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Journal Article

Citation

Srivastava S, Kumari H, Singh A, Rai RK. Ann. Burns Fire Disasters 2018; 31(3): 174-177.

Affiliation

University of Health Sciences, Jaipur, India.

Copyright

(Copyright © 2018, Mediterranean Council for Burns and Fire Disasters)

DOI

unavailable

PMID

30863247

Abstract

Electrical burn injury (EBI) is a mutilating form of injury. The objective of this study was to evaluate the various aspects of EBI and analyse the differences between high voltage injury (HVI) and low voltage injury (LVI). A retrospective study was conducted by reviewing the medical records of all burn admissions from June 2016 to May 2017. A total of 1572 patients were admitted, of which 385 (24.49%) had suffered an electrical injury. 104 (27.01%) patients sustained LVI and 281 (72.98%) HVI. One hundred patients from both groups were randomly selected using the chit method, in order to analyse their differences. In our study, the mean age was 35.23±19.96 in the HVI group and 24.15±14.39 years in the LVI group. Most of the injuries were work related. Events during the early phase of admission included a rise in serum creatine phosphokinases, myoglobinuria, renal failure, abnormal cardiac events and other concomitant injuries in the HVI group (p<0.001). Unfavourable outcomes in the form of amputations, prolonged hospital stay and high mortality rate were observed in the HVI group (8.5%) (p<0.027). However, LVI cannot be overlooked as number of reconstructive surgeries and mean number of operations showed no significant difference between both groups. HVI has a disastrous impact on burn survivors but LVI cannot be underestimated. We advocate a low threshold for managing associated injuries, education on safety principles, for men at work especially, and infrastructure improvement by the state to bring changes to the present scenario.


Language: en


Les brûlures électrothermiques (BET) sont des blessures particulièrement mutilantes. Le but de cette étude rétrospective, conduite à partir des dossiers des patients hospitalisés entre juin 2016 et mai 2017 est d'analyser les BET et de comparer celles par bas voltage (BBV) à celles par haut voltage (BHV). Parmi les 1 572 patients, 385 (24,69%) avaient une BET dont 104 (27,01%) BBV et 281 (72,98%) BHV. Nous avons tiré au sort 100 dossiers de chaque groupe. L'âge du groupe BHV est de 32,23 +/- 19,96 ans, celui de BBV de 24,15 +/- 14,39 ans. La plupart des accidents ont lieu au travail. Le groupe BHV est plus à risque de complications initiales (rhabdomyolyse avec élévation des CPK, myoglobinurie, insuffisance rénale, complications cardiaques) et a plus fréquemment des lésions associées (p<0,001). La mortalité (8,5%) est plus élevée dans le groupe BHV, ainsi que le nombre d'amputations ainsi que la durée de séjour. Toutefois, il ne faut pas minimiser la gravité des BBV car le nombre d'intervention, initiales et de reconstruction, est superposable à celui observé dans les BHV. La prise en charge doit être spécialisée même en cas de BBV et la prévention (mesures de sécurité en particulier au travail, amélioration des infrastructures) doit être améliorée.


Language: fr

Keywords

electrical burn; high voltage injury; low voltage injury; prevention

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