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Genital Burns Are Associated With Worse Psychosocial and Physical Outcomes

Suhaib Shah1, George Golovko2, Abbas Karim1

  • 1School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|July 9, 2024
PubMed

Insights

Genital burns significantly increase risks for death, anxiety, and hospitalization in the short term. Long-term, these injuries elevate risks for death and pruritus, highlighting the need for specialized patient care.

Area of Science:

  • Trauma Surgery
  • Psychiatry
  • Burn Care

Background:

  • Genital burns present unique physical and emotional challenges.
  • Understanding their specific impact on patient outcomes is crucial for effective treatment.

Purpose of the Study:

  • To investigate the distinct short-term and long-term psychosocial and physical outcomes following genital burns.
  • To compare these outcomes with other burn injuries, independent of burn severity.

Main Methods:

  • Retrospective cohort study using the TriNetX database (over 117 million patients).
  • Identified 3496 patients with genital burns, categorized by total body surface area (TBSA) and burn degree.
  • Utilized propensity score matching and cohort balancing for demographic factors; analyzed outcomes at 1 month and 5 years.

Main Results:

  • Genital burns significantly increased short-term risks of death (RR: 2.8), anxiety (RR: 2.656), hospitalization (RR: 2.167), and psychiatric conditions (RR: 2.363).
  • Long-term risks for death (RR: 1.658) and pruritus (RR: 1.58) were elevated.
  • Genital burn patients had a lower risk of chronic joint pain (RR: 0.815) compared to other burn injuries.

Conclusions:

  • Genital burns have a distinct impact, leading to increased psychiatric morbidities and specific physical complications.
  • These effects persist regardless of the total body surface area (TBSA) affected.
  • Tailored care strategies are essential to address the unique, long-term challenges faced by patients with genital burns.

Keywords:
burn therapyburnsgenitaliaurologywound healing

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