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Electrical burns: a retrospective analysis over a 10-year period
C Brandão1, M Vaz1, I M Brito1
1Department of Plastic Surgery and Burns Unit, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal.
Electrical burns are devastating injuries, often affecting males in occupational settings. High-voltage electrical injuries result in larger burn surface areas and longer hospital stays compared to low-voltage injuries.
Area of Science:
- Trauma Surgery
- Burn Medicine
- Occupational Health
Background:
- Electrical burns, despite low incidence, cause severe devastation.
- Understanding electrical injury patterns is crucial for prevention.
Purpose of the Study:
- Analyze electrical injury characteristics.
- Identify factors influencing severity.
- Develop prevention strategies.
Main Methods:
- Retrospective analysis of 99 electrical burn patients over 10 years.
- Data collected: demographics, injury mechanism, voltage, burn size (TBSA), complications, surgeries, length of stay (LOS).
- Comparison between low-voltage, high-voltage, and flash burns.
Main Results:
- 97% of patients were male; 75% of injuries were occupational.
- High-voltage injuries showed significantly higher TBSA, LOS, and creatinine kinase levels.
- Higher incidence of escharotomy/fasciotomy and flap surgeries in high-voltage cases.
Conclusions:
- High-voltage electrical injuries are more severe than low-voltage.
- Occupational safety regulations and education are vital for preventing electrical burns.
- Targeted safety measures are needed for male workers.
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