Inpatient Data of Occupational Burn Injuries Treated at a Tertiary Burn Center

2019 ◽  
Vol 41 (2) ◽  
pp. 398-401
Author(s):  
Abdulkadir Basaran ◽  
Ozer Ozlu
Keyword(s):  
Hospital Stay ◽  
Burn Injury ◽  
Health And Safety ◽  
Length Of Hospital Stay ◽  
Burn Injuries ◽  
Occupational Accidents ◽  
Cross Sectional ◽  
Work Related ◽  
Burn Center ◽  
Electrical Burns

Abstract Occupational burns are among the important causes of work-related injuries. We aimed to investigate the epidemiology and reasons of occupational burns and thereby to emphasize preventive measures. Between January 2017 and December 2018, the data of major occupational burn injury patients admitted to our burn center were evaluated in this cross-sectional retrospective study. During the study period 342 patients older than 16 years were admitted to the burn center. Among them 80 patients with occupational burns (23.4%) were identified. The mean age of the patients was 34.73 ± 12.3 years. Seventy-eight patients (97.5%) were male. Electrical burns and flame burns were the two leading type of occupational burns. The most common occupation of our patients was construction work. Dangerous behavior, carelessness, lack of protective equipment, and failure to follow instructions were causes of injury. Only 14 patients (17.5%) experienced unavoidable accident. Thirty-seven patients (46.3%) worked on temporary basis. Occupational experience was under 5 years in majority of the cases (62.5%). For the occupational burns the percentage of burned TBSA was 17.08 ± 14.5 (1–60) and the length of hospital stay was 23.94 ± 21.9 days (2–106). There were no significant differences between occupational and nonoccupational burn injuries considering TBSA, total length of hospital stay, and complications (P > .05). Occupational burn injuries are common in less experienced and younger workers. Therefore, recognition of the problem and maintaining awareness is important. In order to prevent occupational accidents and burns, occupational health and safety rules must be obeyed.

Most prominent factors contributing to burn injury-related amputations: an analysis of a referral Burn Center

2021 ◽  
Author(s):  
Kayhan Gurbuz ◽  
Mete Demir ◽  
Abdulkadir Basaran ◽  
Koray Das
Keyword(s):  
Burn Injury ◽  
Total Body Surface Area ◽  
Health And Safety ◽  
Multivariate Logistic Regression Analysis ◽  
Past Research ◽  
Risk Groups ◽  
Burn Injuries ◽  
Burn Center ◽  
Severe Burns ◽  
Fire Flame

Abstract Amputations are un-common surgical procedures in patients with severe burn injuries. However, these patients often face extreme physical and psychological challenges that result in social stigmatization and inadequate rehabilitation facilities. A retrospective cohort study was designed for the patients admitted to the Burn Center of Adana City Training and Research Hospital (ACTRH). During the study period, a total of 2007 patients aged 0.5 to 92 years were hospitalized and treated at the burn center from January 2016 to June 2020. The incidence of amputation observed among inpatient burn injuries regardless of the etiology was 1.9%, and 87.2% were male. The univariate and multivariate logistic regression analysis was performed to detect the most prominent factors contributing to burn injury-related amputations. The cause of burns appears to be one of the main factors in the past research, and in this context, the electrical burns stand out, likewise, the fire-flame-related burns, full-thickness burns, the existence of infection, male gender, patients aged within the 18 to 64 age group, and the burn extent within the total body surface area (TBSA) range of 10 to <50% were found to be the most leading factors of amputations among patients having severe burns. Although they are rare, amputations related to burns commonly cause a decrease in quality of life. Therefore, besides increasing occupational health and safety methods for these risk groups, especially for adults of working age; also, it is essential to increase the importance and awareness of the precautions to be taken in daily life.

scholarly journals Magnitude of electric burns at a burn center in tertiary level hospital

2019 ◽  
Vol 51 (1-2) ◽  
pp. 29-34
Author(s):  
Md Tarikul Islam ◽  
Mizanur Rahman ◽  
SM Zulker Nayeem ◽  
Md Farid Uddin
Keyword(s):  
Functional Disability ◽  
Burn Injury ◽  
Electrical Power ◽  
Length Of Hospital Stay ◽  
Public Health Problem ◽  
Burn Injuries ◽  
Secondary Contact ◽  
Electrical Burns ◽  
Electric Burns ◽  
Electrical Injuries

Background: Burns are a public health problem throughout the world. Electrical injury is a major cause of burn injury which causes significant functional disability, disfigurement and mortality. In Bangladesh, the number of electrical injuries are increasing but they are typically underreported. Aims: This study was conducted to analyze the epidemiological variables of electrical burn injuries and identify preventable measures through them in Khulna region of Bangladesh. Methods: This descriptive study is a prospective analysis of patients suffering from electrical burns admitted at Burn and plastic surgery department from July 2017 to June 2018. The study population consists of 68 patients who sustained electrical injuries irrespective of age and time with cutaneous burns, admitted at this Center. Patients with electrocution but no electrical cutaneous burn injuries were excluded from this study. Results: Majority were males (77.94%) of working age and injuries were work related (52.94%) of which 32.36% were construction workers. The primary cause in majority of the cases (57.35%) was accidental direct contact with electric wire followed by secondary contact with electrical power lines by metal rods and electrification of different metallic equipments (42.64%). Most of the patients admitted were high voltage electrical injuries (54.42%). Among them 16.17% had severe electrical burns and 2.94% had associated traumatic injuries. There was a delay in time of injury to hospital admission, 35.29% arrived at the emergency room 8 or more hours after the injury. Most (63.24%) of the patients underwent surgery, majority of which had moderate to severe burns. Length of hospital stay was 3-102 days. Two patients (2.94%) died during this study period due to renal failure and septicaemia. Conclusion: Most of the electric burn patients acquired injury at working place and primary cause was direct or secondary contact with powerline. Immediate preventive measures should be taken to reduce the incidence of electric burns. Bang Med J (Khulna) 2018; 51 : 29-34

scholarly journals Evaluation of Burn Injuries and Epidemiological Factors in Patients Hospitalized in Shohada Mehrab Hospital in Yazd-Iran 2019

2021 ◽  
Author(s):  
Moslem Heydari pur ◽  
MohammadMehdi Bahri ◽  
Ebrahim SHeykhi
Keyword(s):  
Hospital Stay ◽  
Average Length ◽  
Total Body Surface Area ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Hot Water ◽  
Burn Injuries ◽  
Chi Square ◽  
Cross Sectional ◽  
Study Results

Introduction: Burn injuries are among the most important  causes of disability and medical problems in the world. Weakness and inability of the burn is greater than the pain of the burn. Methods: This is a cross-sectional study-analysis in which the case of 126 patients admitted to the Shohada Mehrab Hospital, affiliated to the Shahid Sadoughi University of Medical Sciences in Yazd during the first six months of 2019, has been reviewed. Data were collected in a checklist designed by the researcher, and demographic variables and using the chi-square test, mean comparison, and  using descriptive and analytical statistics and linear regression in the SPSS V.24 software was analyzed (p>0/05).  Results: The findings of this study stated that  73.8% (93people) of patients were male and 26.2% (33 people) were female. 67.5% (85 people) were burned with thermal flames (p>0/019) and 13.5% (17 people) with boiling water (p>0/44). 77% (97people) of home accidents, 22% (28people) occurred at work, and 1% at other places (farm, car, etc.). 57% of these patients were 20% and 31% between 21 -40 percent burns, burns, 22% between 41-60 percent burns and burns 11% between 61 -80 percent and 5 percent are between 81-100 percent burned.This study results showed that the main cause of burns is fire (67/5%). Conclusion: The results of this study showed that most burns are among men, and about 70% of deaths are among men. The average length of hospital stay was 12 days, 22 patients died, and the fatality rate was 17.5%. This study showed that 67.5 % of burns were of the thermal type and hot water and hot liquids were the next cause of burns (13.5 %). Effective factors are fatality, patient age, and total body surface area (TBSA). 77% of burns occurred at home, 22% at work, and 1% at other places (farm, car, etc.). High incidence of burns and the loss of active community force will result in cost and disability. Treatment of burns requires a long hospital stay, which in addition to the high cost, can cause mental and psychological injuries to the patient.

A survey of YouTube videos as a source of useful/un-useful information in the field of the prevention and management of burn injuries: A cross-sectional analysis of the English language content

2021 ◽  
Author(s):  
Kayhan Gurbuz ◽  
Mete Demir ◽  
Koray Das
Keyword(s):  
English Language ◽  
Burn Injury ◽  
Significant Loss ◽  
Burn Injuries ◽  
Cross Sectional ◽  
Global Quality ◽  
Content Ratio ◽  
Media Platform ◽  
Youtube Videos

Abstract The study was designed on whether YouTube videos are useful as an information resource in the field of burn injury prevention and management. Current literature on the educational content and quality of burn-related first aid videos on YouTube was reported as inadequate and inaccurate. However, the quality of YouTube videos on various medical and clinical topics has been the subject of many previous studies, and there has been increasing evidence that the content ratio of usefulness was higher than that of non-useful. While hours and even minutes in burn injuries are as precious as gold in terms of outcomes, it would be a significant loss not to use the most popular and easily accessible free social media platform of our time as a tool that can contribute to the prevention of burns and raise awareness. Analysis was conducted with the remaining 96 videos from 240 videos obtained from YouTube, according to possible search terms and exclusion of videos according to predetermined criteria. The Global Quality Score (GQS) and modified DISCERN (m.DISCERN) tools were used to assess the quality and reliability of the videos. Viewer engagement metrics and video properties were also investigated according to the usefulness criteria (e.g., video length, duration on YouTube, topic contents, source uploads, reliability, and quality). Finally, it was revealed that nearly 80 percent of the YouTube videos contained information in the field of the prevention and management of burn injuries deemed useful in this study, comparable to the other medical disciplines' reports in the literature.

scholarly journals THE IMPLEMENTATION OF OCCUPATIONAL HEALTH AND SAFETY FOR PREGNANT WORKERS IN VARIOUS WORKPLACES

2021 ◽  
Vol 2 (1) ◽  
pp. 33-41
Author(s):  
Aditira Dwi Hanani
Keyword(s):  
Women Workers ◽  
Occupational Health ◽  
Maternity Leave ◽  
Health And Safety ◽  
Occupational Health And Safety ◽  
Occupational Accidents ◽  
Work Related ◽  
Safety Programs ◽  
Special Protection ◽  
Health And Safety Programs

Pregnant workers have more health risks for health problems than other workers. There are different potential hazards in different workplaces. Occupational Health and Safety Programs need to be implemented for pregnant workers in order to avoid work related diseases in various workplaces. This study aims to determine the the implementation of occupational health and safety for pregnant workers in various workplaces. This study uses a qualitative method by conducting FGD (Focus Group Discussion) with pregnant women workers from various workplaces and in-depth interviews with occupational health and safety experts. Occupational health and safety programs have been implemented for pregnant workers such as the right to maternity leave, working hours arrangements, health insurance, and special protection for pregnant workers. However, there are some workplaces that still do not provide special protection for pregnant workers. Every workplace should pay more attention to the health and safety of pregnant workers as an effort to prevent occupational accidents and work related diseases

scholarly journals Factors associated with the length of hospital stay of women undergoing cesarean section

2019 ◽  
Vol 53 ◽  
pp. 65
Author(s):  
Samire Lopes Pereira ◽  
Thales Philipe Rodrigues da Silva ◽  
Alexandra Dias Moreira ◽  
Taiane Gonçalves Novaes ◽  
Milene Cristine Pessoa ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Hospital Stay ◽  
Gestational Hypertension ◽  
Diagnosis Related Groups ◽  
Age Groups ◽  
Length Of Hospital Stay ◽  
Hypertensive Disorder ◽  
Age Group ◽  
Cross Sectional ◽  
Discharge Data

OBJECTIVE: To evaluate whether age group, complications or comorbidities are associated with the length of hospitalization of women undergoing cesarean section. METHODS: A cross-sectional study was carried out between June 2012 and July 2017, with 64,437 women undergoing cesarean section and who did not acquire conditions during their hospital stay. Hospital discharge data were collected from national health institutions, using the Diagnosis-Related Groups system (DRG Brasil). The DRG referring to cesarean section with additional complications or comorbidities (DRG 765) and cesarean section without complications or associated comorbidities (DRG 766) were included in the initial diagnosis. The influence of age group and comorbidities or complications present at admission on the length of hospital stay was assessed based on the means of the analysis of variance. The size of the effect was verified by Cohen’s D, which allows evaluating clinical relevance. The criticality levels were identified using the Duncan test. RESULTS: The longest length of hospital stay was observed in the age group from 15 to 17 years old and among those aged 45 years old or more. The hospital stay of women with complications or comorbidities at the time of admission was also longer. Moreover, it was noted that the increase in criticality level was associated with an increase in the mean length of hospital stay. CONCLUSIONS: The length of hospital stay of women is higher among those belonging to the age group ranging from 15 to 17 years old and for those aged 45 years old or more. The presence of associated comorbidities, such as eclampsia, pre-existing hypertensive disorder with superimposed proteinuria and gestational hypertension (induced by pregnancy) with significant proteinuria increase the length of hospital stay. This study enabled the construction of distinct criticality level profiles based on the combination of age groups and the main comorbidities, which were directly related to the length of hospital stay.

726 The Use of Xeroform Dressings for Partial Thickness Scald Burn Injuries in a Verified Pediatric Burn Center

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S194-S195
Author(s):  
Lisa C Vitale ◽  
Jennifer Livingston ◽  
Erica Curtis ◽  
Katherine Oag ◽  
Christina M Shanti ◽  
...  
Keyword(s):  
Burn Injury ◽  
Wound Care ◽  
Total Body Surface Area ◽  
Burn Injuries ◽  
Wound Complications ◽  
Burn Wound ◽  
Burn Center ◽  
Partial Thickness ◽  
Partial Thickness Burn ◽  
At Home

Abstract Introduction For children who have suffered a burn injury one of the greatest challenges is managing pain with an adequate yet practical burn wound dressing that will ultimately be managed at home. Medical product companies have created a variety of wound care products available on the market. These products are advertised to be more superior over one another in categories such as decrease in wound infections, minimization of pain, ease of dressing application, increased dressing wear time, and better wound healing. With all the options for burn wound care there are many factors to consider when choosing a burn dressing such as cost, ease of dressing for families at home, comfort, and efficacy. At our ten year verified pediatric burn center we have tried many different burn wound care products, however we have found Xeroform and bacitracin to be the most practical and easy to use for our patient population. Methods A retrospective chart review was performed from 2016–2018 of all cascading scald injuries to children 0–5 years of age treated at our verified pediatric burn center. 179 patients were included in this review. Of those patients a total of 52 patients were excluded, 28 patients had no follow up, 21 patients received alternate dressings, and 3 patients had full thickness injuries requiring a split thickness skin graft (STSG). Charts were reviewed for total body surface area (TBSA), length of stay (LOS), discharge dressing type, complications, and time to healing. All patients included routinely received consistent application of the Xeroform and bacitracin. Results 127 patients discharged with Xeroform dressings were included in this study with an average age of 1.4 years old (range 0–5 years) and average TBSA of 2.5% (range 0.25–13%). The average LOS was 1.6 days (range 1–10 days). In this sample 32 (25%) patients were healed within 7 days. 77 (61%) patients were healed within 7–14 days. 11 (9%) patients were healed within 14–21 days. 7 (5%) patients were healed in greater than 21 days. There were no wound complications identified within this study group. Conclusions Using Xeroform as our standard of practice has streamlined the care provided to our patients. We have demonstrated consistent effective re-epithelization, protection from infection, and ease of dressings for families and burn providers. In our experience Xeroform has provided a versatile way to care for partial thickness burn injuries. Applicability of Research to Practice We suggest Xeroform and bacitracin dressings be used for partial thickness burn injuries in patients under 5 years of age. This dressing may be superior to other products because it allows for bathing while providing good wound epithelization and is easy to use.

576 Firefighter Post-injury Return to Work: A Balance of Dedication and Obligation

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S130-S130
Author(s):  
Lauren B Nosanov ◽  
Kathleen S Romanowski
Keyword(s):  
Return To Work ◽  
Burn Injury ◽  
Organizational Level ◽  
Free Text ◽  
Cross Sectional Survey ◽  
Post Injury ◽  
Cross Sectional ◽  
Burn Center ◽  
Medical Evaluation ◽  
The Individual

Abstract Introduction Over the duration of firefighters’ careers there exists a high probability of sustaining burn injuries necessitating medical evaluation and treatment. While many are minor and do not significantly affect the ability to work in full capacity, there exists risk for both short and long-term incapacitation. It is not uncommon for firefighters to push for earlier return to work than is medically advisable. However, there are additional external factors which drive premature return to duty. Methods An online cross-sectional survey was sent to firefighters who were members of a statewide Professional Firefighters’ Union. A multiple-choice format was used to assess demographics, injury details, medical care received and return to work. Free text format allowed for elaboration regarding factors influencing decisions to return to work. Results The survey was sent to 30,000 firefighters, with 413 (1.4%) responses received. Excluding those with incomplete data, 354 remained for analysis. Of these, 132 (37.3%) reported a burn injury which required medical evaluation. The majority were sustained during active duty, with 90.7% using protective gear at the time. Most burns were small and affected the head (50.8%) and upper extremities (48.3%). The majority were not treated at a Burn Center. While 12 (16.2%) reported returning to work prematurely themselves, nearly half indicated that they knew a colleague whom they felt had returned to work too soon. Factors cited include firefighter culture, finances, limitations of workman’s compensation, pressure from peers and employers, dislike of light duty and a driving desire to get back to work. Conclusions While many cite love of the job and a culture of pride and camaraderie that is “in our DNA”, firefighters’ decisions to return to work after burn injury are equally driven external pressures and obligations. Additional education is needed at both the individual and organizational level, which may best be facilitated by evaluation and treatment at a Burn Center. Applicability of Research to Practice Improved understanding of factors driving firefighters’ views on returning to duty after injury may help establish support systems and improve education regarding risks of premature return to work, particularly with regard to reinjury.

scholarly journals Electrical Burns and Their Treatment in a Tertiary Hospital in Albania

2018 ◽  
Vol 6 (5) ◽  
pp. 835-838
Author(s):  
Gentian Zikaj ◽  
Gezim Xhepa ◽  
Nardi Kola ◽  
Sokol Isaraj
Keyword(s):  
Burn Injury ◽  
Demographic Data ◽  
Electrical Current ◽  
Tertiary Hospital ◽  
Burn Injuries ◽  
Number Of Patients ◽  
Electrical Devices ◽  
Improper Use ◽  
Devices And Instruments ◽  
Electrical Burns

INTRODUCTION: The electrical current burns represent a very aggressive pathology that leaves many functional and aesthetic consequences.AIM: To evaluate the epidemiology of electrical burn injury and its associated complications and treatment.MATERIAL AND METHODS: Demographic data, aetiology, burn percentage and other measures related to electrical burn injury of 33 electrical burn patients in a tertiary hospital during the years 2015-2017.RESULTS: The mean age of patients is 31 (± 8.3) years old with a predominance of males (94%). The vast majority of injuries occurred at work (p < 0.01), superior extremities were more affected with hand (21.2%) and fingers (18.2%) being the main point of contact (p < 0.01). Muscular fasciotomy was performed in all patients who were treated surgically (n = 27), amputation was performed in 11 (40.7%) of cases, but amputated sites were more than the number of patients affected. Myoglobinuria (39.4%), cardio-respiratory distress (12.1%) contusion cerebri (6.1%), were the complication encountered in patients.CONCLUSIONS: Electrical burn injuries are still amongst the highest accident-related morbidities. Educating the population about the dangers and hazards associated with improper use of electrical devices and instruments is imperative.

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