The Epidemiology and Management of Electrical Burns in Kasr El-Eni Hospital between the Years 2010-2015 | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 18, Volume 43, Issue 1, January 2019, Page 107-119 PDF (17.66 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2019.65168 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed Andel Salam Hafiz; Mostafa Ahmed Abo Elsaoud; Dina Mostafa Badawi; Mohammad Waseem Zakour | ||||
| The Department of Plastic Surgery, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Background: Electrical burns are classified into low and high voltage burns. The arbitrary cutoff is usually set at 1,000 V. Aim of the Work: This study attempts to show the prevalence of electrical burns in our burn unit and the epidemiological difference between high and low voltage injuries. It comprises retrospective study including the years 2010-2014 and prospective study of the year 2015. Patients and Methods: The retrospective study is more of a statistical analysis of number of electrical burn patients and mortality rate, while in the prospective study we were able to follow the patients, treatment process, response and outcome. Results: In the retrospective section, 1233 burn patients were admitted, 118 were due to electric injury, 21 females, 25 cases of high voltage burns, 93 cases were due to low voltage injury, 44 cases of contact injuries, 83 flash burn patients, 5 cases of amputation and 13 mortality cases. In the prospective section, 277 burn patients were admitted, of which 15 were due to electric injury, 2 females, 10 cases of high voltage burns, 10 cases of low voltage, 14 cases of contact injuries, 1 flash burn patient, 6 cases of amputation and 2 mortality cases. Electric burn injury predominantly involves young males aged 21-40 years. Our study has found a constant incidence of electric burn injuries ranging between 15- 29 cases per year (5.4-10.2% of total burn cases) in the successive years. In 2015, amputation rate was 40%. Since such devastating injuries with high morbidity rate stem from largely avoidable hazards, there is need for adoption of preventive strategies which appear to be the most effective way in controlling health problems related to the electric burn injuries. Conclusion: Standardization of electrical devices and continuous supervision of workers, proper use the devices, security precautions, restriction of access of unskilled individuals to dangerous electrical instruments, settlement of continuous educational programs for workers and electrician can help to reduce electrical injury incidence and meticulous medical care will help to decrease the mortality and disability rates. | ||||
| Keywords | ||||
| Electric burn – High-voltage burn – Low-voltage; burn – Electric burn pathophysiology – Electric; burn management | ||||
| References | ||||
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1- WHO website: Fact sheet Nº365, updated April 2014. retrieved from: http://www.who.int/mediacentre/ factsheets/fs365/en/ 2- American Burns Association, National Burns Repository 2011, Dataset version 7.0 http://www.ameriburn.org/ resources_publications.php 3- Casini V.: Worker Deaths by Electrocution: A summary of NIOSH Surveillance and Investigative Findings. Department of Health and Ten Duis H.J.: Acute electrical burns, Semin Neurol., 15: 381, PUBMED Abstract, 1995. 4- Baker M.D. and Chiaviello C.: Household electrical injuries in children: Epidemiology and identification of 118 Vol. 43, No. 1 / The Epidemiology & Management of Electrical Burns avoidable hazards, Am. J. Dis. Child, 143: 59, PUBMED Abstract, 1989. 5- Luz D.P., Millan L.S. and Alessi M.S.: Electrical burns: A retrospective analysis across a 5-year period. Burns. Nov., 35 (7): 1015-9, 2009. 6- Spies C. and Trohman R.G.: Narrative review: Electrocution and life threatening electrical injuries. Ann. Intern. Med., Oct. 3; 145 (7): 531-7, 2006. 7- Jeschke M.G., Williams F.N., Gauglitz G.G. and Herndon D.N.: Burns. In: Townsend M., Beauchamp R.D., Evers M.B., Kenneth M.L. (eds) Sabiston textbook of surgery, Vol 19. Elsevier, Philadelphia, p 521, 2012. 8- Jeschke M.G., Chinkes D.L., Finnerty C.C., Kulp G., Suman O.E., Norbury W.B., Branski L.K., Gauglitz G.G., Mlcak R.P. and Herndon D.N.: Pathophysiologic response to severe burn injury. Ann. Surg., 248 (3): 387-401, 2008. 9- Kopp J., Loos B., Spilker G. and Horch R.E.: Correlation between serum creatinine kinase levels and extent of muscle damage in electrical burns. Burns, Nov. 30 (7): 680-3, 2004. 10- Mann R., Gibran N. and Engrav L.: Is immediate decompression of high voltage electrical injuries to the upper extremity always necessary. J. Trauma, 40 (4): 584-589, 1996. 11- F.M. and Mutlu Duman H.: Electrical-cataract: Chi Y. Early-onset a rare clinical entity. J. Burn Care Rehabil, 25: 363-365, 2004. 12- Cherington M., Yarnell P. and Lammereste D.: Lightning strikes: nature of neurological damage in patients evaluated in hospital emergency departments, Ann. Emerg. Med., 21: 575, PUBMED Abstract, 1992. 13- Kelley K.M.: Neuropsychiatric aspects of electrical injury: the nature of psychiatric disturbance, Ann. N. Y. Acad. Sci., 720: 213-218, PUBMED Abstract, 1994. 14- Brych S.B., Engrav L.H., Rivara F.P., Ptacek J.T., Lezotte D.C., Esselman P.C., Kowalske K.J. and Gibran N.S.: Time off work and return to work rates after burns: Systematic review of the literature and a large two-center series. J. Burn Care Rehabil, 22 (6): 401-405, 2001. 15- Jain S. and Bandi V.: Electrical and lightning injuries, Crit. Care Clin., 15: 319, PUBMED Abstract, 1999. 16- Rabban J.T., Blair J.A., Rosen C.L., Adler J.N. and Sheridan R.L.: Mechanisms of pediatric electrical injury. New implications for product safety and injury prevention. Arch. Pediatr. Adolesc. Med. Jul., 151 (7): 696-700, 1997. 17- Rabban J., Adler J., Rosen C., Blair J. and Sheridan R.: Electrical injury from subway third rails: Serious injury associated with intermediate voltage contact. Burns Sep., 23 (6): 515-8, 1997. 18- Yaser Ghavami, Mohammad Reza Mobayen and Reza Vaghardoost: Electrical Burn Injury: A Five-Year Survey of 682 Patients, Trauma Mon. Nov., 19 (4): e18748, 2014. 19- Nursal T.Z., Yildirim S., Tarim A., Caliskan K., Ezer A. and Noyan T.: Burns in southern Turkey: electrical burns remain a major problem. J. Burn Care Rehabil., 24 (5): 309-14, 2003. 20- Cheng P.T., Lee C.E. and Yang J.Y.: Electrical injuryclinical report of 67 cases. Changgeng Yi Xue Za Zhi., 17 (3): 220-5, 1994. 21- Sun C.F., Lv X.X., Li Y.J., Li W.Z., Jiang L. and Li J.: Epidemiological studies of electrical injuries in Shaanxi province of China: A retrospective report of 383 cases. Burns, 38 (4): 568-72, 2012. 22- Buja Z., Arifi H. and Hoxha E.: Electrical Burn Injuries. An Eight-year Review. Ann. Burns Fire Disasters, 23 (1): 4-7, 2010. 23- Tarim A. and Ezer A.: Electrical burn is still a major risk factor for amputations. Burns, 39 (2): 354-7, 2013. 24- Kym D., Seo D.K., Hur G.Y. and Lee J.W.: Lee: Epidemiology of electrical injury: Differences between lowand high-voltage electrical injuries during a 7-year study period in south korea. Scand J. Surg. Jun., 104 (2): 108- 14, 2015. doi: 10.1177/1457496914534209. Epub 2014 May 7. 25- Al Ibran E., Raza M.Z., Sajjad A. and Waqar S.M.: Evaluation of electric burn injury cases admitted in burns centre, Karachi. J. Dow Uni Health Sci., 6 (3): 82-85. Journal of the Dow University of Health Sciences Karachi, Vol. 6 (3): 82-85, 2012. 26- Rubanov Leonid and Yarets Yuliya: Epidemiology and peculiarities of electrical injuries and burns in gomel region of belarus. http://old.ewma.org/fileadmin/user_ upload/EWMA/Abstracts_ENG_til_Web_Part__131.pdf | ||||
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