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Burns in the disabled

R Backstein1, W Peters, P Neligan

  • 1Ross Tilley Burn Centre, Wellesley Hospital, Toronto, Canada.

Burns : Journal of the International Society for Burn Injuries
|June 1, 1993
PubMed
Summary
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Burn injuries in patients with disabilities are often preventable, occurring at home due to factors like scalds. These patients experienced longer hospital stays and higher mortality rates compared to the general population.

Area of Science:

  • Burn Injury Research
  • Disability Studies
  • Public Health

Background:

  • Burn injuries pose significant risks, particularly for individuals with pre-existing disabilities.
  • Understanding the specific circumstances and patient populations affected is crucial for prevention.

Purpose of the Study:

  • To analyze burn injuries in patients with premorbid disabilities.
  • To identify common causes and patient demographics.
  • To compare outcomes with the general burn patient population.

Main Methods:

  • Retrospective analysis of 812 patients admitted to a burn center (1984-1992).
  • Identification of 37 cases with burn injuries directly related to premorbid disabilities.
  • Review of patient demographics, burn characteristics, and outcomes.

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Main Results:

  • 83.8% of burns occurred in the home, often as scalds.
  • Commonly associated disabilities included neurological disorders (spinal cord, seizure, CVA, Parkinson's, Alzheimer's), diabetes, and obesity.
  • Disabled patients had a higher mortality rate (22.2% vs. 6.0%) and comparable length of stay despite smaller burn size.

Conclusions:

  • Burn injuries in disabled individuals are frequently preventable.
  • Targeted prevention strategies are needed for this vulnerable population.
  • The study highlights the need for improved safety measures and awareness.