The Magnitude, Clinical Presentation and Consequences of Patients with Burn Injuries Admitted to Tertiary Care Hospital, Kurunegala, Sri Lanka: A Prospective Analysis
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Abstract
This prospective analysis is based on clinical forensic examinations and clinical case records of the victims who sustained burns and were admitted during a one-year period since 2017.
Of the 90 patients (34 children and 56 adults), 54 % were male with ages ranging from 1 month to 80 years. Males below the age of 20 years (48 %) were highly vulnerable. Education status revealed that most of the patients have an education level below O/L representing 52 % (Ordinary Level/ O/L is similar to the General Certificate of Secondary Education/ GCSE in Cambridge Education System in United Kingdom) and the majority were married (52%). Scalds were seen in 52 %, while flame burns in 28 % cases. Most of the incidents had taken place at home (92%). Burn injuries were most frequently observed on upper extremities (47 %) and the majority were of first degree in nature. Furthermore, this study revealed that 57 % recovered without any complications, while 34 % resulted in scarring or disfigurement.
It was highlighted that children are the most vulnerable to in sustaining burns, especially with hot water in domestic settings. The study recommends increasing awareness among parents/guardians regarding safe handling of hot water to minimize such incidents.
Keywords
Forensic Science, Burns, Forensic Analysis, Injury Pattern, Paediatric Age, Risk Factors
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Othman N, Kendric D, Windi A. Epidemiology of burns and the outcome of management in Sulaimaniyah, Iraq: a prospective study. Bio-Med Central Public Health. 2010;10(1): 83. DOI: 10.1097/bcr.0b013e3182223ef5
World Health Organization. Injuries and violence prevention; 2013, Available from www.who.int/violence_injury_ prevention/publications/other_injury/en/burns_factsheet. pdfhttps://www.who.int/violence_injury_prevention/publications/other_injury/en/burns_factsheet.pdf
Kartal SP, Altunel CT, Bayramgurler D. Introductory Chapter: An Introduction to Burn Injuries. InHot Topics in Burn Injuries 2018 May 23. IntechOpen.
Mazumder A, Patowary A. A study of the pattern of burn injury cases. Journal of Indian Academy of Forensic Medicine. 2013 Jan;35(1):44-6.
Ahuja RB, Bhattacharya S. Burns in the developing world and burn disasters. BMJ. 2004 Aug 19;329(7463):447-9. DOI: https://doi.org/10.1136/bmj.329.7463.447
Yiltok SJ, Isamade ES, Uba AF. Outcome of burn patients managed in a general intensive care unit. Nigerian Journal of Surgery. 2005;11:1-4.
Surface P. Burn Evaluation and Management.
Adil SO, Nisar N, Shafique K, Baig-Ansari N. Severity of burn and its related factors: a study from the developing country Pakistan. Burns. 2016 Jun 1;42(4):901-5. DOI: https://doi.org/10.1016/j.burns.2016.01.007
Saukko P, Knight B. Burns, and scalds. In: Knight’s forensic pathology, 3rd ed. New York: CRC Press; 2016. pp. 311–324
Haberal M, Abali AE, Karakayali H. Fluid management in major burn injuries. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India. 2010 Sep;43(Suppl): S29. DOI: 10.1055/s-0039-1699459
Rowan MP, Cancio LC, Elster EA, Burmeister DM, Rose LF, Natesan S, Chan RK, Christy RJ, Chung KK. Burn wound healing and treatment: review and advancements. Critical care. 2015 Dec;19(1):243. DOI: http://dx.doi.org/10.1186/s13054-016-1194-8.
Stokes MA, Johnson WD. Burns in the Third World: an unmet need. Annals of burns and fire disasters. 2017 Dec 31;30(4):243.
Pirasath S, Jasotharan V, Jeepara P. Burn injuries in the Eastern Province of Sri Lanka: analysis and outcome in a tertiary care hospital, Batticaloa. Sri Lanka Journal of Surgery. 2013 Aug 18;31(2). DOI: http://dx.doi.org/10.4038/sljs.v31i2.5955
Daisy S, Mostaque AK, Bari S, Khan AR, Karim S, Quamruzzaman Q. Socioeconomic and cultural influence in the causation of burns in the urban children of Bangladesh. The Journal of burn care & rehabilitation. 2001 Jul 1;22(4):269-73.doi: https://doi.org/10.1097/00004630-200107000-00004
Zhu ZX, Yang H, Meng FZ. The epidemiology of childhood burns in Jiamusi, China. Burns. 1988 Oct 1;14(5):394-6. DOI: https://doi.org/10.1016/0305-4179(88)90009-5
Cheng JC, Leung KS, Lam ZL, Leung PC. An analysis of 1704 burn injuries in Hong Kong children. Burns. 1990 Jun 1;16(3):182-4. DOI: https://doi.org/10.1016/0305-4179(90)90035-UGet
Rao MH, Ali SA, Anum S. Epidemiologic profile and outcome of hospitalized burn patients: 5-year experience at Burns Centre, Civil Hospital, Karachi. Journal of the Dow University of Health Sciences. 2012; 6(1):29-31.
Khan N, Malik MN. Presentation of burn injuries and their management outcome. Journal-Pakistan Medical Association. 2006 Sep; 56(9):394.
Farooq U, Nasrullah M, Bhatti JA, Majeed M, Hanif M, Khan JS, Khan MM. Incidence of burns and factors associated with their hospitalisation in Rawalpindi, Pakistan. Burns. 2011 May 1; 37(3):535-40. DOI: 10.1016/j.burns.2010.10.009. Epub 2010 Dec
Rossi LA, Braga EC, Barruffini RD, Carvalho ED. Childhood burn injuries: circumstances of occurrences and their prevention in Ribeirao Preto, Brazil. Burns. 1998 Aug 1;24(5):416-9. DOI: https://doi.org/10.1016/S0305-4179(98)00046-1
Learmonth AM. Domestic child burn and scald accidents (analysis of data from 4 Indian burn units). Journal of the Indian Medical Association. 1979; 73(2):43-7.
Davies JWL. The problem of burns in India. Burns 1990;(Suppl. 1): S1–24
Adesunkanmi K, Oyelami OA. The pattern and outcome of burn injuries at Wesley Guild Hospital, Ilesha, Nigeria: a review of 156 cases. The Journal of tropical medicine and hygiene. 1994 Apr; 97(2):108-12.
Chien WC, Pai L, Lin CC, Chen HC. Epidemiology of hospitalized burns patients in Taiwan. Burns. 2003 Sep 1;29(6):582-8. doi:https://doi.org/10.1016/S0305-4179(03)00133-5
Blom L, Klingberg A, Laflamme L, Wallis L, Hasselberg M. Gender differences in burns: A study from emergency centres in the Western Cape, South Africa. Burns. 2016 Nov 1;42(7):1600-8. DOI: https://doi.org/10.1016/j.burns.2016.05.003
Brusselaers N, Monstrey S, Vogelaers D, Hoste E, Blot S. Severe burn injury in Europe: a systematic review of the incidence, etiology, morbidity, and mortality. Critical care. 2010 Oct;14(5): R188. DOI: https://doi.org/10.1186/cc9300
Stylianou N, Buchan I, Dunn KW. A review of the international Burn Injury Database (iBID) for England and Wales: descriptive analysis of burn injuries 2003–2011. BMJ Open. 2015 Feb 1; 5(2):e006184. DOI: 10.1136/bmjopen-2014-006184.
Golshan A, Patel C, Hyder AA. A systematic review of the epidemiology of unintentional burn injuries in South Asia. Journal of public health. 2013 Jan 14;35(3):384-96. doi:https://doi.org/10.1093/pubmed/fds102
Veeravagu A, Yoon BC, Jiang B, Carvalho CM, Rincon F, Maltenfort M, Jallo J, Ratliff JK. National trends in burn and inhalation injury in burn patients: results of analysis of the nationwide inpatient sample database. Journal of Burn Care & Research. 2015 Mar 1;36(2):258-65. DOI: https://doi.org/10.1097/BCR.0000000000000064
Rybarczyk MM, Schafer JM, Elm CM, Sarvepalli S, Vaswani PA, Balhara KS, Carlson LC, Jacquet GA. Prevention of burn injuries in low-and middle-income countries: a systematic review. Burns. 2016 Sep 1;42(6):1183-9doi: https://dx.doi.org/10.1016%2Fj.afjem.2017.01.006
Shi S, Yang H, Hui Y, Zhou X, Wang T, Luo Y, Xiang H, Shi X. Epidemiologic characteristics, knowledge, and risk factors of unintentional burns in rural children in Zunyi, Southwest China. Scientific reports. 2016 Oct 17;6(1):1-7. DOI: 10.1038/srep35445.
Mashreky SR, Rahman A, Chowdhury SM, Svanström L, Linnan M, Shafinaz S, Khan TF, Rahman F. Perceptions of rural people about childhood burns and their prevention: a basis for developing a childhood burn prevention programme in Bangladesh. Public health. 2009 Aug 1;123(8):568-72.
Koei NM, Rad AJ, Atheni FG, Manesh AA, Ghajar M, Khalkheili MA, Roozbeh F, Aarabi M, Nattaj AH, Abedini E. Demographic characteristics of burn injuries refer to burn center of Northern of Iran. Journal of Nursing and Midwifery Sciences. 2019 Jul 1;6(3):144. DOI:10.4103/JNMS.JNMS_14_19
Cleland H. Thermal burns: assessment and acute management in the general practice setting. Australian family physician. 2012 Jun; 41(6):372.
Aldemir M, Kara IH, Girgin S, Guloglu C. Factor’s affecting mortality and epidemiological data in patients hospitalised with burns in Diyarbakir, Turkey. South African Journal of Surgery. 2005; 43(4):159-62.
Koller J, Orsag M, Ondriasova E, Gräffinger I, Bukovcan P. Analysis of 1119 burn injuries treated at the Bratislava Burn Department during a five-year period. Actachirurgiaeplasticae. 1994; 36(3):67-70.
Papp A. The first 1000 patients treated in Kuopio University Hospital Burn Unit in Finland. Burns. 2009 Jun 1;35(4):565-71. doi:https://doi.org/10.1016/j.burns.2008.03.006
Panjeshahin MR, Lari AR, Talei AR, Shamsnia J, Alaghehbandan R. Epidemiology and mortality of burns in the South West of Iran. Burns. 2001 May 1;27(3):219-26.DOI: https://doi.org/10.1097/00004630-200201000-00008
Guzel A, Soyoral L, Oncu MR, Cakır C. Analysis of Patients who were Admitted to Burn Unit and Operated. Van Medical Journal. 2012; 19(1):1-7.
American Burn Association, National Burn Awareness Week, Scald statistics and Data Resources, February 3-9, 2019[Original 2/22/2015; Updated 8/13/2018] Available from: http://ameriburn.org/wp-content/uploads/2018/12/nbaw2019_statsdataresources_120618-1.pdf
World Health Organization Reports, Burns, 6 March 2018 Available from: https://www.who.int/news-room/fact-sheets/detail/burns
Reig A, Tejerina C, Baena P, Mirabet V. Massive burns: a study of epidemiology and mortality. Burns. 1994 Feb 1;20(1):51-4.doi: https://doi.org/10.1016/0305-4179(94)90106-6
Benito-Ruiz J, Navarro-Monzonis A, Baena-Montilla P, Mirabet-Ippolito V. An analysis of burn mortality: a report from a Spanish regional burn centre. Burns. 1991 Jun 1;17(3):201-4doi:https://doi.org/10.1016/0305-4179(91)90104-O
Cronin KJ, Butler PE, McHugh M, Edwards G. A 1-year prospective study of burns in an Irish paediatric burns unit. Burns. 1996 May 1;22(3):221-4. DOI: https://doi.org/10.1016/0305-4179(95)00109-3
Dempsey MP, Orr DJ. Are paediatric burns more common in asylum seekers?: An analysis of paediatric burn admissions. Burns. 2006 Mar 1;32(2):242-5. DOI: https://doi.org/10.1016/j.burns.2005.09.004
Eadie PA, Williams R, Dickson WA. Thirty-five years of paediatric scalds: are lessons being learned?. British journal of plastic surgery. 1995 Mar 1;48(2):103-5. DOI: https://doi.org/10.1016/0007-1226(95)90105-1
Aksoy N, Arli S, Yigit O. A retrospective analysis of the burn injury patients records in the emergency department, an epidemiologic study. Emergency. 2014; 2(3):115.
Han TH, Kim JH, Yang MS, Han KW, Han SH, Jung JA, Lee JW, Jang YC, Burd A, Oh SJ. A retrospective analysis of 19,157 burns patients: 18-year experience from Hallym Burn Center in Seoul, Korea. Burns. 2005 Jun 1;31(4):465-70. doi:https://doi.org/10.1016/j.burns.2004.11.014
Rybarczyk MM, Schafer JM, Elm CM, Sarvepalli S, Vaswani PA, Balhara KS, Carlson LC, Jacquet GA. A systematic review of burn injuries in low-and middle-income countries: epidemiology in the WHO-defined African Region. African journal of emergency medicine. 2017 Mar 1;7(1):30-7. DOI: https://doi.org/10.1016/j.afjem.2017.01.006
Forjuoh SN. Burns in low-and middle-income countries: a review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns. 2006 Aug 1;32(5):529-37. DOI: https://doi.org/10.1016/j.burns.2006.04.002
Maghsoudi H, Samnia N. Etiology and outcome of pediatric burns in Tabriz, Iran. Burns. 2005 Sep 1;31(6):721-5. DOI: https://doi.org/10.1016/j.burns.2005.02.003
Adamo C, Esposito G, Lissia M, Vonella M, Zagaria N, Scuderi N. Epidemiological data on burn injuries in Angola: a retrospective study of 7230 patients. Burns. 1995 Nov 1;21(7):536-8. doi:https://doi.org/10.1016/0305-4179(95)00038-D
Hemeda M, Maher A, Mabrouk A. Epidemiology of burns admitted to Ain Shams University burns unit, Cairo, Egypt. Burns. 2003 Jun 1;29(4):353-8.doi: https://doi.org/10.1016/S0305-4179(03)00044-5
Gupta M, Gupta OK, Goil P. Paediatric burns in Jaipur, India: an epidemiological study. Burns. 1992 Feb 1;18(1):63-7.doi: https://doi.org/10.1016/0305-4179(92)90125-E
Goel A, Shrivastava P. Post-burn scars and scar contractures. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India. 2010 Sep;43(Suppl):S63.doi: https://dx.doi.org/10.4103%2F0970-0358.70724
Schneider JC, Holavanahalli R, Helm P, Goldstein R, Kowalske K. Contractures in burn injury: defining the problem. Journal of burn care & research. 2006 Jul 1;27(4):508-14.doi: https://doi.org/10.1097/01.BCR.0000225994.75744.9D
Agbenorku P., Edusei A., Ankomah J. Epidemiological study of burns in KomfoAnokye teaching hospital, 2006-2009. Burns. 2011;37(7):1259–1264 doi:https://doi.org/10.1016/j.burns.2011.04.014
Ndiritu S, Ngum ZI, Nyaim O. Burns: the epidemiological pattern, risk and safety awareness at Kenyatta National Hospital, Nairobi. East African medical journal. 2006;83(8):455-60.doi: https://doi.org/10.4314/eamj.v83i8.9462
Mabrouk AR, Omar AN, Massoud K, Sherif MM, El Sayed N. Suicide by burns: a tragic end. Burns. 1999 Jun 1;25(4):337-9.doihttps://doi.org/10.1016/S0305-4179(98)00179-X
Ahmadi A. Suicide by self-immolation: comprehensive overview, experiences, and suggestions. Journal of burn care & research. 2007 Jan 1;28(1):30-41.doi: https://doi.org/10.1097/BCR.0b013E31802C8878
Dastgiri S, Kalankesh LR, Pourafkary N. Epidemiology of self-immolation in the North-West of Iran. European Journal of General Medicine. 2005 Jan 1;2(1):14-9.https://doi.org/10.29333/ejgm/82260
Saadat M. Epidemiology and mortality of hospitalized burn patients in KohkiluyevaBoyerahmad province (Iran): 2002–2004. Burns. 2005 May 1;31(3):306-9.Doi:https://doi.org/10.1016/j.burns.2004.10.012
Macedo JL, Rosa SC, Silva MG. Queimadurasautoinfligidas: tentativa de suicídio. Revista do ColégioBrasileiro de Cirurgiões. 2011 Dec;38(6):387-91.doi:https://doi.org/10.1590/S0100-69912011000600004
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