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Long-term mortality after self-inflicted burns.

Laura Pompermaier¹, Ingrid Steinvall¹, Moustafa Elmasry¹

¹Department of Hand Surgery, Plastic Surgery and Burns, and Department of Biomedical and Clinical Sciences Linköping University, Linköping, Sweden.

Burns : Journal of the International Society for Burn Injuries

|October 7, 2023

Summary

This summary is machine-generated.

Patients with self-inflicted burns face a higher long-term mortality risk compared to those with accidental burns. This increased risk is evident throughout the study period, particularly in the initial years post-discharge.

Keywords:

Burns Long term mortality Self-inflicted Suicide

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Area of Science:

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Burn Care
Public Health

Background:

Self-inflicted burns represent a distinct patient group with significant injury severity.
In-hospital mortality findings for self-inflicted burns are inconsistent.
Long-term mortality after self-inflicted burns remains understudied.

Purpose of the Study:

To investigate differences in long-term mortality between self-inflicted and accidental burn survivors.
To analyze the long-term survival outcomes for patients with self-inflicted burns.

Main Methods:

Retrospective study of adult burn patients discharged alive between 2000-2017.
Follow-up until April 2021, excluding patients with unknown survival status.
Cox proportional hazards regression, adjusted for age and sex, to assess mortality risk.

Main Results:

37 out of 930 patients had self-inflicted burns.
Self-inflicted burns were independently associated with increased long-term mortality (Hazard Ratio=2.08).
The elevated mortality risk was most pronounced in the early years after discharge but persisted throughout the follow-up period.

Conclusions:

Long-term mortality risk is higher for self-inflicted burn survivors compared to accidental burn survivors.
The increased mortality risk is a long-term phenomenon, most significant in the initial years post-discharge.