scholarly journals Pattern of burn injury admissions at a teaching hospital of Karnataka, India: a three year retrospective study

2018 ◽  
Vol 5 (12) ◽  
pp. 3930
Author(s):  
Krishnamurthy V. R. ◽  
Ishwaraprasad G. D. ◽  
Sumana M. ◽  
Samudyatha U. C.
Keyword(s):  
Retrospective Study ◽  
Data Base ◽  
Teaching Hospital ◽  
Burn Injury ◽  
Burn Patients ◽  
Current Trends ◽  
Specialist Services ◽  
Number Of Patients ◽  
Flame Burn ◽  
Review Current

Background: The study aims to review current trends in epidemiology, demographics and pattern of burn injury over three year period.Methods: A retrospective study was done using the records of all burn patients admitted from January 2013 to December 2015 at Teaching Hospital, HIMS Hassan. The records were analysed for socio demographic profile, pattern of injuries and outcome.Results: 390 patients were enrolled in the study. Woman patients marginally outnumbered men (52.6% vs. 47.4%). Accidental burns were 92.8%. 84.6% of the patients sustained burns at their home. Flame burn constituted 62.6 % and scald burns 31% of the total burns.Conclusions: Burns is still an issue of concern. Our study highlights the need for a burns data- base to know the reasons and what measures could prevent the occurrence. Number of patients referred is high indicating the need for specialist services at the District level.

scholarly journals Epidemiological study of burn injury with special reference to its prevention- A Nine-year retrospective study from a tertiary care hospital of West Bengal, India

2015 ◽  
Vol 7 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Shib Shankar Kuiri ◽  
Bikash Chandra Ghosh ◽  
Nilay Mandal ◽  
Mintu Mohan Nandi ◽  
Tusar Kanti Saradar ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Injury Risk ◽  
West Bengal ◽  
Burn Injury ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Burn Injuries ◽  
Care Hospital ◽  
Burn Patients ◽  
Age Group

Aims and Objectives: We conducted a retrospective analysis among 1984 burn patients to study the incidence, prevalence of burn injury, its various types and modes (actual event behind the burn injury), risk factors and to find out the preventive measures.Materials and Methods: The retrospective study was carried out among 1984 patients having burn injuries, admitted in a tertiary care hospital of West Bengal, India over a period of nine years. The sources of information were the admission registers and the patients' folders from the medical records department. The Ethical clearance was taken from the Institutional Ethical Committee. The information obtained included age, sex, whether accidental or suicidal, etiology of burn injury and particularly the mechanism of injury. Results: Females were mostly affected (83%) in comparison to males. Among the study population, most of the burn patients were in the age group of 21-30yrs i.e. 35.3%. The number of burn patients were less in number in the age group of 11-20yrs i.e. 7.3%. Most of the burn injuries (87%) were accidental. Suicidal burns occurred in 10% cases. Of which about 1/3rd of the cases were due to dowry related issues.  A significant number of teenagers also attempted suicides due to trivial reasons (e.g. failure in examination, quarrelling with parents). Gas oven related injuries occurred in 2.7% cases. Oil lamps (‘kupi’), candles and hurricane-lanterns, diyas were also responsible to some extent in rural India for flame burns(5%). Smoking related burn injuries occurred in 1.7% cases. Scald injuries occurred in 14% cases. Chemical injuries (0.3%) were due to spillage of unlabelled bottles of acid/alkali. Electrical burn injury occurred in 4.9% cases. Conclusion: Burn injury prevention is not easy, but to avoid the significant morbidity and mortality following injury we have to prevent it by any means. A coordinated and dedicated approach among social workers , medical and paramedical personnel, administrators can only minimize the incidence of burn.Asian Journal of Medical Sciences Vol.7(1) 2015 70-75

scholarly journals The association between vitamin D levels and burn factors in different burn types

2020 ◽  
Vol 8 ◽  
Author(s):  
Yoon Soo Cho ◽  
Cheong Hoon Seo ◽  
So Young Joo ◽  
Suk Hoon Ohn
Keyword(s):  
Vitamin D ◽  
Wound Healing ◽  
Vitamin D Deficiency ◽  
Burn Injury ◽  
Linear Regression Analysis ◽  
Burn Patients ◽  
Rehabilitation Therapy ◽  
Vitamin D Levels ◽  
Flame Burn ◽  
Intensive Rehabilitation

Abstract Background Patients with burns present with different clinical features depending on the types of burn injury and burn patients with lower levels of vitamin D have worse prognoses and more complications. The study aims to investigate the association between vitamin D levels and burn factors according to each burn type in relation to early intensive rehabilitation therapy initiated for inpatients with burns. Methods In this retrospective study, we enrolled 757 of 1716 inpatients who underwent rehabilitative therapy between May 2013 and April 2017. Burn types were divided into flame burn, electrical burn and other burns, including scalding, contact and chemical burns. Age, burned body surface area (BSA), wound healing time (WHT), length of hospital stay (LOS) and body mass index were analysed between vitamin D deficient and non-deficient patient groups using Student’s t-tests, or Mann-Whitney U test and among three burn types using one-way analysis of variance (ANOVA) or Kruskal-Wallis one-way ANOVA. The relationship between vitamin D levels and burn factors was evaluated using Pearson's or Spearman's correlation coefficient tests, and multiple linear regression analysis in different burn groups. Results In total, 88.9% patients were vitamin D deficient, and these patients had a larger burned BSA (p = 0.015) and longer WHT and LOS (all p < 0.001) than non-deficient patients. Burned BSA, WHT and vitamin D levels showed significant differences in their mean values according to three burn types (all p < 0.001). WHT was a communal factor significantly associated with vitamin D levels in all three burn types (p < 0.05). The WHT cut-off points to predict vitamin D deficiency were 55 days for flame burn (p < 0.001) and 62.5 days for electrical burn (p = 0.001). Conclusions WHT across all three burn types was a common factor associated with vitamin D levels for inpatients with burns who had undergone rehabilitative therapy. Electrical burn patients with vitamin D deficiency, even those with a low burned BSA percentage, showed prolonged wound healing over a two-month post-burn period. Independent of burned BSA, nutritional intervention concerning vitamin D in relation to burn wound healing should be considered to guide early initiation of intensive rehabilitation therapy.

scholarly journals A Retrospective Study of Small Animal Poisoning at the Veterinary Medical Teaching Hospital from South Region of Brazil

2018 ◽  
Vol 46 (1) ◽  
pp. 7 ◽  
Author(s):  
Luciana Zang ◽  
Rafaela Scheer Bing ◽  
Ana Cristina Pacheco De Araujo ◽  
Marcio Poletto Ferreira
Keyword(s):  
Retrospective Study ◽  
Teaching Hospital ◽  
Medical Records ◽  
Clinical Signs ◽  
Small Animal ◽  
Medical Teaching ◽  
Specific Patient ◽  
Cleaning Product ◽  
Number Of Patients ◽  
Antiparasitic Drugs

Background: Poisoning cases are a challenge for the veterinary practitioner, since many agents can be involved. The incomplete patient history associated with advanced poisoning stage often leads to death. Since lacking information is common, it is essential to be aware of principal poisoning agents and their associated symptomatology. The aim of this study is to describe the major agents involved in small animal poisoning, the causative agent, poisoning route, time to search veterinary care, clinical signs and ancillary tests of canine and feline patients treated at the Veterinary Medical Teaching Hospital from January 2010 to June 2016.Materials, Methods & Results: Forty-four medical records with poisoning history were found and reviewed, but only 30 medical records had complete data to be evaluated. There were 24 dogs and 6 cats, 17 female and 13 male. Six females were spayed. Poisoning agent identification was possible in 29 cases and was food, molluscicide, cleaning product, ornamental plants, medication, rodenticide and antiparasitic drugs. Fourteen poisonings were caused by the owner and 16 were accidental. There was a higher poisoning incidence in dogs than cats. Most of the patients were young and unneutered/unspayed.Discussion: In this study there was a higher poisoning prevalence in dogs than cats, as occurred in other studies published in Europe, Belgium, France, Greece, Italy, Spain, Austria and other Brazilian regions. Most of the patients were young, which is in agreement with previous studies in which young animals were more affected. Domestic antiparasitic drugs were the most common poisoning agents (33%), as reported in studies from France and Spain. In southern Brazil, the most common poisoning agent was medication, whereas in southeast Brazil, organophosphates were the most prevalent poisoning agent. Considering this, the geographic localisation seems to influence the poisoning agent. It is known that many owners give unprescribed medication to their pets and this also happened in this study, as 46% of the poisoning cases were caused by the owner. The most common clinical signs were gastrointestinal (76%, emesis and anorexia) and neurological (63%, depression). This is in agreement with another study that showed a high number of patients poisoned by medications leading to severe gastrointestinal clinical signs. Despite a history of eating spiced food, our food-poisoned patient did not show clinical signs compatible with pepper poisoning. In fact, clinical signs were more compatible with salt or onion and garlic poisoning, but there was no history to support that our patient had eaten these foods. The patient who ate fern and busy Lizzie (Impatiens walleriana) did not show clinical signs compatible with these agents but showed gastrointestinal clinical signs that could have occurred due to plant indigestion. This fact emphasises the need for more studies in this area. One dog with rodenticide poisoning presented with normal blood test results, but the blood sample was collected a few hours after exposure. This can occur after brodifacoum poisoning, which has a longer half-life than warfarin. In brodifacoum poisoning cases, clinical signs can appear days after exposure. In one dog, it was not possible to indentify the poisoning agent and this specific patient case exemplifies the challenge to diagnose the exact poisoning agent and concomitant diseases when the history is incomplete. This retrospective study shows the heterogeneity of the causative agents and the associated symptomatology, which highlights the need for further studies in this area. In this study, antiparasitic drugs were the most common poisoning agents, especially pyrethroids. Dogs were more affected than cats. Most of the patients were young and unneutered/unsprayed, indicating these characteristics could be a risk factor in this study.

scholarly journals ANALYSIS OF INCIDENCE, ETIOLOGY AND RISK FACTORS ASSOCIATED IN ACUTE BURN INJURY IN ADULTS AT ANMMCH, GAYA, BIHAR

2020 ◽  
pp. 1-3
Author(s):  
Kishore Kumar Sinha ◽  
Abhai Kumar Jha Suman ◽  
Alok Kumar ◽  
Debarshi Jana
Keyword(s):  
Burn Injury ◽  
Point Of View ◽  
Burn Injuries ◽  
Unknown Etiology ◽  
High Morbidity ◽  
Burn Patients ◽  
Age Group ◽  
Major Health Problem ◽  
Number Of Patients ◽  
Study Results

Introduction: Burn injuries have major health problem because of its high, morbidity, disability andmortality in young and middle-aged people. Burn injuries also have social problems associated with it. It may be associated with accidental, suicidal or homicidal causes. Despite of such importance of burn injuries from clinical and social point of view, there is scarcity of research on burn injuries in India. Thus we tried to highlight our observations in this study which had been undertaken to find out the causes of burn and it's clinical profile and treatment outcome of burn patients in the our Institute. Material methods: This observational study was conducted from August 2016 to March 2020 in patients ofburn injury who were admitted in surgery wardsand burn ICU of Anugrah Narayan Magadh Medical College & Hospital, Gaya, Bihar. We have studied 226 burn patients who admitted in our general surgical units and burn icu of our Institute. Burns patients who are above 18 years and both sexes were including in the study. Results: A total of 226 patients had burns injuries. 162 were male and 64 female in the ratio of M: F-2.53:1.Males were mostly affected (71.68%) in comparison to females. Most of the burn patients were in the age group of 21-30 years in this studied.i.e.42.02%. Lesser patients were seen in age group 50 -75 . As regard the causes,duringthe house hold activities has maximum number of patients as shown and electricity is causing second highest cases (26.99%), less number of patients are suicidal (3.53) and unknown etiology is seen in seven cases. Conclusion: Burn injury prevention is very difficult task, but to avoid the significant morbidity andmortality following the burn injury. We have to take every measures to control its incidence. A coordinated and dedicated approach by social workers, medical and paramedical personnel and administrators can only minimize the incidence of burn injury in India.

scholarly journals BURN PATIENTS;

2013 ◽  
Vol 20 (06) ◽  
pp. 1042-1047
Author(s):  
FIRDOUS KHAN ◽  
ASIF SHAH ◽  
ABDUL AZIZ JANAN
Keyword(s):  
Hospital Stay ◽  
Plastic Surgery ◽  
Teaching Hospital ◽  
Burn Injury ◽  
Demographic Data ◽  
Total Body Surface Area ◽  
Length Of Hospital Stay ◽  
Descriptive Study ◽  
Burn Patients ◽  
Key Factor

Aim: To determine major risk factors of mortality and causes of death in patients presented with burn injury. Study design:Prospective Descriptive Study. Setting and duration: Department of Burns and Plastic Surgery, Khyber Teaching Hospital, Peshawar,Pakistan from April 2008 and June 2012. Methodology: A prospective descriptive study was performed among the patients whoadmitted to the Department of Burns and Plastic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan between April 2008 and June2012. All relative information was collected through a detailed proforma and patient’s treatment files. Patients of any age, any degree ofburns and burns exceeding 10% TBSA were included. Patients presenting after more than one week post burn or patients referred fromother hospitals were excluded. Within this period, demographic data, treatment, and outcomes of treatment were reviewed and analyzed.Survivors and non-survivors among burn patients were compared to define the predictive factors of mortality. Results: Between April2008 and June 2012, 1850 patients were admitted with burn injuries. There were 1150 male patients (62%) and 700 female patients(38%). Mean age was 36 years with range of 1-70 years. Inhalation injuries were present in 45 patients (2.40%). Causes were flameburns (65.0%), electrical burns (15%), scalds (13%) and chemical burns (7.0%). The total body surface area (TBSA) burn ranged from10- 100%, with a mean of 38% TBSA burn. Mean length of hospital stay was 12 days (ranging from 24 hours to 170 days). Mortality ratewas 11.2%. Higher age, larger burn area, wound infection, longer hospital stay and the presence of multi-system organ failuresignificantly predicted increased mortality. Conclusions: Prevention is a key factor in reducing the morbidity and mor tality associatedwith burn injury. A campaign to educate people that burns can be prevented will be important in our community. The prevention of multiorganfailure and septicemia are likely to be more effective than their treatment.

scholarly journals Pattern of Burn Injury in Children Presented to Dhaka Shishu (Children) Hospital

2021 ◽  
Vol 36 (2) ◽  
pp. 134-137
Author(s):  
Muhammad Rashedul Alam ◽  
Md Saif Ullah ◽  
Prosanto Kumar Biswas
Keyword(s):  
Burn Injury ◽  
Winter Season ◽  
Burn Patients ◽  
Age Group ◽  
Chemical Burn ◽  
Common Cause ◽  
Severity Of Injury ◽  
Group 3 ◽  
One Year ◽  
Flame Burn

Background: Children are mostly affected in burn injury at our country like other low and middle income countries (LMICs). Approximately 90% of the burns occur in under developed countries, which generally lack the necessary infrastructure to reduce the incidence and severity of burns. Objectives: This study was done to investigate the pattern of burn cases admitted to Dhaka Shishu (Children) Hospital (DSH). Methods: This was a retrospective study conducted over the period of one year from January 2019 to December 2019 at Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. The data was collected from the patients record section of the hospital. Patients characteristics (e.g. age, sex), causes and severity of injury, outcome, hospital stay and seasonal variation were analized in this study. Results: A total of 91 patients were admitted during study period of one year. This study consisted of 53 male patients (58.24%) and 38 female patients (41.76%) with male to female ratio of 1.3:1. The most frequently hospitalized burn patients were in the age group 3-5 years, which accounted for 30.77% of patients. Burns were more common during winter season followed by autumn season, with 43 cases (47.25%) and 18 cases (19.78%) respectively. The highest number of admissions was during the month of December. Scald burn was the most common cause of burn injury in our study which accounted for 83 cases out of 91 cases (91.2%). Flame burn occured in 3(3.29%) patients. There were 2 cases of electric burn and 2 cases of contact burn during this study period. One patient was with chemical burn. Scald burn was the most common cause of burn injury in this study which accounted for 83 cases out of 91 cases (91.2%). Flame burn occured in 3(3.29%) patients. There were 2 cases of electric burn and 2 cases of contact burn during this study period. One patient was with chemical burn. Conclusion: The most frequently hospitalized burn patients were in the age group 3-5 years and more common during winter season. Most of the burn occured in children are scald in our country due to accidental fall of worm liquid. Superficial epidermal and dermal burns are treated conservatively, but deep burns may require surgical treatment. DS (Child) H J 2020; 36(2): 134-137

31 Patients in Need: Are We Identifying and Helping Them?

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S22-S23
Author(s):  
Mikenzy Fassel ◽  
Colette Galet ◽  
Lucy Wibbenmeyer
Keyword(s):  
Mental Health ◽  
Food Insecurity ◽  
Burn Injury ◽  
Basic Needs ◽  
Psychosocial Assessment ◽  
Burn Patients ◽  
Psychosocial Needs ◽  
Burn Wound ◽  
Symptoms Of Depression ◽  
Number Of Patients

Abstract Introduction Healing from a burn injury is a complex process that takes months to years. Survivors and families with basic needs or mental health issues may experience additional challenges during recovery. We previously showed a significant and positive correlation between adverse childhood events (ACEs) and number of needs (r = 0.5), housing insecurity (r = 0.23), food insecurity (r = 0.34), stress (r = 0.39), and symptoms of depression (r = 0.44). Herein, we assessed whether these needs were identified and addressed prior to discharge. Methods Medical charts of the 175 burn patients enrolled in our ACEs study were reviewed to assess if a social worker assessment (SWA) was done. SWA is primarily performed for discharge planning. We collected patient/family identified needs, resources provided, mental health consultation (adults only), and whether patients received additional information (burn bag) on support programs, burn/wound care guide, alternative dressings, post-traumatic stress disorder, and intimacy; the latter being only distributed to adult patients. Collected data were compared to the Family Strengths and Needs Assessment Survey (Strengths and Needs Survey) completed at the time of consent and analyzed using SPSS. Results SWA was completed on 50 inpatients (63.3%) and one outpatient. Based on the Strengths and Needs Survey, patients receiving SWA were more likely to rent (45.2% vs. 30%) or live in shared/temporary housing or be homeless (9.4% vs. 5.7%; p = 0.035) and report police interaction (15.1% vs. 4.1%; p = 0.023). Housing was addressed in only three SWA (5.7%). A higher number of patients with SWA reported food insecurity (22.6% vs. 12.3%; p = 0.082). Five SWA included food stamp status, with only one patient being provided information on food stamps. No difference was observed regarding stress and symptoms of depression between those who received a SWA and those who did not (45.3% vs. 39.3%; p = 0.36 and 39.6% vs 29.5%; p = 0.5, respectively). Psychosocial assessment need was noted in 46 SWA (90.6%). Only 12 adult inpatients (15%) were seen by mental health providers; 10 had a SWA. Burn bags were provided to 30 patients (58.8%), more often to adult than to pediatric patients (73.3% vs. 40%; p = 0.04). Conclusions Our study shows that many of our patients’ needs are not adequately assessed with the current social work and mental health capabilities. While SWA is performed on many of our patients with basic needs, many are not addressed, and individualized resources are often not provided. Moreover, only a third of our patients with identified psychosocial needs received consultation. Further study is warranted to develop a targeted approach to better meet the needs of our burn patients and their families. Applicability of Research to Practice By further assessing our patients’ needs, we will be able to better connect them with relevant resources to lighten the burden they face during their recovery.

scholarly journals Epidemiology of Burns Injury in dr. Iskak General Hospital Tulungagung: Two Years (2017-2018) Retrospective Study

2020 ◽  
Vol 7 (1) ◽  
pp. 28-34
Author(s):  
Fiera Avrillia Ferdianty ◽  
Santi Devina
Keyword(s):  
General Hospital ◽  
Medical Records ◽  
Burn Injury ◽  
Burn Patients ◽  
Adult Group ◽  
Middle Income ◽  
Burn Victims ◽  
Middle Income Countries ◽  
Epidemiological Characteristics ◽  
Flame Burn

Introduction: Burn injury is one of the leading causes of morbidity and mortality in low and middle-income countries. Yet in Indonesia, the epidemiology of burn is rarely reported. The study aims to obtain the epidemiological characteristics of burn patients in Dr. Iskak General Hospital. Methods: A retrospective analysis study was used and the medical records of patients with burns admitted at Dr. Iskak General Hospital between January 2017 and December 2018 were collected and analyzed statistically. Results: A total of 80 patients were involved in this study. The most burn victims fell in the adult group (>18 years old), which was 56.3% (n=45). Children were six times more likely to sustain scald burn than adults (OR=6.75I; CI95% 2.47-18.41), meanwhile adults were three times more likely to sustain flame burn than children (OR=3.643; CI95% 1.186-11.190). Most of burn patients (91.25%) were treated surgically. The median of hospital stay was 8 days. Flame burn was the primary etiology for longer hospitalization and there was zero mortality in this study. Conclusion: We found that the adult group was at the highest risk of acquiring burns. Scald was the major cause of burns in children, while flame was the main etiology in the adult group that caused severe burn and prolonged hospitalization.

scholarly journals Epidemiology and Characteristics of Burn Patients in Dr. Soedarso General Hospital during 2017 – 2020: Retrospective Study

2021 ◽  
Vol 9 (B) ◽  
pp. 711-714
Author(s):  
Doni Setiawan ◽  
Winsen Haryono
Keyword(s):  
Retrospective Study ◽  
Medical Records ◽  
Burn Injury ◽  
Total Body Surface Area ◽  
Well Being ◽  
Epidemiological Studies ◽  
Burn Injuries ◽  
Burn Patients ◽  
Total Body

Background: Burns are devastating injuries, often resulting in significant morbidity, impairment of emotional well-being, and experienced quality of life. The etiological factors of burn injuries is vary considerably in different communities and regions, hence the need for detailed epidemiological studies to understand the problem status in different regions. Methods: A retrospective study of non-random consecutive sampling of medical records of Dr. Soedarso Regional Hospital in the period August 2017 – December 2020 Results: A total 108 samples were included in this study. There were 88 (81,5%)  male and 20 (18,5%) female; mostly adult (>18 years) 57 (52,8%). The etiology of burn injury was flame (35,2%), electrical (34,3%) and scald (30,6%). The most total body surface area (TBSA) of burns from 1-10%. The mortality rate was obtained by 8 (7.4%) respondents. Conclusion: : Based on the results of this study, that the major proportion of burn patients were male  and in the age group of > 18 years old. Flame was the most leading cause of burn. Considering the size of the burn, it was revealed that the most TBSA of  burns was 1-10%.

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