Figure - available from: European Journal of Trauma and Emergency Surgery
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Hospital length of stay, per year, age category, and type of injury. For all admission locations and types of injuries, this figure shows the hospital length of stay per case per year and the average hospital length of stay per age group
Source publication
Purpose
The aim of this study was to gain insight into the epidemiology of burn patients admitted to a hospital without a burn center or referred to a burn center.
Methods
This retrospective, nationwide, cohort study included patients with burns or inhalation trauma, admitted between 2014 and 2018, from a national trauma registry. The primary outc...
Citations
... Median time from the burn event to surgery was 16 [IQR 12-21.8] days in children and [14][15][16][17][18][19][20] days in adults (p < 0.001). In contrast, Table 4 shows that the median waiting time for surgery is 10 days [IQR [7][8][9][10][11][12][13][14][15] days, compared to patients with minor burns, with a median of 15 days (p < 0.001). ...
... days in children and [14][15][16][17][18][19][20] days in adults (p < 0.001). In contrast, Table 4 shows that the median waiting time for surgery is 10 days [IQR [7][8][9][10][11][12][13][14][15] days, compared to patients with minor burns, with a median of 15 days (p < 0.001). ...
... Burns were more frequent among men (61.6%)-a global trend due to the predominance of men working in metallurgy or agriculture. In our review, this incidence was somewhat lower than that reported in 1998 (64%), 2008 (65%), and 2018 (66%) 21,25,26 , and is consistent with the trend observed in other developed countries [6][7][8]15,[27][28][29][30] . In Palacios 31 , however, 51% of burn patients were men. ...
Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/10⁵ population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.
... worldwide have died of burns (14). It has been reported that the incidence of burns was 0.19% in the United States, 2.43% in Southeast Asia, and 1.87% in the Mediterranean (15)(16)(17)(18). In China, >20 million patients suffer from different degrees of burns (19). ...
Background:
The skin morphological characteristics of the Bama miniature pig are very similar to those of humans; thus, the Bama miniature pig is an ideal choice for establishing a skin burn model.
Methods:
In this study, 6 ordinary, male, Bama miniature pigs (weight: 23-28 kg and length: 71-75 cm) were used to establish burn models. A mixture of 1 mg of Ketamine and Sumianxin II was used for Bama miniature pigs anesthetizing, and 1 mg of Pentobarbital sodium was added as necessary. The different burn depths were made using a continuous pressure of 1 kg and contact times of 0 s, 10 s, 15 s, 20 s, 25 s, 30 s, 35 s, 40 s, and 45 s by the newly invented electronic burn instrument. The burned tissues were collected and examined with hematoxylin and eosin (H&E) and Masson staining.
Results:
Burning for 10-15 s caused a first-degree burn; the blood vessels in the superficial dermis were dilated and congested, and necrosis occurred above the basal layer of the epidermis. Burning for 20-25 s caused a superficial partial-thickness burn; the whole epidermal layer was necrotic, and the collagen fibers were slightly deformed. Burning for 30-35 s caused a deep partial-thickness burn; the whole epidermal layer and dermal layers were necrotic with leukocyte infiltration zones, and the collagen fibers were disordered, degenerated, and necrotized. Burning for 40-45 s caused a third-degree burn; the skin layers and adipose tissues were necrotic, and the thick blood vessels in the skin adipose tissues were full of disintegrated and agglutinated red blood cells.
Conclusions:
Stable burn depth models of Bama miniature pigs were constructed using a new and innovative electronic burn instrument. Our findings provide a basis for further research on the burn mechanism and evaluations of therapeutic drugs.
... In addition, with the severe pain from dressing change, patients with second-degree burn have low compliance with wound medication, so the treatment effect of single wound medication is unsatisfactory. To improve their compliance, some scholars combined immersion therapy with wound medication due to the fact that immersion therapy can completely remove the wound pus, clean the necrotic tissue, improve the wound blood supply, and reduce the residual bacteria and toxin on the wound surface to prevent infection [19][20][21]. For patients who fear pain, proper thermal stimulation during immersion therapy can inhibit the excitement of cutaneous sensory nerve and interfere with nociceptive transmission and then alleviate the pain and enhance their compliance with dressing change [22]. ...
Objective:
To explore the effect of combining immersion therapy with Shengji ointment on wound healing rate and adverse reaction rate (ARR) in patients with second-degree burn.
Methods:
The data of 80 patients with second-degree burn treated in our hospital from February 2019 to February 2020 were retrospectively analyzed by the means of retrospective study, and the patients were equally divided into the treatment group and the control group according to their admission order, with 40 cases each. Immersion therapy was performed to all patients (7 d); after that, patients in the control group received routine medication (7 d), and those in the treatment group were treated with Shengji ointment until the wounds were healed, so as to compare their wound healing condition, ARRs, levels of inflammatory factors, and infection incidence.
Results:
Compared with the control group after treatment, the treatment group presented significantly shorter wound healing time (12.14 ± 1.26 vs. 15.98 ± 1.20, P < 0.001), better wound healing rate and quality (P < 0.05), and lower levels of inflammatory factors (P < 0.001); no significant between-group difference in ARRs was shown (P > 0.05); 34 patients in the treatment group (85.0%) and 26 patients in the control group (65.0%) had no infections, so the incidence rate of infections was significantly lower in the treatment group than in the control group (P < 0.05).
Conclusion:
Combining immersion therapy with Shengji ointment can reduce the levels of inflammatory factors in patients with second-degree burn, lower the incidence rate of infections, provide the conditions for wound healing, and increase the wound healing rate, which shall be promoted and applied in practice.
Burn injuries pose a significant source of patient morbidity/mortality and reconstructive challenges for burn surgeons, especially in vulnerable populations such as geriatric patients. Our study aims to provide new insights into burn epidemiology by analyzing the largest national, multicenter sample of geriatric patients to date. Using the National Electronic Injury and Surveillance System (NEISS) database (2004-2022), individuals with a “burn” diagnosis were extracted and divided into 2 comparison age groups of 18-64 and 65+. Variables including sex, race, affected body part, incident location, burn etiology, and clinical outcomes were assessed between the 2 groups using 2 proportion z-tests. About 60,581 adult patients who sustained burns were identified from the NEISS database with 6630 of those patients categorized as geriatric (65+). Geriatric patients had a significantly greater frequency of scald burns (36.9% vs 35.4%; P < .01), and third-degree/full-thickness burns (10.4% vs 5.5%, P < .01) relative to nongeriatric adult patients with most of these burns occurring at home (75.9% vs 67.4%; P < .01). The top 5 burn sites for geriatric patients were the hand, face, foot, lower arm, and lower leg and the top 5 burn injury sources were hot water, cookware, oven/ranges, home fires, and gasoline. Geriatric patients had over 2 times greater risk of hospital admission (odds ratio [OR]: 2.32, 95% CI: 2.17-2.49, P < .01) and over 5 times greater risk of emergency department mortality (OR: 6.22, 95% CI: 4.00-9.66, P < .01) after incurring burn injuries. These results highlight the need for stronger awareness of preventative measures for geriatric burn injuries.
Background
Barzilai medical center, in Ashkelon Israel, serves intermittently as a frontline hospital in times of war. During conflicts evacuation to adjacent burn centers is impossible. This study aims to describe characteristics of burn victims treated to assess the hospital's capabilities in burn handling.
Methods
A cross sectional study was conducted, between 2010 and 2021. All patients with icd9 codes describing a burn were recruited. Patients’ and burns' characteristics were analyzed.
Results
a total of 3085 patients were included, a yearly average of 257 patients. The high season was summer. The mean age was 28 years old, and 24% were in the ages 0-10 years. Patients were predominantly male (61%). The limbs were the most affected area (60%). Scald was the most prevalent etiology (45.61%). Second-degree burns were most common (60%). TBSA was often less than 5% (66%). The majority (92%) were treated as outpatients. An increase of 30% in burn injury victims' admission was noted during the last conflict.
Conclusion
Our results are in accordance with past studies in terms of the characteristics. We aim to build a reserve force of surgeons to be prepared for war and continued caring for all burn patients when transfer is not possible.
