Epidemiologic study of burns in elderly people over 60 years old

Background: Burns are one of the most devastating forms of trauma worldwide. In the elderly, flame and scald burns, or scalds alone, are the major causes of burns, occur at home, particularly in the kitchen and bathroom. Because elderly burned patients suffer from greater morbidity and mortality tha...

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Main Authors: Leyla Abdolkarimi, Farrokh Taftachi, Faranak Hayati, Shahrokh Mehrpisheh, Negar Seify Moghadam
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2018-07-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-63&slc_lang=en&sid=1
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author Leyla Abdolkarimi
Farrokh Taftachi
Faranak Hayati
Shahrokh Mehrpisheh
Negar Seify Moghadam
author_facet Leyla Abdolkarimi
Farrokh Taftachi
Faranak Hayati
Shahrokh Mehrpisheh
Negar Seify Moghadam
author_sort Leyla Abdolkarimi
collection DOAJ
description Background: Burns are one of the most devastating forms of trauma worldwide. In the elderly, flame and scald burns, or scalds alone, are the major causes of burns, occur at home, particularly in the kitchen and bathroom. Because elderly burned patients suffer from greater morbidity and mortality than younger patients with similar burn extents, preventing burns is paramount to continuing functionality and quality of life. Burns are largely explainable by characteristics of both the individual and the physical environment. Our study aims to analyses the epidemiologic characteristics of burn in the elderly (above 60 years old) in Iran. Methods: Records of elderly patients (aged 60 and older) admitted with acute burns to the Burn Center of the Shahid Motahari Hospital, Tehran, Iran, between March 2007 and March 2014 was carried out. Patient demographics, etiology of burn, mechanism of injury, burn extent, mortality, severity of burn, length of stay in hospital, and outcomes were reviewed. The information was analyzed by SPSS software, version 18 (SPSS Inc., Chicago, IL, USA). T-test, oneway anova and K square were used. Results: A total of 374 elderly patients were admitted. Majority of the patients were men 231 (61.8%) and the number of women were 143(38.2%). The most common etiologies were scalds (20.3%) and (oil-benzine-gasoline) (19.8%). The mean age of the patient was 71.5 years, which was average in women (72) and men (70.5 years). There was a statistically significant difference between the mean age in both male and female groups, so that the mean age of women was significantly higher than men (P=0.004). There was a significant correlation between gender and (etiology, hospital stay-mortality) and between treatment outcome and (etiology and motivation) and between motivation and etiology (P<0.001). Conclusion: Boiling water was the main cause of burning in older women. Diminished senses, concentration disorders, slower reaction time, reduced mobility, and bedridden states may decrease elder's ability to identify fire and also to escape harm.
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spelling doaj.art-0731ed930da64c01aa808b14d0f7febd2022-12-21T21:43:28ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222018-07-01764271276Epidemiologic study of burns in elderly people over 60 years oldLeyla Abdolkarimi0Farrokh Taftachi1Faranak Hayati2Shahrokh Mehrpisheh3Negar Seify Moghadam4 Department of Forensic Medicine, Iran University of Medical Sciences, Tehran, Iran. Department of Forensic Medicine, Iran University of Medical Sciences, Tehran, Iran. Department of Forensic Medicine, Iran University of Medical Sciences, Tehran, Iran. Department of Neonatology, Mazandaran University of Medical Sciences, Mazandaran, Iran. Department of Psychiatry, Iran University of Medical Sciences, Tehran, Iran. Background: Burns are one of the most devastating forms of trauma worldwide. In the elderly, flame and scald burns, or scalds alone, are the major causes of burns, occur at home, particularly in the kitchen and bathroom. Because elderly burned patients suffer from greater morbidity and mortality than younger patients with similar burn extents, preventing burns is paramount to continuing functionality and quality of life. Burns are largely explainable by characteristics of both the individual and the physical environment. Our study aims to analyses the epidemiologic characteristics of burn in the elderly (above 60 years old) in Iran. Methods: Records of elderly patients (aged 60 and older) admitted with acute burns to the Burn Center of the Shahid Motahari Hospital, Tehran, Iran, between March 2007 and March 2014 was carried out. Patient demographics, etiology of burn, mechanism of injury, burn extent, mortality, severity of burn, length of stay in hospital, and outcomes were reviewed. The information was analyzed by SPSS software, version 18 (SPSS Inc., Chicago, IL, USA). T-test, oneway anova and K square were used. Results: A total of 374 elderly patients were admitted. Majority of the patients were men 231 (61.8%) and the number of women were 143(38.2%). The most common etiologies were scalds (20.3%) and (oil-benzine-gasoline) (19.8%). The mean age of the patient was 71.5 years, which was average in women (72) and men (70.5 years). There was a statistically significant difference between the mean age in both male and female groups, so that the mean age of women was significantly higher than men (P=0.004). There was a significant correlation between gender and (etiology, hospital stay-mortality) and between treatment outcome and (etiology and motivation) and between motivation and etiology (P<0.001). Conclusion: Boiling water was the main cause of burning in older women. Diminished senses, concentration disorders, slower reaction time, reduced mobility, and bedridden states may decrease elder's ability to identify fire and also to escape harm.http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-63&slc_lang=en&sid=1burn elder hospitalization Iran
spellingShingle Leyla Abdolkarimi
Farrokh Taftachi
Faranak Hayati
Shahrokh Mehrpisheh
Negar Seify Moghadam
Epidemiologic study of burns in elderly people over 60 years old
Tehran University Medical Journal
burn
elder
hospitalization
Iran
title Epidemiologic study of burns in elderly people over 60 years old
title_full Epidemiologic study of burns in elderly people over 60 years old
title_fullStr Epidemiologic study of burns in elderly people over 60 years old
title_full_unstemmed Epidemiologic study of burns in elderly people over 60 years old
title_short Epidemiologic study of burns in elderly people over 60 years old
title_sort epidemiologic study of burns in elderly people over 60 years old
topic burn
elder
hospitalization
Iran
url http://tumj.tums.ac.ir/browse.php?a_code=A-10-3666-63&slc_lang=en&sid=1
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AT faranakhayati epidemiologicstudyofburnsinelderlypeopleover60yearsold
AT shahrokhmehrpisheh epidemiologicstudyofburnsinelderlypeopleover60yearsold
AT negarseifymoghadam epidemiologicstudyofburnsinelderlypeopleover60yearsold