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. 2020 May 6:26:e918881.
doi: 10.12659/MSM.918881.

Epidemiology and Outcome Analysis of 470 Patients with Hand Burns: A Five-Year Retrospective Study in a Major Burn Center in Southwest China

Mian Liu  1 , Haijie Zhu  1 , Rongshuai Yan  2 , Jiacai Yang  1 , Rixing Zhan  1 , Xunzhou Yu  3 , Xiaohong Hu  1 , Xiaorong Zhang  1 , Gaoxing Luo  1 , Wei Qian  1
Affiliations

Epidemiology and Outcome Analysis of 470 Patients with Hand Burns: A Five-Year Retrospective Study in a Major Burn Center in Southwest China

Mian Liu et al. Med Sci Monit. .

Abstract

BACKGROUND This retrospective study aimed to investigate the epidemiology of burns to the hand, including the causes, demographic data, management, and outcome in a single center in Southwest China between 2012 and 2017. MATERIAL AND METHODS A retrospective study included 470 patients with hand burns who were treated at a single hospital in Southwest China between 2012 and 2017. Demographic, injury-related, and clinical data were obtained from the clinical electronic data collection system. RESULTS In 470 patients, men were more commonly admitted to hospital with hand burns (73.62%). Children under 10 years (29.57%) were the main patient group. Hospital admissions occurred in the coldest months, from December to March (55.11%). In 60.21% of cases, hand burns occurred outside the workplace. Fire (40.42%), electricity (30.85%), and hot liquids (20.21%) were the main causes of hand burns. Data from 428 patients showed that burns with a larger total body surface area and deeper burns were associated with surgery and amputation. Burn depth was a risk factor for skin grafting, and lack of burn cooling before hospital admission increased the risk of amputation. Data from 117 patients with localized burns showed that full-thickness burns and lack of cooling before admission were associated with an increased hospital stay. CONCLUSIONS The findings suggest that in Southwest China, prevention programs for children aged 0-9 years, injuries occurring in winter and non-workplace sites, and fire burns were imperative.

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Conflict of interest statement

Conflict of interest

None.

Figures

Figure 1
Figure 1
The inclusion and exclusion criteria and the process of patient analysis.
Figure 2
Figure 2
The age groups of the patients with burns of the hands.
Figure 3
Figure 3
The distribution of injury in months of the patients with burns of the hands.
See this image and copyright information in PMC

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