Profile of deaths due to burn injuries: A retrospective study of eight years in a tertiary care centre in Western Maharashtra (original) (raw)
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Journal of Evolution of Medical and Dental Sciences
BACKGROUND Burn injuries are one of the most devastating injuries resulting into higher morbidity and mortality rates. Its higher incide nce in developing countries like India creating a formidable health problem. OBJECTIVE To study the pattern of distribution of burn injuries in relation to various epidemiological, demographic and socio-cultural aspect and their impact assessment on mortality and morbidity. MATERIAL AND METHODS It was a prospective 1-year study conducted in all patients (n=499) admitted in Burn Unit of Dept. of Surgery, SGMH, Rewa (M.P.), during the period August 2014-July 2015. The data regarding sex, age predisposition, geographical origin, mode and nature of injury were obtained by questionnaire-interview with the patient themselves. Clinical assessment was done in the form of depth and extent of injury. The information obtained was tabulated and analysed, mean, Standard Deviation (SD) were calculated where applicable. Chi-square test was used as a test of significance. RESULTS Incidence of burn injury was 6.02% out of total surgical ward admission. Females were 59.31%, while males were 40.68%. Majority 45.9% of patients were from 15-29 years' age group; 83.5% victims belonged to rural areas and 88.37% patients were below poverty line. Housewives 39.67% followed by students 23.24%; 87.7% was accidental followed by suicidal 9%, homicidal 3.2%. Flame burn 71.74% was commonest and chimney 28.1% was most common source of heat. 54.7% of cases were hospitalized within 5-12 hours of injury. Mean TBSA was 45.3%, it was higher in intentional burns and females. Kitchen 67.53% was the commonest place. 67.13% of burns were superficial to deep. Mean hospital stay was 11.63 days. Overall mortality was 39.47%, septicemia 56.85% was the most common cause of death. CONCLUSION Female sex, accidental, extensive burn, young age, low socioeconomic status, rural area were the factors associated with increased mortality and morbidity. Preventive measures should be multidisciplinary and coordinated.
National Journal of Community Medicine, 2016
Introduction: Since From centuries, burn injuries are the major cause for human suffering and deaths. They are one of the oldest types of injuries that man knows, causing mortality and morbidity in humans time to time. Methodology:This observational cross sectional study was conducted for period of one year started from July 2012 to June 2013 in burn ward of Govt. Medical College, Latur. Out of 302 patients admitted, 137 (45.36%) were died because of various degree burn injuries. Results: 73.72% females were died because of the burn whereas males were only 26.28%. The male to female ratio was 1:2.81. 63.50% of burn deaths were from rural area. 80.29% burn victims were married. 96.35% of burns were caused because of flames. ≥80% TBSA burn was found in 53.47% female patients as compared to 38.89% male patients. Conclusion: Burn injuries are preventable through awareness in people specially in reproductive age group women’s in which most of the cases were because of accidental burn while working in kitchen.Therefore proper educational and aggressive prevention program is needed to reduce the burden.
Epidemiology and outcome of burn injuries-A prospective study
Innovative Publication, 2017
Burns are injuries produced by application of dry heat such as flame, radiant heat or some heated solid substance like metal or glass to the body. Local injury to the body by heat may result from dry heat, application of hot bodies, licking by flames resulting in simple burns, moist heat leading to scalds, corrosive poisons resulting in corrosive burns. This was a prospective study carried out at Sri Aurobindo Medical College and Post Graduate Institute, Indore during March 2014 to June 2015 involving all cases admitted in burn ward and post mortem examination done in Department of Forensic Medicine and Toxicology. A total number of 120 cases were taken which included 88 patients who died and a detailed post mortem examination was done. Females outnumbered males as there were 66 (55.0%) females and 54 (45.0%) males. Maximum incidence was in the young adults between the age group of 21-40 years, comprising of 89 (74.17%) cases. Dowry deaths, curse to our so-called modern society are still prevalent, in spite of stringent laws and amendments in the acts. Accidental burn injuries can be reduced by bringing about regulations to develop safer cooking appliances, promoting less inflammable fabrics to be worn at home and educating the community especially women.
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.3\_March2017/IJHSR\_Abstract.02.html, 2017
Introduction: Burn injuries are a major global public health problem. An epidemiological study being the first step in planning preventive and management strategies, the study was planned to throw light on exact nature of burn injuries. Objectives: To study the epidemiological factors in relation to burn cases at a tertiary care level teaching hospital Methods: A cross-sectional study of all burn injury cases admitted at tertiary care level teaching hospital, over a period of one year from January 2014 to December 2014. Universal sampling method was employed. All burn patients who were admitted in burns unit, or legally accepted guardians, in case of serious patients who consented were included; those who did not give informed written consent were excluded. Total number of participants in the study period was 74. A semi-structured questionnaire was used for obtaining socio-demographic details and details about burns injury. Data was entered into Microsoft excel worksheet and analysed using EpiInfo software version3.5.4. Institutional Ethics committee approval was obtained. Result: Flame burn was the most common cause of burns accounting for 45.95% of the total burns. Scald burn was seen in 36.49% subjects and electric burn in only 10(13.51%) subjects. Overall mortality was found to be 10.81%. Conclusion: Total body surface area burnt was found to be associated with mode of burns, arrangement of cooking stove/chullah on floor in case of kitchen burns; while mortality among burn victims was found to be highly significantly associated with the total body surface area.
Indian Journal of Surgery, 2020
Burn injuries are not uncommon, and a decade ago, more than one subject with major burn injury arrived in our emergency department each day. We here report of some basic epidemiological data of burn injury for a period of 11 years and propose an approach for prevention and care of burn. Authors obtained the records of the 5500 patients admitted in tertiary care unit of central India from March 2005 to March 2016. The preclinical, clinical, and stage of resolution variables are included in the customized proforma. Few additional data was available in the case sheets of year 2016 and analyzed separately. Data are analyzed using Statistical Package for the Social Sciences. The mean age was 28.6 years with standard deviation of 13.26. Male to female ratio was 1:1.36. Frequency from neighboring district (51.81%), Hindus (86.83%), accidental intent of burn (85.2%), flame type of injuries (76.45%), kerosene as agent of burn (69.4%), home as place of burn (90.92%) are other recognizable variables. Clinical and outcome variables are total body surface area (> 50%) in 57%, hospital stay (> 3 days) in 61.5%, mortality rate (46%), left against medical advice (LAMA) in 36.4%, and survival rate (15.4%). In a select group of 500 patients, some other useful variables like careless attitude in handling kerosene (84%), illiteracy (74.2%), low socioeconomic status (83.4%), married status (75.8%), and family size (> 3) in 74.8% were recorded. In India, burns are preventable by elimination of kerosene/distribution in closed containers. Community-based prevention program is a must. Author's "SIREN" reaction plan is for first responders. Authors prepared a burn management guideline for primary healthcare level with an acronym "ALERT-DAY" protocol to decrease morbidity of burn. Upgradation of existing burn center is essential to curb the mortality and LAMA rates and improve the survival.
EPIDEMIOLOGY OF FATAL BURN CASES IN G.K. GENERAL HOSPITAL, BHUJ
National Journal of Community Medicine, 2012
Background: Burn injury cases are one of the common emergencies admitted to any hospital in India. There are several factors, which play a great role in the treatment, management, autopsy and investigations of burns death cases. Objective: The study was aimed to find the epidemiology, pattern of burns deaths and various reasons or factors associated with it. Methodology: The present cross-sectional study of 1504 cases was carried out in Forensic Medicine Department at Gujarat Adani Institute of Medical Sciences, Bhuj from January 2008 to December 2011. Results: The most common cause of death in the majority of the deaths was burns (31.12%) followed by head injury (21.61%), poisoning (11.44%), regional injury (9.37%), drowning (5.12%) and hanging (5.05%). Maximum incidence (82.26%) seen in females. Most of the victims (42.09%) were in the age group of 21-30 years. Most burns were domestic, in low socio-economic class and in house-wives. 74.57% of cases were accidental in nature as per reports. Conclusion: Most of the causes are preventable. The result of this study indicates that, by not only a strong legal support network but also safety precautions, opportunities for essential education and awareness, alternative accommodation and a change in attitude and mind set of society, judiciary, legislature, executive, men and the most importantly women herself can lower or prevent such deaths.
National Journal of Community Medicine, 2014
Background: Globally, burn injuries are one of the major health hazards, caused by a variety of agents such as heat, electricity, radiation, and corrosive substances. In a developing country like India, burn injuries continue to be a challenging problem due to poor medical facilities, lack of safety measures, absence of public awareness, dowry, poverty and illiteracy. The present study was conducted to study epidemiology, clinical presentation of burn victims. Methods: A descriptive, epidemiological study was done with a pre designed proforma for eight months among 58 cases with thermal injuries. The proforma was translated in local language and informed verbal consent was obtained from the respondent in favorable situation. The accompanying person’s consent was taken in other situation.All the information on various aspects of burn related epidemiology was gathered either from the patient or from the accompanying person depending on the severity of case. Results: Among 58 cases, 46 were females and 12 were males. Illiteracy was present in more than one third subjects. There was significant difference in the incidence for occurrence of burn among different gender,place of residence, education level, occupation, marital status, social class(P<.001). Accidental outnumbered suicidal etiology. No case of homicide was found. Marital disharmony was the reason in 6 cases. The average TBSA affected was 41.3%. As outcome concerned, 24 died and 8 referred to higher centre having specialized burn unit for better management. Conclusion: Individual, mass and parenteral, community based preventive health education is the urgent need to combat the situation.
Burns, 1998
An analysis of autopsy records of burn victims revealed that most burn deaths occurred in the age group 21-40 years (67 per cent) with female preponderance (61 per cent) in all age groups except in the extreme age groups. 62 per cent of burn cases originated in urban areas. The majority of subjects (99 per cent females and 76 per cent males) died as a result of flame burns. Kerosene was the most common factor (76 per cent) in burn deaths. 11 per cent of deaths were due to the stove bursting and 27 per cent of victims died due to leakage of oil from the stove. 39 per cent of subjects sustained burns when their cIothes caught fire. Scalds (3.3 per cent), electrical (4.7 per cent) and chemical (2.3 per cent) burns were more commonly seen in males. mainly sustained at their working place. Accidental burns were observed in 80 per cent of subjects followed by suicidal (16.2 per cent) and homicidal burn assaults (4.1 per cent). Peak incidence of burns in females was observed between 5.01 a.m. and 11 a.m. (38 per cent), which was the time of least incidence in males (10.3 per cent). The opposite trend was seen between 11.01 p.m. and 5 a.m. Among males, burn deaths were more common (85 per cent) in those who were living alone, away from their families; whereas in women the incidence of burn deaths was higher (74 per cent) in those living with their families. The majority of deaths due to burns occurred within one week (77 per cent) of the incident. Septicaemia was the major cause of death (55 per cent). 0
Analysis of incidence, etiology and risk factors associated in acute burns injury in adults
International Journal of Surgery Science, 2019
Introduction: Burn injuries have major health problem because of its high, morbidity, disability and mortality in young and middle-age 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 to clinical profile and treatment outcome of burn patients in the our Institute. Material methods: This observational study was conducted from March 2017 to July 2018 in patients of burn injury who were admitted in general surgical wards of Pandit B. D. Sharma PGIMS Rohtak Haryana. We have studied 226 burn patients who admitted in our general surgical units of our Institute. Burns patients who are above 18 years and both sexes were including in the study and patients less than18 years of age were excluded from 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%. Least patients are seen in 50-75 percentage of burn. As regard to causes, The 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 seven cases. Conclusion: Burn injury prevention is very difficult task, but to avoid the significant morbidity and mortality 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, administrators can only minimize the incidence of burn injury in India.
Journal of Evidence Based Medicine and Healthcare, 2021
BACKGROUND The skin is the largest organ of our body with a complex function. Burn injuries result in damage to the skin by electrical, chemical, thermal or radiation energies or a combination of them, by far the most common being the thermal injuries. However, most burn injuries are preventable and hence need preventive strategies. Outcome is dependent on various factors. The focus of this study is to provide an overview of various factors and clinical presentation of burn injury and their correlation of these various factors with outcome of burn injury. METHODS A retrospective facility-based document review analytical study was conducted on 215 patients admitted in the emergency (burn ward) department of Government Medical College and Hospital, Srinagar, Kashmir from September 2019 to September 2020. RESULTS In our study, out of total 215 hospitalized burn patients, 101 (47 %) were female and 114 (53 %) were males. In 103 (47.9 %) patients, burn injury was caused by scald burn, ka...