Epidemiology of hand burns in a referral center in Colombia: Retrospective cohort

Main Article Content

Diego Fernando Alarcón Ariza https://orcid.org/0000-0001-8086-0075

Keywords

Colombia, epidemiology, risk factor, prevention, burns

Abstract

Background: Hands are involved in more than 80% of all severe burns. The majority occur in lower resource locations, where prevention programs are exceptional. 


Methods: analytic retrospective study of hand burns patients admitted to the burn unit from January 2013 to December 2017. Univariate, bivariate and multivariate analyses were perform for each outcome variable.


Results: 349 patients with hand burns were included, 60% men and 40% women, most of the inpatients aged from 0- 9 years. Scalds (40%), fire (27%) and contact (15,5%) were the major causes of hand burns. The mean total body surface area (TBSA) compromised was 3.9%, with a range of 0.5- 33% TBSA. Hand burns happened more commonly at home (58,7%). 71 patients (20%) required hand surgery. The mean length of stay was 14,2 days, and the range from 1 day to 108 days. In the multivariate analyses male gender, rural residence, burn extension and depth, were the most significant factors impacted on surgery.


Conclusion: the results of this study contribute to characterize the behavior of hand burns in Colombia. Children are a high risk group, burn prevention education would help to reduce the incidence of hand burns on northeast area of Colombia.

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