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

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


Colombia, epidemiology, risk factor, prevention, burns


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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Anzarut A, Chen M, Shankowsky H, et al. Quality-of life and outcome predictors following massive burn injury. Plast Reconstr Surg. 2005; 116(3):791–797.

Arifi H, Ahmeti H, Zatriqi V, Buja S, Rexhaj Z, Arifi N. Epidemiology of burn injuries in Kosovo: a 10-year review. Ann Burns Fire Disasters. 2017; 30(3):163–166.

Belliappa P, McCabe S. The burned hand. Hand Clin. 1993;9:313–24.

Bhansali CA, Gandhi G, Sahastrabudhe P, Panse N. Epidemiological study of burn injuries and its mortality risk factors in a tertiary care hospital. Indian J Burns. 2017; 25:62-66.

Brown M, Coffee T, Adenuga P, Yowler C. Outcomes of outpatient management of pediatric burns. J Burn Care Res. 2014; 35: pp. 388-394.

Choi M, Armstrong M, Panthaki Z. Pediatric hand burn: thermal, electrical, and chemical. J Craniofac Surge. 2009; 20(4):1045–1048.

Danielson J, Capelli M, Lee R. Upper extremity electrical injury. Hand Clin. 2000; 16:225–234.

Duke J, Wood F, Semmens J, Edgar D, Spilsbury K, Rea S. An assessment of burn injury hospitalisations of adolescents and young adults in Western Australia. Burns J Int Soc Burn Inj. 2012; 38:128–35. DOI 10.1016/j.burns.2011.02.008

Edstrom L, Robson M, Macchiaverna J, Scala A. Prospective randomized treatments for burned hands: nonoperative vs. operative. Preliminary report. Scand J Plast Reconstr Surg. 1979; 13:131.

Engrav L, Dutcher K, Nakamura D. Rating burn impairment. Clin Plast Surg. 1992; 19:569–598.

Engrav L, Heimbach D, Reus J, et al. Early excision and grafting vs. nonoperative treatment of burns of indeterminant depth: a randomized prospective study. J Trauma. 1983; 23:1001.

Erdmann T. Tap water burn prevention: the effect of legislation. Pediatrics. 1991; 88:572–577

Forjuoh S. Burns in low- and middle-income countries: a review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns. 2006; 32:529.

Goodwin C, Maguire M, McManus W, Pruitt B Jr. Prospective study of burn wound excision of the hands. J Trauma. 1983; 23:510.

Hwee J, Song C, Tan K, Tan B, Chong S. The trends of burns epidemiology in a tropical regional burns centre. Burns: Journal of the International Society for Burn Injuries. 2016; 42(3):682–686. DOI 10.1016/j.burns.2015.10.019

Kreymerman P, Andres L, Lucas H, et al. Reconstruction of the burned hand. Plast Reconstr Surg 2011; 127(2):752–759.

Macarthur C. Evaluation of Safe Kids Week 2001: prevention of scald and burn injuries in young children. Injury Prevention. 2003; 9:112–116.

Miller S, Jeng J, Bessey P, et al. National Burn Repository. Chicago, Ill: American Burn Association. 2005:1–51.

Ministerio de Salud Registro especial de prestadores de servicios de salud. Ministerio de salud, República de Colombia; 2015.

Mohammadi A, Bakhshaeekia A, Marzban S, et al. Early excision and skin grafting versus delayed skin grafting in deep hand burns (a randomised clinical controlled trial). Burns. 2011; 37:36

Ng D, Anastakis D, Douglas L, Peters W. Work related burns: A 6-year retrospective study. Burns. 1991; 17:151–154.

Ogada E, Gebreab A, Potokar T. Review of the epidemiology of burn injuries in Ethiopia; implications for study design and prevention. Burns. 2019. DOI 10.1016/j.burnso.2019.05.002

Palmieri T. Initial Management of Acute Pediatric Hand Burns. Hand Clin. 2009; 25(4):461–467. DOI 10.1016/j.hcl.2009.06.006

Peck M, Kruger G, van der Merwe A, et al. Burns and fires from non-electric domestic appliances in low and middle income countries Part I. The scope of the problem. Burns. 2008; 34:303.

Peck M. Epidemiology of Burns throughout the World. Part I Distribution and Risk Factors. Burns. 2011; 37, 1087-1100

Pegg S. Burn epidemiology in the Brisbane and Queensland area. Burns J Int Soc Burn Inj. 2005; 31(Suppl 1):S27–31. DOI 10.1016/j.burns.2004.10.004

Pegg S. Escharotomy in burns. Ann Acad Med Singapore. 1992; 21:682–684.

Piccolo N, Piccolo M, Piccolo P, et al: Escharotomies, fasciotomies and carpal tunnel release in burn patients: review of the literature and presentation of an algorithm for surgical decision making. Handchir Mikrochir Plast Chir. 2007; 39:161–167.

Pruitt B Jr, Dowling J, Moncrief J. Escharotomy in early burn care. Arch Surg. 1968; 96:502–507.

Ramirez C, et al. Infection in burn patients in a referral center in Colombia. Burns. 2017. DOI 10.1016/j.burns.2016.07.008

Richards, Winston T., et al. Acute Surgical Management of Hand Burns. Journal of Hand Surgery. 2014; 39(10): 2075-2085.

Rybarczyk M, Schafer J, Elm C, Sarvepalli S. A systematic review of burn injuries in low- and middle-income countries: Epidemiology in the WHO-defined African Region. Afr J Emerg Med. 2017; 7(1):30–37.

Schneider J, Holavanahalli R, Helm P, et al. Contractures in burn injury part II: investigating joints of the hand. J Burn Care Res. 2008; 29(4):606–13.

Sheridan RL, Hurley J, Smith MA, et al. The acutely burned hand: Management and outcome based on a ten-year experience with 1047 acute hand burns. J Trauma.1995; 38:406–411.

Shupp J, Pavlovich A, Jeng J, Pezzullo J, Oetgen W, Jaskille A, et al. Epidemiology of bloodstream infections in burn-injured patients: a review of the national burn repository. J Burn Care Res. 2010; 31:521–528.

Sinha S, Nuñez Martinez C, Hartley RL, Quintana Alvarez RJ, Yoon G, Biernaskie J, Nickerson D, Gabri Epidemiological analysis of pediatric burns in the Dominican Republic reveals a demographic profile at significant risk for electrical burns. Burns. 2018; 45(2), 471-478. DOI 10.1016/j.burns.2018.03.014

Smolle C, Cambiaso-Daniel J, Forbes A, et al. Recent trends in burn epidemiology worldwide: A systematic review. Burns. 2017; 43(2):249–257. DOI 10.1016/j.burns.2016.08.013

Tambuscio A, Governa M, Caputo G, Barisoni D. Deep burn of the hands: Early surgical treatment avoids the need for late revisions? Burns. 2006; 32:1000.

Van Zuijlen P, Kreis R, Vloemans A, et al. The prognostic factors regarding long-term functional outcome of full-thickness hand burns. Burns. 1999; 25:709.

Wang K, Sun Y, Wu G, Wang Y, Xia Z. Epidemiology and outcome analysis of hand burns: a 5-year retrospective review of 378 cases in a burn center in Eastern China. Burns. 2015; 41:1550–1555.

Wong E, Groen R, Kamara T, Stewart K. Burns in Sierra Leone: a population-based assessment. Burns. 2014; 40(8):1748–1753.

Ytterstad B, Sogaard A. The Harstad Injury Prevention Study: prevention of burns in small children by a community-based intervention. Burns. 1995, 21:259–266.

Zikaj G, Belba G, Xhepa G. Epidemiology of hand burn in Albania 2011-2016. Open access Maced.