Farmer dies from burn injuries after tractor he was driving caught fire.

Objective: to conduct pharmacoepidemiological analysis and analysis of the costs of pharmacotherapy, taking into account the actual consumption of drugs in the real inpatient clinical practice at the federal center in Russia. Materials and methods. Data from the medical records of 14 patients with burn injury, who were hospitalized in 2018, was analyzed. Patients’ age was from 23 to 67 years (44,93 ± 14,66). Duration of hospitalization was from 17 to 62 days (35,93 ± 14,17). We calculated rate of prescription foe each drug and its share in general structure of all utilized drug courses (n = 460). We performed frequency analysis of prescription structure, DDD (defined daily doses) analysis, DU90% (Drug Utilization 90%) analysis, ABC-analysis and analysis of average cost of pharmacotherapy. Results. Most frequently used drugs, prescribed in 75-100% of all hospital cases, included 15 names, e.g. 2 antimicrobial drugs (vancomycin and amikacin), 19 were used commonly, including 4 antimicrobial drugs (co-trimoxazole, cefoperazone/sulbactam, tigecyclin and cefepime). Other drugs were used in less than 25% of cases. 33 drugs made 90% of all consumed NDDD, including 5 antimicrobial drugs (vancomycin, amikacin, co-trimoxazole, cefoperazone/sulbactam and tigecyclin). These drugs comprised 70,24% in the prescription structure. The cost of one DDD in DU90% segments (512,33 rubles) is 1,4 higher than in DU10% segment (649,34 rubles). Average cost of drugs included in DU90% group was 4735,89 rubles vs 4966,80 rubles for drugs from DU10% group. This finding shows positive tendency of burn injuries pharmacological treatment. Conclusion. We obtained the data, which can be used for comparison of real clinical practice costs with a current payment rates for medical care.

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A Study of Burn Injuries in Patients Admitted to the Burn Unit, Suez Canal University Hospital: Medico-Legal Perspectives

Mansoura Journal of Forensic Medicine and Clinical Toxicology ◽

10.21608/mjfmct.2018.47272 ◽

2017 ◽

Vol 25 (1) ◽

pp. 79-91

Author(s):

Rania Hashish ◽

Rehab Abdel-Karim

Keyword(s):

Suez Canal ◽

Burn Injuries ◽

University Hospital ◽

Burn Unit

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Physical Therapy for Burn Injuries*

Physical Therapy ◽

10.1093/ptj/41.6.432 ◽

1961 ◽

Vol 41 (6) ◽

pp. 432-435

Author(s):

James W. Roodhouse

Keyword(s):

Physical Therapy ◽

Burn Injuries

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Cryogenic Refrigerant Burns: A Rare Occupational Hazard

Workplace Health & Safety ◽

10.1177/2165079920965539 ◽

2020 ◽

pp. 216507992096553

Author(s):

Suvashis Dash ◽

Vamseedharan Muthukumar ◽

Rajkumar R ◽

Durga Karki

Keyword(s):

Exposure Time ◽

Treatment Plan ◽

Hand Function ◽

Skin Grafting ◽

Burn Injuries ◽

Air Conditioners ◽

Burn Center ◽

Adequate Knowledge ◽

Treatment Measures ◽

Burn Depth

Background Cryogenic burns induced by coolant gases used in refrigerators and air conditioners are rarely encountered, despite the wide use of these gases. To date, only a few cases have been reported in the literature. This study examined the occupational circumstances leading to such injuries, relevant injury sites, types of chemicals involved, and treatment measures. Methods This study was conducted in a tertiary burn center in India between March 2015 and March 2019. The demographic details, chemicals involved, and burn regions and characteristics were analyzed. Findings There were 15 burn cases all involving injury to the hand. All injuries were managed initially with dressings and nonoperative management. One patient required anti-edema therapy with limb elevation and fingertip debridement, while another patient required skin grafting. All patients had satisfactory hand function after treatment. Conclusions/Application to Practice Cryogenic burn injuries caused by refrigerants are rare, and their etiology varies considerably. Exposure time is the primary factor that determines burn depth and severity; hence, reducing exposure time is important in first aid. Our findings suggest that after exposure, the patient should be treated in a specialized burn center. Adequate knowledge regarding the pathophysiology of these types of burn injuries and their management is necessary; otherwise, misjudgments in the treatment plan can lead to adverse consequences.

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Activity Impairment, Work Status, and Work Productivity Loss in Adults 5–7 Years After Burn Injuries

Journal of Burn Care & Research ◽

10.1093/jbcr/irab047 ◽

2021 ◽

Author(s):

Inge Spronk ◽

Nancy EE Van Loey ◽

Cornelis H van der Vlies ◽

Juanita A Haagsma ◽

Suzanne Polinder ◽

...

Keyword(s):

Productivity Loss ◽

Total Body Surface Area ◽

Work Productivity ◽

Burn Injuries ◽

Work Status ◽

Burn Patients ◽

Work Situation ◽

Activity Impairment ◽

Severe Burns ◽

Specific Health

Abstract An important aspect of the rehabilitation of burn patients is social participation, including daily activities and work. Detailed information on long-term activity impairment and employment is scarce. Therefore, we investigated activity impairment, work status, and work productivity loss in adults 5–7 years following burn injuries, and investigated associations with burn-specific health-related quality of life (HRQL) domains. Adult participants completed the Work Productivity and Activity Impairment General Health questionnaire and the Burn Specific Health Scale-brief (BSHS-B) 5–7 years post-burn. Outcomes were compared between participants with mild/intermediate and severe burns (>20% total body surface area burned). Seventy-six (36%) of the 213 participants experienced some degree of activity impairment due to burn-related problems 5–7 years post-burn. Seventy percent of the population was employed; 12% of them experienced work productivity loss due to burn-related problems. Nineteen percent reported changes in their work situation (partly) because of the burn injury. A higher proportion of participants with severe burns had activity impairments (56% vs 29%; P = .001) and work productivity loss (26% vs 8%; P < .001) compared to participants with mild/intermediate burns. Activity impairment and work productivity loss were both associated with burn-related work problems and lower mood, measured with the BSHS-B. In conclusion, a substantial part of the study population experienced activity impairment and work productivity loss, was unemployed, and/or reported changes in their work situation due to their injury. Particularly patients with severe burns reported productivity loss and had lower employment rates. This subscribes the importance of addressing work-related functioning in the rehabilitation of burn patients.

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