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

scholarly journals Evaluation of Demographic Characteristics and Therapeutic Response to ocular Chemical Burn in Patients Referred to Eye Emergency Department of Farshchian Hospital in 2015-2016

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Fateme Eslami ◽  
Nooshin Bazzazi ◽  
Mohamad Ali Seifrabiei ◽  
Maryam Hamidinekoo ◽  
Leila Azizkhani
Keyword(s):  
Occupational Injury ◽  
Cross Sectional Study ◽  
Ocular Injury ◽  
Age Group ◽  
Chemical Burn ◽  
Cross Sectional ◽  
Poor Prognostic Factor ◽  
Common Cause ◽  
Chemical Injury ◽  
Severity Of Injury

Objective:The chemical eye burn is one of the major emergencies in the ophthalmology that will result in irreparable complications in case of inappropriate and timely treatment in severe casesMaterial and Methods:In this cross-sectional study 250 patients with ocular chemical burn who   referred to Farshchian Hospital were enrolled. Demographic characteristic and information regarding the burn were obtained. The Hughes-Roper-Hall classification was used for grading the severity of injury. All patients reevaluated 6 weeks later after injury.Results:Of 250 patients with complete follow up 155 cases ( 62% ) were male and 95 cases ( 38 % ) were female. Chemical injury were more common in the 20-40 years age group ( 108 case = 43/2 % ).The most common cause of chemical injury were occupational injury( 120 case = 48 % ).127 case (50/8 % ) of patients referred during The first hour after injury. The most common material of injury was acid in 102 cases (40/8 % ).Grade I burn was seen in 92 cases ( 36/8 % ) and grade IV in 30 cases ( 12 % ).Grading of the injury was related to the referring time after chemical burn. Severity of injury was more in alkaline burn.In 50 % of grade IV causes the burn had alkaline origin, however only 13/3 % of acid burn had grade IV severity. ( p : 0/001)Conclusion:The incidence of ocular chemical burn was approximately 2/19 % of all patients who referred to emergency ophthalmology service .According to this study ocular injury are more common in the men 20-40 years age group. The most common cause was occupational injury. Delay in referring and alkaline material were poor prognostic factor.

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.

626 Causes and Injury Patterns of Elderly Burn Patients

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S158-S159
Author(s):  
Sam Miotke ◽  
Kathleen S Romanowski ◽  
Tina L Palmieri ◽  
David G Greenhalgh ◽  
Soman Sen
Keyword(s):  
Burn Injury ◽  
Body Part ◽  
Hot Water ◽  
Burn Injuries ◽  
Targeted Prevention ◽  
Age Group ◽  
Injury Patterns ◽  
Common Cause ◽  
Gender And Age ◽  
The Face

Abstract Introduction Older patients are a particularly vulnerable population with respect to burn injuries. The American Burn Association has invested resources in improving burn care and burn prevention within this age group, recognizing the difficulties in both the identification and subsequent modification of risk factors. The National Electronic Injury Surveillance System (NEISS) is maintained by the Consumer Product Safety Commission to surveil for injury trends and is populated with data from a representative group of approximately 100 emergency departments in the United States. This database could serve as a useful tool to evaluate burn injury patterns in elderly patients with an eye toward targeted prevention measures. Methods The NEISS was queried for patients aged 55 years and older with a diagnosis of scald, thermal, chemical, electrical, or unspecified burn injuries for the years 2008 - 2017. Each injury was classified by body part(s) burned, causative product, gender, and age group of patient (55–64, 65–74, 75–84, 85 and older). The ten most commonly burned sites as well as the ten most common causative products were determined for each gender and age group and in aggregate. Weighted estimates from the NEISS data were utilized to calculate injury numbers across the population. Results The most common etiology of burn injuries for all patients aged 55 and older was hot water. Men were most commonly injured by gasoline, a product which did not rank in the top ten for women in any age group. Additionally, within each age group, gasoline was among the top 4 products that was associated with burn injuries in men. Cookware was the second most common cause of burn injury among women aged 55 and older and was the sixth most common cause among men. For women, the combination of cookware and ranges/ovens was among the top 2 products associated with burn injury within each age group. The most commonly injured body part for all patients was the face. This held across most age and gender groupings except for women aged 75 to 84 (upper trunk), and women 85 and older (foot). Men were more likely to injure their hands than women. Conclusions The most common cause of burn injuries in older adults is hot water, and the most common body part affected is the face. Women are more likely to be injured by cookware and ranges/ovens. Men are more likely to be injured secondary to gasoline and are more likely to injure their hands. Applicability of Research to Practice NEISS data could be useful in the development of targeted prevention campaigns, such as focused education about the dangers of hot liquids, cooking, and accelerants.

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 Chemical Burn Injury in the Scrotal Area Caused by Button Cell Battery: A Case Report

2020 ◽  
Vol 12 (4) ◽  
Author(s):  
Mohammad Reza Rezaeimehr ◽  
Mahtab Zargham ◽  
Erfaneh Yaali-Jahromi ◽  
Atefeh Yaali-Jahromi ◽  
Mohammad Heiat
Keyword(s):  
Case Report ◽  
Burn Injury ◽  
Healing Process ◽  
Chemical Agent ◽  
Chemical Burn ◽  
Scrotal Skin ◽  
Treatment Procedure ◽  
Therapeutic Measures ◽  
Button Cell ◽  
One Year

: Here we reported a one-year-old infant with tissue damage in the scrotum area, in which a small button cell battery had been found in his diaper. Evidence suggested that the lesion was caused by contact with the leaky battery with the scrotal skin. The treatment procedure was prescribed by a dermatologist. The healing process was tracked over the examination times. After two months, the site of the lesion showed complete remission. The findings suggested that in such cases, after removing the chemical agent, blisters, and necrotic tissues, therapeutic measures should be performed similarly to the thermal burns.

scholarly journals Diagnostic Accuracy of Virtual Touch Quantification and Virtual Touch Imaging Quantification Sonoelastography Techniques in Pediatric Undescended Testes Patients

2018 ◽  
Vol 35 (2) ◽  
pp. 96-103
Author(s):  
Mehmet Burak Özkan ◽  
Meltem Bilgic ◽  
Unal Bicakci ◽  
Cankon Germiyanoglu
Keyword(s):  
Inguinal Canal ◽  
Shear Wave Elastography ◽  
Age Group ◽  
Tissue Stiffness ◽  
Undescended Testes ◽  
Altman Plot ◽  
Group 3 ◽  
Group 2 ◽  
One Year ◽  
Group 1

The purpose of this study was to determine the usefulness of virtual touch quantification (VTQ) and virtual touch imaging quantification (VTIQ) techniques for assessing undescended testes stiffness, by age and location. One testicle from each of 84 participants (31 of whom were healthy volunteers) was assessed by the point shear-wave elastography (p-SWE) method, using both VTQ and VTIQ techniques. The patients were grouped by location of assessment (intra-abdominal, inguinal, and scrotal) and age (group 1, healthy patients; group 2, patients age one and younger; and group 3, patients older than age one). Although the VTQ and VTIQ methods for group 2 showed similar results in the Bland-Altman plot, for group 3, the VTIQ method was more effective than the VTQ method. The use of p-SWE with VTIQ may be an appropriate technique for determining the tissue stiffness of testes located in the inguinal canal and for patients over one year of age.

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 Epidemiology of Burn Injuries in Cipto Mangunkusumo Hospital from 2009 to 2010

1970 ◽  
Vol 1 (5) ◽  
Author(s):  
Pujisriyani Pujisriyani ◽  
Aditya Wardhana
Keyword(s):  
Burn Injury ◽  
Length Of Hospital Stay ◽  
The Elderly ◽  
Burn Injuries ◽  
Burn Patients ◽  
Government Regulations ◽  
Female Ratio ◽  
Common Cause ◽  
The Mean ◽  
Male To Female

Background: Burns are one of the most devastating conditions encountered in medical world. It affects people of all ages, from the very young to the elderly, and represents an assault on all aspects of the patient, from the physical to the psychological.Method: The collection and analysis of burn patients admitted to Cipto Mangunkusumo Burn Centre between January 2009 and December 2010 were studied retrospectively in terms of admissions, age, sex, extent of burn, causes of burns, referral, length of hospital stay (LOS) and mortality. Result: A total of 303 burn patients were admitted with the male to female ratio is 2.26 : 1 and the mean age of admission is 25.7 years (15-54 yr). Most of the patient presented with 20-50% extent of burn (mean 45.87%). The most common cause of burn injury is LPG at 30.4 % followed by flame at 25.7% and by scald at 19.1%. The overall mean LOS and mortality are 13.72 days and 34%. Conclusion : LPG is the major cause of burn and the mortality are 42.4%. Because of level of the mortality, the prevention and management of LPG and the safety of the product of LPG should be given in terms of government regulations.

579 Benefits of Licensed Clinical Social Worker Utilization in an Adult Burn Clinic: More Than Just Checking the Box

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S141-S141
Author(s):  
Michelle Broers ◽  
Jodi Wojcik ◽  
Lindsey k Journey
Keyword(s):  
Peer Support ◽  
Social Worker ◽  
Suicide Risk ◽  
Acute Stress ◽  
Burn Injury ◽  
Total Body Surface Area ◽  
Community Resources ◽  
Clinical Social Worker ◽  
Burn Patients ◽  
One Year

Abstract Introduction Our burn institution cares for critically ill burn patients and provides post-acute care for a large referral base. The clinic is staffed by a wound certified physical therapist, an advanced practice registered nurse and a licensed clinical social worker (LCSW), with consult access to Trauma/Burn Surgeons. The incidence of acute stress symptoms after burn injury is noted in up to 35% to 40% of patients. Therefore, it is important to identify symptoms of anxiety and depression early and begin symptom management. Burn patients have access to a multi-disciplinary team, and a licensed therapist, that can identify symptoms of acute stress and make recommendations for appropriate treatment in concert with the medical staff. This project seeks to determine the prevalence of acute stress in post-acute burn patients seen in an adult burn clinic and the benefits of utilizing a Licensed Clinical Social Worker to perform screening. Methods For a one-year period all burn patients in the burn clinic were screened by the LCSW. The subjects underwent initial screenings for depression, anxiety, and suicide risk at their first clinic visit. The PHQ-2 and PHQ-9 were utilized to assess depression, the GAD-7 for anxiety and the Columbia Suicide scale to assess suicide risk. Patients were initiated into multi-modal therapies based on specific scoring. These intervention strategies were based on the Depression Screening Protocol which included education on depression, and/or anxiety, with or without participation in a Trauma/Burn Peer Support Group. Patients were prescribed medication per provider discretion, and/or connected to community resources such as, counseling, and psychiatric mental health services. Results During the one-year assessment period screening compliance was >90%. During this period, >50% of patient’s scores were clinically significant for acute stress. Over half of those that screened positive were connected to community resources of counseling services or psychiatric care. 100% of those that screened positive were given education and connection to peer support services. An incidental correlation was noted between increased total body surface area involvement and work-related accidents with increased symptomology. Conclusions The inclusion of an LCSW in the burn clinic has improved the overall care of the burn injured patient. The assessment of depression and anxiety related to the burn injury has led to an increase in peer support participation and an increase in referrals to counseling and/or psychiatric services.

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