TY - JOUR
T1 - Burn admissions across low- and middle- income countries
T2 - a repeated cross-sectional survey
AU - Quinn, Laura
AU - Ahmed, Tanveer
AU - Falk, Henry
AU - Altamirano, Ariel Miranda
AU - Muganza, Adelin
AU - Nakarmi, Kiran
AU - Nawar, Ahmed
AU - Peck, Michael
AU - Man Rai, Shankar
AU - Sartori, Jo
AU - Vana, Luiz Philipe Molina
AU - Wabwire, Benjamin
AU - Moiemen, Naiem
AU - Lilford, Richard
N1 - Final Version of Record not yet available as of 08/08/2022
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Burn Association.
PY - 2022/7/5
Y1 - 2022/7/5
N2 - Burn injuries have decreased markedly in high-income counties while the incidence of burns remains high in Low- and Middle- Income Countries (LMICs) where over 90% of burns are thought to occur. However, the cause of burns in LMIC is poorly documented. The aim was to document the causes of severe burns and the changes over time. A cross-sectional survey was completed for 2014 and 2019 in eight burn centres across Africa, Asia and Latin America: Cairo, Nairobi, Ibadan, Johannesburg, Dhaka, Kathmandu, Sao Paulo and Guadalajara. The information summarised included demographics of burn patients, location, cause and outcomes of burns. In total, 15,344 patients were admitted across all centres, 37% of burns were women and 36% of burns were children. Burns occurred mostly in household settings (43% to 79%). In Dhaka and Kathmandu, occupational burns were also common (32% and 43%, respectively). Hot liquid and flame burns were most common while electric burns were also common in Dhaka and Sao Paulo. The type of flame burns varies by centre and year, in Dhaka, 77% resulted from solid fuel in 2014 while 74% of burns resulted from Liquefied Petroleum Gas in 2019. In Nairobi, a large proportion (32%) of burns were intentional self-harm or assault. The average length of stay in hospitals decreased from 2014 to 2019. The percentage of deaths ranged from 5% to 24%. Our data provides important information on the causes of severe burns which can provide guidance in how to approach the development of burn injury prevention programs in LMIC.
AB - Burn injuries have decreased markedly in high-income counties while the incidence of burns remains high in Low- and Middle- Income Countries (LMICs) where over 90% of burns are thought to occur. However, the cause of burns in LMIC is poorly documented. The aim was to document the causes of severe burns and the changes over time. A cross-sectional survey was completed for 2014 and 2019 in eight burn centres across Africa, Asia and Latin America: Cairo, Nairobi, Ibadan, Johannesburg, Dhaka, Kathmandu, Sao Paulo and Guadalajara. The information summarised included demographics of burn patients, location, cause and outcomes of burns. In total, 15,344 patients were admitted across all centres, 37% of burns were women and 36% of burns were children. Burns occurred mostly in household settings (43% to 79%). In Dhaka and Kathmandu, occupational burns were also common (32% and 43%, respectively). Hot liquid and flame burns were most common while electric burns were also common in Dhaka and Sao Paulo. The type of flame burns varies by centre and year, in Dhaka, 77% resulted from solid fuel in 2014 while 74% of burns resulted from Liquefied Petroleum Gas in 2019. In Nairobi, a large proportion (32%) of burns were intentional self-harm or assault. The average length of stay in hospitals decreased from 2014 to 2019. The percentage of deaths ranged from 5% to 24%. Our data provides important information on the causes of severe burns which can provide guidance in how to approach the development of burn injury prevention programs in LMIC.
U2 - 10.1093/jbcr/irac096
DO - 10.1093/jbcr/irac096
M3 - Article
C2 - 35802351
JO - Journal of Burn Care and Research
JF - Journal of Burn Care and Research
SN - 1559-047X
M1 - irac096
ER -