

Section: Global Health Problem Analysismentioning

confidence: 92%

“…This includes disability support as amputation leads to long-term unemployment, which creates a considerable lifelong burden on the families 7. In the Philippines major burns units are found in only four hospitals (ie, Philippine General Hospital; Jose Reyes Memorial Medical Center in Manila; East Avenue Medical Center in Quezon City; and Davao Medical Center in Davao City) that serve a population of over 100 million 8 9.…”

Section: Global Health Problem Analysismentioning

confidence: 99%

Clinical management of electrical burns in the developing world: a case of electrical burn injury left untreated leading to amputation

Choong

Chy²,

Guevarra

et al. 2017

BMJ Case Reports

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We discuss the case of a 26-year-old male patient from Northern Samar, the Philippines who was left without essential health services after the amputation of all four limbs following a high voltage (20 000 volts) injury in Metro Manila in 2011. Local health services in the developing world are faced with enormous challenges in providing first-line care for burn patients. The cost of maintaining a burn unit, finding suitable qualified staff, and appropriate referral mechanisms are only some of the challenges faced. Once a patient is discharged from hospital they face more obstacles in obtaining artificial limbs, physiotherapy and access to mental health services. Disability pensions are non-existent thus patients place a considerable lifelong burden on their families.

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“…Pada penelitian yang dilakukan oleh Liu didapatkan bahwa 0,5% kematian ada kaitannya dengan cedera listrik, dan di antara kematian tersebut, 60% -70% disebabkan oleh listrik tegangan rendah dan terkadang disebabkan oleh arus pendek dari aki mobil di Amerika dan Cina (Liu et al, 2016). Pada kasus electrical injury, pasien yang tidak meninggal mengalami gangguan fungsi tubuh dan beberapa memerlukan operasi rekonstruktif (Karimi et al, 2015). Dengan adanya data-data tersebut, maka electric injury dapat dikatakan perlu mendapat perhatian khusus agar morbiditas dan mortalitasnya dapat menurun.…”

Section: Laporan Hasil Penelitianunclassified

Analisis Histopatologi Pembuluh Darah Tikus Berdasarkan Jarak Luka Masuk Pasca Paparan Listrik

Djunaedy¹,

Elfiah²,

Fatmawati³

2018

Qanun Medika

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Electrical injury is damage to the tissues or organs of the body due to the flow of electric current through the body. The Blood vessel is one of the tissues that is damaged when an electrical injury occurs. One of the damages to the blood vessel is the presence of thrombus that can interfere with blood flow and cause the management of electrical injury to be less good. The purpose of this study was to analyze the histopathology of rat blood vessel based on the distance of entry wound after electrical exposure. The type of research was true experimental laboratories with post test only control group design. This study used 25 Wistar strain rats which were divided into five groups. One controlled and the rats in the other four groups were exposed to 140 V electrical potential for 17 seconds. The control group was not exposed to electricity, the H0 group terminated on the 0 th day after the exposure of electricity, the H3 group terminated on the 3 rd -day post electrical exposure, the H7 group terminated on the 7 th -day post electrical exposure, the H10 group terminated on the 10 thday post exposure to electricity. In this study, the percentage of thrombus in the right saphenous artery was observed. Hypothesis accepted if the data analysis using One Way ANOVA or Kruskal Wallis was p <0.05. In this study, it was found that the percentage of thrombus will decrease as the farther from the entry wound, except in the H7 group. Also, the result showed that thrombus percentage increased over time and decreased at a certain time. However, in this study, it was found that there was no statistically significant difference in blood vessels histopathology, especially thrombus based on the distance of entry wound on days 0 Keywords: electrical injury, blood vessel histopathologic, entry wound, thrombus Correspondence to : annisasarfinadj@gmail.com ABSTRAKElectrical injury adalah suatu kerusakan pada jaringan atau organ tubuh akibat adanya aliran arus listrik yang melewati tubuh. Salah satu jaringan yang mengalami kerusakan ketika terjadi electrical injury adalah pembuluh darah yaitu dapat berupa adanya trombus yang dapat mengganggu aliran darah sehingga menyebabkan tatalaksana electric injury menjadi kurang baik. Tujuan umum dari penelitian ini adalah menganalisis histopatologi pembuluh darah tikus berdasarkan jarak luka masuk pasca paparan listrik. Jenis penelitian yang digunakan adalah penelitian eksperimental sebenarnya dengan rancangan post test only control group design. Penelitian ini menggunakan 25 ekor tikus Wistar yang dibagi menjadi lima kelompok. Perlakuan yang diberikan berupa paparan listrik sebesar 140 V selama 17 detik. Kelompok kontrol Laporan Hasil Penelitian

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Long term outcome and follow up of electrical injury

Cited by 12 publications

References 23 publications

Epidemiology and outcomes of electric burn injury: a study of 768 patients in a high volume tertiary care centre of North India

Epidemiology and outcomes of electric burn injury: a study of 768 patients in a high volume tertiary care centre of North India

Clinical management of electrical burns in the developing world: a case of electrical burn injury left untreated leading to amputation

Analisis Histopatologi Pembuluh Darah Tikus Berdasarkan Jarak Luka Masuk Pasca Paparan Listrik

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