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. 2014 Sep 30;27(3):115-20.

Epidemiology of outpatient burns in Iran: an update

H Karimi  1 , S A Motevalian  2 , M Momeni  3
Affiliations

Epidemiology of outpatient burns in Iran: an update

H Karimi et al. Ann Burns Fire Disasters. .

Abstract
in English, French

Burn injury remains a serious and devastating issue faced by developing countries. It is also true, however, that the developed world still tackles many of the challenges caused by burns. In order to reduce this problem through preventive programs, the characteristics of this type of injury must be studied and well documented in each setting. Our study aims to show the epidemiology, demographic distribution and clinical outcomes of burns patients referred to Motahari Burn Hospital, the burn care center that receives the most referrals in Iran. This cross-sectional study, from March 2009 to March 2010, included 6,910 patients with burn injuries who were managed as outpatients. The patient demographics along with the characteristics of the burn injuries and their outcomes were recorded for each case and then evaluated. A total of 6,910 burn patients with a mean ± SD age of 30.20 ± 19.11 years presented to our Emergency Department and were treated as outpatients. Of these, 2,900 were female (41.97%) and 4,010 were male (58.03%). Most of the patients were in the 25-35 year age group, with a prevalence of 1,148 (28.6% of total) males and 716 females (24.7% of total), followed by those aged <15-years-old. Most patients had been burned accidentally. An increase in the instance of self-immolation was identified with an increase in the TBSA burned. Mean follow-up was 30+/-5 months. The results revealed that burns were most likely to occur during housekeeping. Other high risk groups identified were males, those aged from 25 to 35 years-old, and those with lower socio-economic status.

Dans les pays en développement les brûlures sont un problème grave. Il est également vrai que le monde développé aborde encore de nombreux défis causés par des brûlures. Afin de réduire ce problème en développant un programme de prévention, les caractéristiques de ce type de blessure devraient être étudiées et bien documentées dans chaque paramètre. Notre étude vise à montrer l’épidémiologie, répartition démographique et les résultats cliniques de patients brûlés traitées à l’hôpital Motahari en Iran. L’étude transversale de Mars 2009 à Mars 2010 comprend 6.910 patients atteints de brûlures qui ont été gérées en ambulatoire. La démographie ainsi que les caractéristiques des brûlures et leurs résultats ont été enregistrés pour chaque cas, puis évalués. Un total de 6.910 patients brûlés avec un moyen âge de 30,20±19,11 années sont présentés à notre service d’urgence et ont été traités en ambulatoire. Parmi ceux-ci, 2.900 étaient de sexe féminin (41,97%) et 4.010 de sexe masculin (58,03%). La plupart des patients étaient dans le groupe âgé de 25-35 ans, dont 1.148 (28,6% du total) étaient des hommes et 716 (24,7% du total) des femmes, suivis par les patients avec moins de 15 ans. La plupart des patients avaient été brûlés accidentellement. Une augmentation de l’occurrence de l’auto-immolation a été identifié avec une augmentation de la surface corporelle totale brûlée. La période moyenne de suivi était de 30+/-5 mois. Les résultats ont révélé que les brûlures étaient les plus susceptibles de se produire lors de l’entretien ménager. D’autres groupes à haut risque identifiés sont: les hommes, les jeunes âgés de 25-34 ans et ceux ayant le statut socio-économique plus faible.

Keywords: Iran; Tehran; burn; epidemiology; outpatient.

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Figures

Fig. 1
Fig. 1. Patient age group and gender.
Fig. 2
Fig. 2. Patient age group and education.
Fig. 3
Fig. 3. Patient insurance coverage (percentage).
Fig. 4
Fig. 4. Frequency of job related causes by percentage of burn injuries (TBSA).
Fig. 5
Fig. 5. Clinical characteristics of patients.
Fig. 6
Fig. 6. Percentage of burn (TBSA) by degree of burn.
Table I
Table I. Features of burn injury in relation to TBSA
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