Background: Even that the entire hand represents 4 percent of the TBSA, The American Burn Association, the Advanced Trauma Life Support, and the Advanced Burn Life Support curricula all recognize the severity of hand burns by classifying these as injuries requiring treatment at a burn qualified center. Hand burns occur commonly both as part of larger burn injuries as well as isolated injuries. Due to damage to the skin and other parts of the hand, burns can lead to open wounds, disability, severe emotional and psychological complications, and economic burden. To further improve the effects of preventive measures, studies are needed to investigate the epidemiology, etiology, and outcomes of burn hand patient population.
Aim: To give an overview of epidemiologic features and outcome of burn hand patients who admitted in our Service. This current study was performed in University Hospital Center “Mother Teresa” Tirana which is the only tertiary hospital in Albania.
Material and methods: In this retrospective study were included all patients who had combustion of the hands solely or hands accompanied with burns to other areas of the body, treated and followed up at our Service during the years 2011-2016.
Results: Of the 333 included burn patients, 64% were males.The median age of women is 21.8 years, of men is 27.5 years and the median age total patients’ population is 25.9 years. About half of patients belong to the age group 20-60 years (49.5%) and only 10.2% belong to the age above 60 years. In most of the cases (73.6%), the burn of hands is associated with burn of the other anatomical region, mostly forearm.
Conclusion: The goal of wound management is to have the skin healed by post-burn in two weeks’ time. In many cases, this will occur nonoperatively with good wound care. The surgical treatment is used for less 30% than of patients.Surgical excision of the burn with split-thickness skin grafting should be undertaken as soon as it becomes obvious that wound healing will not be complete by post-burn day 14.The undesirable results of theburn of hands are presented in the 33% of the patients. The contractures were the main unfavorable outcome of the burned hand.
Institute for Health Metrics and Evaluation. The Global Burden of Disease: 2010 Update. IHME, Seattle, 2012.
Murray, C. J. L. & Lopez, A. D. The global burden of disease. A comprehensive assessment of mortality and disability from diseases injuries and risk factors in 1990 and projected to 2020 (Harvard University School of Public Health, 1996).
WHO. A WHO plan for burn prevention and care (World Health Organization, 2008).
Peck M, Pressman MA. The correlation between burn mortality rates from fire and flame and economic status of countries. Burns 2013; 39:105
Ahn, C. S. &Maitz, P. K. M. The true cost of burn. Burns 38, 967–974 (2012).
Tang, K. et al. Characteristics of burn patients at a major burn center in Shanghai. Burns 32, 1037–1043 (2006).
Harats, M. et al. Burns in Israel, comparative study: demographic, etiologic and clinical trends 1997-2003 vs. 2004-2010. Burns 42,500–507 (2016).
Queiroz, L. F. et al. Epidemiology and outcome analysis of burn patients admitted to an intensive care unit in a university hospital. Burns 42, 655–662 (2016).
Sheridan RL, Baryza MJ, Pessina MA, O’Neill KM, et al. Acute hand burns in children: management and long-term outcome based on 10-year experience with 698 injured hands. Ann Surg. 1999; 229(4): 558-564.
Bhattacharya S. Avoiding unfavorable results in postburn contracture hand.Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2013;46(2):434-444
Brown, M. Chung, KC.Postburn Contractures of the Hand. Hand Clin 2017 May; 33(2):317-331
Salisbury RE. Soft tissue injuries of the hand. Hand Clin 1986;2: 25-32.
Rrecaj Sh. et al Splinting In Hand Burns Injury. Our Last Four Years’ Experience. Mater Sociomed , 27(6): 372-375 (2015)
David J. Barillo, MD, FACS; Stephen M. Paulsen, MD, “Management of burns to the hand” Volume 15-Issue1,January 2003
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