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. 2007 Mar 31;20(1):3-6.

Burns at the soroka university medical center - a two-year experience

R Gurfinkel  1 , A D Cohen, R Glezinger, Y Krieger, N Yancolevich, L Rosenberg
Affiliations

Burns at the soroka university medical center - a two-year experience

R Gurfinkel et al. Ann Burns Fire Disasters. .

Abstract
in English, French

Background. Burn trauma is a major public health concern, with increased risk for burns in children. Objectives. To characterize the profile of injured burn patients and to identify patients who are prone to burn injury. Methods. This is a cross-sectional study including all patients who were admitted to the Burns and Plastic Surgery Department, Soroka University Medical Center, Israel, between 1 January 2001 and 31 December 2002. Results. Five hundred and fifty-eight patients with a mean age of 15.4 yr (SD, 19.5 yr) were included in the study. There were 348 male patients (62.4%). The cause of the burns was scalding in 314 patients (56.3%), flame in 177 (31.7%), chemicals in 31 (5.6%), explosion in 20 (3.6%), and electricity in four (0.7%). There were 325 Bedouin patients (58.2%) and 221 Jewish patients (39.6%). In Bedouins, 235 patients (72.3%) were children below 5 yr, compared to 59 Jewish patients (26.7%) (p < 0.001). Eighteen burn patients (3.2%) expired. A multivariate analysis demonstrated that age and percentage of body surface area involved in the burn were significantly associated with mortality. Conclusions. The epidemiological characteristics of the burned population in Soroka University Medical Center are described. Burn injury has become a principal public health problem, particularly in Bedouin children.

Données de base. Les traumatismes causés par les brûlures constituent un important problème de santé publique, avec des risques encore plus graves pour les enfants. Buts. Caractériser le profil des patients brûlés et identifier ceux qui sont exposés à ce type de risque. Méthodes. Cette étude transversale comprenait tous les patients hospitalisés dans le Département de Brûlures et Chirurgie Plastique du Centre Médical de l’Université de Soroka, Israël, entre 1/1/01 et 31/12/02. Résultats. L’étude intéressait 558 patients (âge moyen, 15,4 ans; déviation standard, 19,5 ans), dont 348 du sexe masculin (62.4%). La cause des brûlures était l’ébouillantement chez 314 patients (56,3%), les flammes chez 1717 (31,7%), les produits chimiques chez 31 (5,6%), les explosions chez 20 (3,6%) et l’électricité chez quatre (0,7%). Il y avait 325 patients bédouins (58,2%) et 221 patients juifs (39,6%). Chez les Bédouins, 235 patients (72,3%) étaient des enfants âgés de moins de 5 ans par comparaison avec 59 patients juifs (26.7%) (p < 0.001). Dix-huit patients brûlés (3,2%) sont décédés. Une analyse multivariée a démontré que l’âge et pourcentage de la surface corporelle brûlée étaient associés en manière significative avec la mortalité. Conclusions. Les Auteurs décrivent les caractéristiques épidémiologiques de la population brûlée au Centre Médical Universitaire de Soroka. Les brûlures sont devenues un problème prédominant de la santé publique, particulièrement chez les enfants bédouins.

Keywords: BURNS; CENTER; EXPERIENCE; MEDICAL; SOROKA; UNIVERSITY.

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Figures

Fig. 1
Fig. 1. Age distribution of 558 patients hospitalized for burns
Fig. 2
Fig. 2. Cause of the burns in 558 patients hospitalized for burns
Table I
Table I. Days of hospitalization of burn-injured patients, stratified according to extent of burns
Table II
Table II. Age distribution of burn-injured patients, stratified according to origin
Table III
Table III. Multivariate analysis for factors associated with mortality in burn-injured patients
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