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Burn epidemiology: the Pink City scene
M Gupta1, O K Gupta, R K Yaduvanshi
1Department of Burns and Plastic Surgery, SMS Hospital, Jaipur, India.
Burns : Journal of the International Society for Burn Injuries
|February 1, 1993
Summary
This study analyzed 629 burn patients, finding most burns occurred at home among young adults. Flame burns were most common, with a high overall mortality rate of 48.3%, especially for extensive injuries.
Area of Science:
- Medical Statistics
- Burn Injury Epidemiology
Background:
- Burn injuries represent a significant public health concern.
- Understanding patient demographics and injury characteristics is crucial for effective treatment and prevention strategies.
Purpose of the Study:
- To statistically analyze the characteristics of burn patients.
- To investigate the relationship between burn causes, extent, and patient demographics with mortality rates.
Main Methods:
- Retrospective statistical analysis of 629 burn patients treated between January 1989 and August 1990.
- Data collected included patient demographics, burn cause, extent, socioeconomic status, and time to admission.
- Analysis focused on mortality in relation to age, burn cause, and percentage of total body surface area (TBSA) burned.
Main Results:
- Adolescent and young adults (11-40 years) constituted 64.8% of patients; males represented 54%.
- Most burns (82.65%) occurred at home, primarily due to flames (67.9%) or scalds (16.4%).
- The overall mortality rate was 48.3%, with significantly higher mortality in patients with extensive burns (80% for >40% TBSA, 100% for >70% TBSA).
Conclusions:
- Burn injuries disproportionately affect young adults and occur frequently in domestic settings.
- Flame burns are the leading cause of burn-related mortality.
- Burn extent is a critical determinant of survival, with severe injuries (>40% TBSA) having a very high fatality rate.