Trends in burn injuries in Galicia (Spain): An epidemiological study

García, Pablo Palacios; Compaña, Francisco Javier Pacheco; Pérez, Esther Rodríguez; Sanz, Juan Ignacio Bugallo; Fernández-Quinto, Alejandro; Avellaneda‐Oviedo, Edgar Mauricio

doi:10.1111/iwj.13456

Cited by 3 publications

(8 citation statements)

References 20 publications

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“…An increased incidence rate was found among children and elderly, which corresponds with other studies [ 3 , 10 , 14 , 17 – 21 ]. The higher incidence rate in children most likely highlights the inability of children to recognize dangers (e.g., hot liquids standing on a table).…”

Section: Discussionsupporting

confidence: 90%

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Yperen

Lieshout

Verhofstad

et al. 2021

Eur J Trauma Emerg Surg

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Purpose The aim of this study was to gain insight into the epidemiology of burn patients admitted to a hospital without a burn center or referred to a burn center. Methods This retrospective, nationwide, cohort study included patients with burns or inhalation trauma, admitted between 2014 and 2018, from a national trauma registry. The primary outcome measure was admission to a hospital with or without a burn center. Secondary outcome measures were patient and injury characteristics, Intensive Care Unit (ICU) admission and length of stay, and hospital length of stay (HLOS). Results Of the 5524 included patients, 2787 (50.4%) were treated at a non-burn center, 1745 (31.6%) were subsequently transferred to a burn center, and 992 (18.0%) were primarily presented and treated at a burn center. The annual number of patients decreased from 1199 to 1055 (− 12.4%). At all admission locations, a clear incidence peak was observed in children ≤ 4 years and in patients of ≥ 80 years. The number of ICU admissions for the entire population increased from 201 to 233 (33.0%). The mean HLOS for the entire population was 8 (SD 14) days per patient. This number remained stable over the years in all groups. Conclusion Half of all burn patients were admitted in a non-burn center and the other half in a burn center. The number and incidence rate of patients admitted with burns or inhalation trauma decreased over time. An increased incidence rate was found in children and elderly. The number of patients admitted to the ICU increased, whereas mean hospital length of stay remained stable.

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Section: Discussionsupporting

confidence: 90%

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Yperen

Lieshout

Verhofstad

et al. 2021

Eur J Trauma Emerg Surg

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“…Third-degree burns were found in 63.4% of cases in the present analysis, different from other studies in which ≥50% of patients presented second degree burns [ 33 , 35 ]. A report from Albania showed that full-thickness burns affected around 17% of patients [ 31 ], Galicia (Spain) reported 9.5% of cases [ 37 ], Pakistan 33% [ 38 ], and China 40.1% [ 30 ]. This may be a consequence of accumulation of a higher number of severe burn cases per care unit due to the limited number of intensive care beds nationwide dedicated to care of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…As for mechanical ventilation, irrespective of the presence or absence of inhalation injuries, it was required in 50.5% of cases. Other studies report a rate of 45.7% [ 32 ] or 6.8% [ 37 ]. Tracheostomy was performed in 7.5% of patients, lower than other reports, such as 15.7% [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…A report from Brazil presented a median ICU-LOS of 12 (IQR:6–23) and median LOS of 21 (IQR:14–33) [ 32 ]. Palacios García et al showed an average LOS of 15.55 days [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…This is a trend frequently encountered in important referral hospitals in low- and middle-income countries [ 28 ]. However, there are developed countries reporting mortality rates of 1.2% (Spain) [ 37 ], around 3% (United States, Netherlands, Sweden) [ 51 , 52 , 53 ], 5.4% (Finland) [ 54 ], or developing countries with 13.3% (Iraq) [ 35 ] or 14% (Pakistan) [ 38 ]. A study from Albania showed a mortality rate of 1.05% for children, 7.91% for adults, and 26.58% for elderly patients [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

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Emergency Care for Burn Patients—A Single-Center Report

Niculae

Peride

Ţigliş

et al. 2023

JPM

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Burns, one of the main public health problems, lead to significant mortality and morbidity. Epidemiological studies regarding burn patients in Romania are scarce. The aim of this study is to identify the burn etiology, demographics, clinical characteristics, and outcomes in patients requiring treatment in a regional burn unit. Design. We performed a retrospective observational study of 2021. Patients. All patients admitted to our six-bed intensive care unit (ICU) were included. Interventions. The following data were collected for further analysis: demographics, burn pattern (etiology, size, depth, affected body region), type of ventilation, ABSI (Abbreviated Burn Severity Index) score, comorbidities, bioumoral parameters, and hospitalization days. Results. There were 93 burned patients included in our study that were divided into two groups: alive patients’ group (63.4%) and deceased patients’ group (36.6%). The mean age was 55.80 ± 17.16 (SD). There were 65.6% male patients, and 39.8% of the patients were admitted by transfer from another hospital. Further, 59 patients presented third-degree burns, from which 32.3% died. Burns affecting >37% of the total body surface area (TBSA) were noticed in 30 patients. The most vulnerable regions of the body were the trunk (p = 0.003), the legs (p = 0.004), the neck (p = 0.011), and the arms (p = 0.020). Inhalation injury was found in 60.2% of the patients. The risk of death in a patient with an ABSI score > 9 points was 72 times higher. Comorbidities were present in 44.1% of the patients. We observed a median LOS (length of stay) of 23 days and an ICU-LOS of 11 days. Logistic regression analysis showed that admission protein, creatinkinase, and leukocytes were independent risk factors for mortality. The general mortality rate was 36.6%. Conclusion. A thermal factor was responsible for the vast majority of burns, 94.6% of cases being accidents. Extensive and full-thickness burns, burns affecting the arms, inhalation injuries, the need for mechanical ventilation, and a high ABSI score represent important risk factors for mortality. Considering the results, it appears that prompt correction of protein, creatinkinase, and leukocytes levels may contribute to improvement in severe burn patients’ outcomes.

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Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Abarca,

Guilabert,

Martin

et al. 2023

Sci Rep

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Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/105 population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.

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Trends in burn injuries in Galicia (Spain): An epidemiological study

Cited by 3 publications

References 20 publications

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Epidemiology of burn patients admitted in the Netherlands: a nationwide registry study investigating incidence rates and hospital admission from 2014 to 2018

Emergency Care for Burn Patients—A Single-Center Report

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

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