| Case-controlled study of patients with self-inflicted burns. | |
| | |
MedLine Citation:
|
PMID: 15896510 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The main objectives of this study were to investigate whether patients with self-inflicted burns have larger burns, and a worse outcome, than patients with accidental burns. The secondary objective was to examine patient pre-injury characteristics to identify ways of preventing the burn occurring. A case-controlled study was performed: 36 deliberate self-burn patients were matched separately to two groups of accidental burn patients. The first group was used to compare burn severity. Patients were matched for age and sex; they were excluded if they had a psychiatric diagnosis, or a non-burn injury. The second group was used to compare outcome. The same matching and exclusion criteria were used as in the first group, with the addition of burn-size. Deliberate self-burn patients have significantly larger burns (p<0.01; median total body surface area (TBSA) 10% versus 1.5%) than accidental burn patients. They also stay in hospital longer, even when matched for burn-size (p<0.02; median stay 15 days versus 9 days). Self-inflicted burns occurred in supervised environments in 28% of cases. The number of deliberate self-burns could be reduced with simple interventions such as restricting smoking in hospitals and prisons, and also by identifying high-risk patients. The poor outcome from deliberate self-burns could be improved by well-coordinated multidisciplinary patient management with early psychiatric team involvement. |
| | |
Authors:
|
B M Horner; H Ahmadi; R Mulholland; S R Myers; J Catalan |
Publication Detail:
|
Type: Journal Article Date: 2005-02-17 |
Journal Detail:
|
Title: Burns : journal of the International Society for Burn Injuries Volume: 31 ISSN: 0305-4179 ISO Abbreviation: Burns Publication Date: 2005 Jun |
Date Detail:
|
Created Date: 2005-05-17 Completed Date: 2005-11-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8913178 Medline TA: Burns Country: England |
Other Details:
|
Languages: eng Pagination: 471-5 Citation Subset: IM |
Affiliation:
|
Chelsea and Westminster Hospital, London, England. benhorner@doctors.org.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Accidents Adult Burns / pathology, prevention & control, psychology* Case-Control Studies Female Humans Length of Stay London Male Mental Disorders / complications, pathology, therapy Middle Aged Prisoners Risk Factors Self-Injurious Behavior / pathology, prevention & control, psychology* Smoking Suicide, Attempted Trauma Severity Indices |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A retrospective analysis of 19,157 burns patients: 18-year experience from Hallym Burn Center in Seo...
Next Document: Microdialysis for detection of dynamic changes in tissue histamine levels in experimental thermal in...