Prognostic factors in electrical burns: A review of 101 patients

Saraçoğlu, Ayten; Kuzucuoğlu, Tamer; Yakupoğlu, Sezer; Kilavuz, Ö.; Tuncay, Erhan; Ersoy, Burak; Demirhan, Recep

doi:10.1016/j.burns.2013.08.023

Cited by 36 publications

(16 citation statements)

References 15 publications

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“…These two factors are directly related to mortality rates. 20 Electrical injuries can lead to many complications. Our results and those of others indicate that high-voltage burns tend to result in complications.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of electrical burns: a 10-year retrospective analysis of 376 cases at a burn centre in South China

Ding

Huang

et al. 2019

J Int Med Res

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Objective To investigate the epidemiological profile and associated outcomes of electrical injuries at a major burn centre in southern China. Methods This retrospective study enrolled consecutive electrical burn patients admitted to the burn centre of the First Affiliated Hospital of Guangxi Medical University between 2008 and 2017. Demographic and clinical data and outcomes were recorded. Mann–Whitney U tests/Pearson’s chi-squared tests were used to examine the differences between low-voltage and high-voltage injuries. Results There were 217 high-voltage injuries and 159 low-voltage injuries. High-voltage burns were frequently observed between March and August, and low-voltage burns peaked between June and September. Burn patients were mainly men. Most burns occurred in participants aged 21 to 50 years and in industrial workers and electricians at work or householders at home. Only one person with high-voltage burns died (a mortality rate of 0.46%). Amputation rates were 37.33% for high-voltage burns and 22.01% for low-voltage burns. High-voltage injuries were associated with more extensive burns, longer hospital stays, and more complications and amputations. Conclusions More attention should be paid to prevention of electrical burns in male adults. Particular focus is needed on industrial workers, incidents in the spring and summer, and high-voltage injuries.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of electrical burns: a 10-year retrospective analysis of 376 cases at a burn centre in South China

Ding

Huang

et al. 2019

J Int Med Res

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“…Electrical injuries in the adult population primarily affect males, are most often work-related, and are the 4 th leading cause of traumatic work-related death (3). Both morbidity and mortality in electrical injuries are relatively high, and have physical as well as psychological short-term and long-term sequelae (4,5,6). This study aims to provide a comprehensive overview of reported electrical injury outcomes worldwide, in an attempt to gain a better understanding of the distribution of morbidity and mortality between low-voltage and high-voltage electrical injuries.…”

Section: Introductionmentioning

confidence: 99%

Review of Adult Electrical Burn Injury Outcomes Worldwide

Shih

Shahrokhi

Jeschke

2017

Journal of Burn Care & Research

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Objective To review low-voltage versus high-voltage electrical burn complications in adults, and to identify novel areas that are not recognized to improve outcomes. Methods An extensive literature search on electrical burn injuries was performed using OVID Medline, PubMed and EMBASE databases from 1946–2015. Studies relating to outcomes of electrical injury in the adult population (≥18 years of age) were included in the study. Results Forty-one single-institution publications with a total of 5485 electrical injury patients were identified and included in the present study. 18.0% of these patients were low-voltage injuries (LVI), 38.3% high-voltage injuries (HVI) and 43.7% with voltage not otherwise specified (NOS). Forty-four percent of studies did not characterize outcomes according to low versus high-voltage injuries. Reported outcomes include surgical, medical, post-traumatic, and other (long-term/psychological/rehabilitative), all of which report greater incidence rates in HVI compared to LVI. Only two studies report on psychological outcomes such as post-traumatic stress disorder. Mortality from electrical injuries are 2.6% in LVI, 5.2% in HVI and 3.7% in NOS. Coroner’s reports reveal a ratio of 2.4:1 for deaths caused by low-voltage injury compared to high voltage-injury. Conclusions High-voltage injuries lead to greater morbidity and mortality than low-voltage injuries. However, the results of the coroner’s reports suggest that immediate mortality from low-voltage injury may be underestimated. Furthermore, based on the data of this analysis we conclude that the majority of studies report electrical injury outcomes, however, the majority of them do not analyze complications by low versus high voltage and often lack long-term psychological and rehabilitation outcomes post-electrical injury indicating that a variety of central aspects are not being evaluated or assessed.

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“…However, they reported that renal injury requiring hemofiltration was associated with an almost 12-fold increased risk for mortality. [21] In our study, we did not determine a significant difference between expired or discharged groups regarding presence of hemodialysis requirement.…”

Section: Discussionmentioning

confidence: 59%