Burn epidemiology in the Brisbane and Queensland area

The aim was to evaluate changes in patterns of injury and whether mortality rates have decreased.

The database over 20 years from 1982 to 2002 and the 6 years 1997 to 2003 was studied.

4523 admissions. 73.7% males, 26.3% females. Monthly and seasonal admissions showed little fluctuation. 52.8% in the 21-40 years age group, 19.7% under 20 years, 19.4% in the 41-60 years group and 8.1% over 60 years. TBSA: 80.4% under 20%, 12.6-21% to 40%, 3.3-41% to 60% and 3.4% were over 61%. Causes: flame 56%, scalds 26%, contact 9%, chemical 5%, electrical 2%, friction 1% flash burns 1%. Fifty five percent at home, 20% work, 13% motor vehicles and 11% leisure. Fifteen percent had significant inhalation injuries and 81% required intubation. Mortality rate for 6 years was 2.1%. In 1972-1996 of 4096 burns was 3.6% and 3.4% in 1993-1996.

Little change in patterns of injury. Burns less than 20% predominate. The majority were under 40 years. Inhalation injury, large burns and elderly were major causes of morbidity and mortality. Mortality rate is falling.