TY  - JOUR
PY  - 2024//
TI  - Self-inflicted burns in Brazil: systematic review and meta-analysis
JO  - Revista do Colégio Brasileiro de Cirurgiões
A1  - Nascimento, João Henrique Fonseca DO
A1  - Souza Filho, Benjamim Messias DE
A1  - Tomaz, Selton Cavalcante
A1  - Vieira, Adriano Tito Souza
A1  - Silva Neto, Marinho Marques DA
A1  - Andrade, André Bouzas DE
A1  - Santana, Diogo Radomille DE
A1  - Gusmão-Cunha, André
SP  - e20243665
EP  - e20243665
VL  - 51
IS  - 
N2  - INTRODUCTION: burns represent a pivotal component of trauma in Brazil, accounting for 2 million incidents and 2,500 deaths annually. Self-intentional burns are associated with a worse prognosis, larger burned surface area, higher infection rates, and death. The lack of studies on the issue of self-immolation raises epidemiological questions regarding Brazilian victims. This study aimed to investigate the profile of burn events associated with self-injurious behavior among Brazilian victims. <br><br>METHODS: this systematic review was performed according to PRISMA 2020 guidelines and evaluated the correlation between self-injurious behavior as a cause of burns in Brazilian victims and its epidemiological implications in the last 20 years (2003-2023). The MeSH terms "Burns", "Self-Injurious Behavior", "Epidemiology" and "Brazil" were queried in the PubMed/MEDLINE, SciELO, and Cochrane Library databases, and, after selection by inclusion/exclusion criteria, the most relevant studies were critically analyzed. <br><br>RESULTS: From 1,077 pre-selected studies, 92 were potentially eligible, resulting in 7 manuscripts incorporated in this review. From 3,510 burned victims assembled in the pool of selected studies, 311 cases displayed self-injurious behavior. Burned patients who attempted to burn their lives have a higher risk of death (p<0.05; RR=5.1 [3.2-8.1]) and larger burned surface area (p<0.05; MD=19.2 [10-28.2]), compared to accidental cases. Moreover, the female gender was at a higher risk of attempting self-immolation (p<0.05; RR=4.01 [2.9-5.5]). <br><br>CONCLUSION: our results show that self-inflicted burn cases were associated with a larger burned surface area and a higher risk of death, and the female gender was identified as a relevant risk factor in Brazil.<p />  <p>Language: pt</p>
LA  - pt
SN  - 0100-6991
UR  - http://dx.doi.org/10.1590/0100-6991e-20243665-en
ID  - ref1
ER  -