Comparing characteristics and outcome between high and low voltage electrical burn injuries.
Main Article Content
Abstract
This study aimed to compare characteristics and outcomes between high and low-voltage electrical burns.
A retrospective study was conducted on 1205 electrical burn patients admitted to the Vietnam National Burn Hospital over five years (2015 - 2019).
The results showed that electrical burns accounted for 6.39% of total admitted burn patients. Of them, the high voltage electrical burn group accounted for 69.46%, mainly adults (89.96%) and due to work-related accidents (84.83%). Meanwhile, patients with low voltage electrical injuries were mainly children (50.82%), due to daily life accidents (55.16%) with a significant rate living in a rural area, mainly seen in summer, autumn and late admission (≥ 24h after burn) as compared to high-voltage electrical burn group (p < 0.001).
The burn extent, deep burn area, trauma incidence (3.58% vs. 1.36%; p < 0.05) were remarkably higher in the high voltage electrical burns group. In addition, compared with the low voltage electrical burns, patients with high voltage burns had a significantly higher number of surgical interventions, the incidence of extremity amputation or join removal (28.02% vs. 1.09%; p = 0.001; OR = 25.9) and longer length of hospital stay (35 vs. 25 days; p = 0.01). Moreover, complication rates, such as septic shock, multiple organ failure and mortality rates were also significantly higher in high voltage electrical burn patients (p < 0.01).
Article Details
Keywords
Outcomes, characteristics, electrical burns
References
2. Gille J, Schmidt T, Dragu A, et al. Electrical injury - a dual center analysis of patient characteristics, therapeutic specifics and outcome predictors. Scand J Trauma Resusc Emerg Med. 2018; 26(1): 43.
3. Jiang MJ, Li Z, Xie WG. Epidemiological investigation on 2133 hospitalized patients with electrical burns. Zhonghua Shao Shang Za Zhi. 2017; 33(12): 732 - 737.
4. Kym D, Seo D, Hur G, et al. Epidemiology of electrical injury: differences between low-and high-voltage electrical injuries during a 7-year study period in South Korea. Scandinavian journal of surgery. 2015; 104 (2): 108 - 114.
5. Luz D, Millan L, Alessi M, et al. Electrical burns: a retrospective analysis across a 5-year period. Burns. 2009; 35(7): 1015 - 1019.
6. Waldmann V, Narayanan K, Combes N, et al. Electrical injury. BMJ. 2017: 357.
7. Shih JG, Shahrokhi S, Jeschke MG. Review of adult electrical burn injury outcomes worldwide: an analysis of low-voltage vs high-voltage electrical injury. Journal of Burn Care & Research. 2017; 38(1): e293 - e298.