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Burns Sustained From Body Heating Devices: An Integrative Review
Rachel Kornhaber1, Denis Visentin2, Sancia West2
1College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia; Department of Plastic and Reconstructive Surgery, National Burns Center, Sheba Medical Center, Tel Hashomer, Israel.
Wounds : a Compendium of Clinical Research and Practice
|August 18, 2020
Summary
Burns from heating devices are preventable. Most injuries affect women, primarily on lower limbs, often requiring surgery. Patient education and clear labeling are crucial for safe use.
Area of Science:
- Burn research
- Medical device safety
- Public health
Background:
- Heating devices offer therapeutic benefits for pain and cold.
- Inappropriate use of these devices can lead to significant burn injuries.
Purpose of the Study:
- To review the incidence, risk factors, outcomes, treatment, and prevention of burns from body heating devices.
- To understand the mechanisms behind these injuries.
Main Methods:
- Systematic literature search of PubMed, CINHAL, EMBASE, and Scopus databases up to January 2020.
- Inclusion of English-language studies and case reports on burns from body heating devices.
Main Results:
- 1343 patients analyzed from 10 retrospective studies; majority were women (63.4%), mean age 27.7 years.
- Common devices: hot water bottles, wheat bags, heating pads. Injuries predominantly on lower limbs/feet, often partial to full-thickness.
- Surgery required for 15-87.4% of hot water bottle burns and 91% of wheat bag burns. Heating pads most common for women post-breast surgery.
Conclusions:
- Burns from body heating devices are largely preventable.
- Enhanced community education and manufacturer labeling are essential for safe usage.
- Consideration of patient cognitive ability and physiology is key to reducing burn incidence and severity.
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