Epidemiology of Burns Injury in dr. Iskak General Hospital Tulungagung: Two Years (2017-2018) Retrospective Study
DOI:
https://doi.org/10.14228/jpr.v7i1.280Keywords:
Epidemiology, Indonesia, burnsAbstract
Introduction: Burn injury is one of the leading causes of morbidity and mortality in low and middle-income countries. Yet in Indonesia, the epidemiology of burn is rarely reported. The study aims to obtain the epidemiological characteristics of burn patients in Dr. Iskak General Hospital.
Methods: A retrospective analysis study was used and the medical records of patients with burns admitted at Dr. Iskak General Hospital between January 2017 and December 2018 were collected and analyzed statistically.
Results: A total of 80 patients were involved in this study. The most burn victims fell in the adult group (>18 years old), which was 56.3% (n=45). Children were six times more likely to sustain scald burn than adults (OR=6.75I; CI95% 2.47-18.41), meanwhile adults were three times more likely to sustain flame burn than children (OR=3.643; CI95% 1.186-11.190). Most of burn patients (91.25%) were treated surgically. The median of hospital stay was 8 days. Flame burn was the primary etiology for longer hospitalization and there was zero mortality in this study.
Conclusion: We found that the adult group was at the highest risk of acquiring burns. Scald was the major cause of burns in children, while flame was the main etiology in the adult group that caused severe burn and prolonged hospitalization.
References
WHO. WHO Media Center Fact Sheets: Burns. 2018.
Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns. 2011;37(7):1087-100. DOI: https://doi.org/10.1016/j.burns.2011.06.005
Cheng W, Wang S, Shen C, Zhao D, Li D, Shang Y. Epidemiology of hospitalized burn patients in China: A systematic review. Burns Open. 2018;2(1):8-16. DOI: https://doi.org/10.1016/j.burnso.2017.10.003
Wardhana A, Basuki A, Prameswara ADH, Rizkita DN, Andarie AA, Canintika AF. The epidemiology of burns in Indonesia’s national referral burn center from 2013 to 2015. Burns Open. 2017;1(2):67–73. DOI: https://doi.org/10.1016/j.burnso.2017.08.002
Taha AA, Beshr AA, Tahseen H, Nowar A, Darwish YG. Pattern of burns in a population presented to Cairo University hospitals over one year; an epidemiological study. Burns Open. 2018;2(2):90-93. DOI: https://doi.org/10.1016/j.burnso.2017.12.001
Rybarczyk MM, Schafer JM, Elm CM, Sarvepalli S, Vaswani PA, Balhara KS, et al. A systematic review of burn injuries in low- and middle-income countries: Epidemiology in the WHO-defined African Region. Afr J Emerg Med. 2017;7(1):30-37. DOI: https://doi.org/10.1016/j.afjem.2017.01.006
WHO. WHO biennal report 2010/2011: violence, injury and disability. 2012.
Indonesian Ministry of Health. Report of National Basic Health Research (RISKESDAS) 2013. Jakarta: 2014.
Hidayat TSN, Noer MS, Saputro ID. Five Years Retrospective Study of Burns in Dr Soetomo General Hospital Surabaya. Folia Medica Indonesiana. 2014;50(2): 123-130.
Lu MX, Yu QX. Investigation and analysis of 1230 cases of burn patients. China Mod Doctor. 2012;50:19–20.
American Burn Association NBR. American Burn Association 2012:1–139.
Wong JM, Nyachieo DO, Benzekri NA, Cosmas L, Ondari D, Yekta S, et al. Sustained high incidence of injuries from burns in a densely populated urban slum in Kenya: an emerging public health priority. Burns. 2014;40:1194–200. DOI: https://doi.org/10.1016/j.burns.2013.12.010
Tripathee S, Basnet SJ. Epidemiology and outcome of hospitalized burns patients in tertiary care center in Nepal: Two year retrospective study. Burns Open. 2017;1:16–19. DOI: https://doi.org/10.1016/j.burnso.2017.03.001
Maritz D, Wallis L, Van DME, Nel D. The aetiology of adult burns in the Western Cape, South Africa. Burns. 2012;38(1):120–7. DOI: https://doi.org/10.1016/j.burns.2010.12.007
Sarabahi S, Tiwari VK, Goel A, Gupta LC. Principles and Practice of Burn Care: Jaypee Publishers; 2010.
Australian and New Zealand Burn Association. Emergency Management of Severe Burns: 17th edition; 2013. p. 5-6.
Sharma NP, Duke JM, Lama BB, Thapa B, Dahal P, Bariya ND, et al. Descriptive epidemiology of unintentional burn injuries admitted to a tertiary-level government hospital in Nepal: gender-specific patterns. Asia-Pac J Public Health. 2015;27(5):551–60. DOI: https://doi.org/10.1177/1010539515585386
Schiefer JL, Perbix W, Grigutsch D, Zinser M, Demir E, Fuchs PC, et al. Etiology, incidence and gender-specific patterns of severe burns in a German Burn center-insights of 25 years. Burns. 2016;42:687–96. DOI: https://doi.org/10.1016/j.burns.2015.10.031
Nasih O, Denise K. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC Public Health. 2010;10:83. DOI: https://doi.org/10.1186/1471-2458-10-83
Klein MB. Thermal, chemical, and electrical injuries. Grabb & Smith's Plastic Surgery: Seventh edition: Wolters Kluwer Health Adis (ESP); 2013. p. 132-149.
Buja Z, Hoxha E. Burns in Kosovo: Epidemiological and therapeutic aspects of burns treated in University Clinical Center of Kosovo during the period 2003–2012. Burns Open. 2018;2:66-70. DOI: https://doi.org/10.1016/j.burnso.2017.11.004
Louise CN, David M, John SK. Is the target of 1 day length of stay per 1% total body surface area burned actually being achieved? A review of paediatric thermal injuries in South East Scotland. Int J Burns Trauma. 2014;4:25–30.
Martina NR, Wardhana A. Mortality analysis of adult burn patients. Jurnal Plastik Rekonstruksi. 2013;2(2):96–100. DOI: https://doi.org/10.14228/jpr.v2i2.155
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Fiera Avrillia Ferdianty, Santi Devina
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors retain the copyright of the article and grant Jurnal Plastik Rekonstruksi the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License. Articles opting for open access will be immediately available and permanently free for everyone to read, download and share from the time of publication. All open access articles are published under the terms of the Creative Commons Attribution-Non-commercial-NoDerivatives (CC BY-NC-ND) which allows readers to disseminate and reuse the article, as well as share and reuse of the scientific material. It does not permit commercial exploitation or the creation of derivative works without specific permission.