Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi
Objective: To determine the frequency of spontaneous hemorrhage and its effect on mortality rate among electric burn injury patients. Materials and Methods: It is a retrospective review of the consecutive patients with electric injuries who were managed at Burn Centre, Karachi over a 4 year pe...
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| Format: | Article |
| Language: | English |
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Dow University of Health Sciences
2016-05-01
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| Series: | Journal of the Dow University of Health Sciences |
| Subjects: | |
| Online Access: | https://jduhs.com/index.php/jduhs/article/view/1408 |
| _version_ | 1827940323024699392 |
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| author | Ehmer Al-Ibran Masood Hussain Rao Kanwal Fatima Saboohi Irfan |
| author_facet | Ehmer Al-Ibran Masood Hussain Rao Kanwal Fatima Saboohi Irfan |
| author_sort | Ehmer Al-Ibran |
| collection | DOAJ |
| description | Objective:
To determine the frequency of spontaneous hemorrhage and its effect on mortality rate among electric burn injury patients.
Materials and Methods:
It is a retrospective review of the consecutive patients with electric injuries who were managed at Burn Centre, Karachi over a 4 year period spanning from January 2008- December 2011. Data were extracted regarding age of patient; site involved in electric burn, artery involved in spontaneous hemorrhage, surgical intervention, recurrence of hemorrhage and associated mortality.
Results:
Electric burn constituted 1.42% of admissions in our burn Centre (n=208). Frequency of spontaneous hemorrhage was found in 25% (n=52) of cases. Frequent site of injury involved in spontaneous hemorrhage was upper limbs (44.25%), followed by lower limbs and anterior trunk. Most common vessel involved in spontaneous hemorrhage was axillary artery (19.23%, n=10) followed by radial artery (11.53%, n=6) and popliteal artery (11.53%, n=6). Surgical procedures carried out were primary ligation and amputation. Bleeding recurred in 23.07% of cases. Total mortality in electric burns cases was 13.46 % (n=28/208), however out of these 28 cases, mortality rate due to spontaneous hemorrhage was 32.14% (n=9/28).
Conclusion:
Prompt and timely institution of appropriate surgical interventions among electric burn injury patients has the potential to reduce the frequency of life-threatening episodes of spontaneous hemorrhage and improve the outcome in terms of morbidity and survival.
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| first_indexed | 2024-03-13T09:07:31Z |
| format | Article |
| id | doaj.art-18375d85918740ea89555af5a0156e56 |
| institution | Directory Open Access Journal |
| issn | 1995-2198 2410-2180 |
| language | English |
| last_indexed | 2024-03-13T09:07:31Z |
| publishDate | 2016-05-01 |
| publisher | Dow University of Health Sciences |
| record_format | Article |
| series | Journal of the Dow University of Health Sciences |
| spelling | doaj.art-18375d85918740ea89555af5a0156e562023-05-28T03:10:17ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802016-05-01101Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, KarachiEhmer Al-Ibran0Masood Hussain Rao1Kanwal Fatima2Saboohi Irfan3Departement of Burns, Civil Hopital Karachi, Dow University of Health Sciences. Karachi, PakistanResearch Department2 , Dow University of Health Sciences Karachi, Pakistan.Undergraduate MBBS student, Dow Medical College , Dow University of Health Sciences Karachi, Pakistan.Undergraduate MBBS student, Dow Medical College , Dow University of Health Sciences Karachi, Pakistan.Objective: To determine the frequency of spontaneous hemorrhage and its effect on mortality rate among electric burn injury patients. Materials and Methods: It is a retrospective review of the consecutive patients with electric injuries who were managed at Burn Centre, Karachi over a 4 year period spanning from January 2008- December 2011. Data were extracted regarding age of patient; site involved in electric burn, artery involved in spontaneous hemorrhage, surgical intervention, recurrence of hemorrhage and associated mortality. Results: Electric burn constituted 1.42% of admissions in our burn Centre (n=208). Frequency of spontaneous hemorrhage was found in 25% (n=52) of cases. Frequent site of injury involved in spontaneous hemorrhage was upper limbs (44.25%), followed by lower limbs and anterior trunk. Most common vessel involved in spontaneous hemorrhage was axillary artery (19.23%, n=10) followed by radial artery (11.53%, n=6) and popliteal artery (11.53%, n=6). Surgical procedures carried out were primary ligation and amputation. Bleeding recurred in 23.07% of cases. Total mortality in electric burns cases was 13.46 % (n=28/208), however out of these 28 cases, mortality rate due to spontaneous hemorrhage was 32.14% (n=9/28). Conclusion: Prompt and timely institution of appropriate surgical interventions among electric burn injury patients has the potential to reduce the frequency of life-threatening episodes of spontaneous hemorrhage and improve the outcome in terms of morbidity and survival. https://jduhs.com/index.php/jduhs/article/view/1408Spontaneous hemorrhageelectric burnsamputation |
| spellingShingle | Ehmer Al-Ibran Masood Hussain Rao Kanwal Fatima Saboohi Irfan Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi Journal of the Dow University of Health Sciences Spontaneous hemorrhage electric burns amputation |
| title | Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi |
| title_full | Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi |
| title_fullStr | Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi |
| title_full_unstemmed | Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi |
| title_short | Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi |
| title_sort | frequency and outcome of spontaneous hemorrhage in electrical burn injuries at burns centre karachi |
| topic | Spontaneous hemorrhage electric burns amputation |
| url | https://jduhs.com/index.php/jduhs/article/view/1408 |
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