Ghent University Academic Bibliography

Advanced

Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality

Nele Brusselaers UGent, Stan Monstrey UGent, Dirk Vogelaers UGent, Eric Hoste UGent and Stijn Blot UGent (2010) CRITICAL CARE. 14(5).
abstract
Introduction: Burn injury is a serious pathology, potentially leading to severe morbidity and significant mortality, but it also has a considerable health-economic impact. The aim of this study was to describe the European hospitalized population with severe burn injury, including the incidence, etiology, risk factors, mortality, and causes of death. Methods: The systematic literature search (1985 to 2009) involved PubMed, the Web of Science, and the search engine Google. The reference lists and the Science Citation Index were used for hand searching (snowballing). Only studies dealing with epidemiologic issues (for example, incidence and outcome) as their major topic, on hospitalized populations with severe burn injury (in secondary and tertiary care) in Europe were included. Language restrictions were set on English, French, and Dutch. Results: The search led to 76 eligible studies, including more than 186,500 patients in total. The annual incidence of severe burns was 0.2 to 2.9/10,000 inhabitants with a decreasing trend in time. Almost 50% of patients were younger than 16 years, and similar to 60% were male patients. Flames, scalds, and contact burns were the most prevalent causes in the total population, but in children, scalds clearly dominated. Mortality was usually between 1.4% and 18% and is decreasing in time. Major risk factors for death were older age and a higher total percentage of burned surface area, as well as chronic diseases. (Multi) organ failure and sepsis were the most frequently reported causes of death. The main causes of early death (<48 hours) were burn shock and inhalation injury. Conclusions: Despite the lack of a large-scale European registration of burn injury, more epidemiologic information is available about the hospitalized population with severe burn injury than is generally presumed. National and international registration systems nevertheless remain necessary to allow better targeting of prevention campaigns and further improvement of cost-effectiveness in total burn care.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PEDIATRIC BURNS, RETROSPECTIVE ANALYSIS, 1083 TURKISH PATIENTS, PROGNOSTIC INDEXES, EPIDEMIOLOGIC DATA, CHILDHOOD BURNS, SERIOUS BURNS, RISK-FACTORS, CHILDREN, ADMISSIONS
journal title
CRITICAL CARE
Crit. Care
volume
14
issue
5
article number
R188
pages
12 pages
Web of Science type
Article
Web of Science id
000284596500027
JCR category
CRITICAL CARE MEDICINE
JCR impact factor
4.595 (2010)
JCR rank
4/23 (2010)
JCR quartile
1 (2010)
ISSN
1466-609X
DOI
10.1186/cc9300
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1073316
handle
http://hdl.handle.net/1854/LU-1073316
date created
2010-11-12 12:00:01
date last changed
2016-12-21 15:42:16
@article{1073316,
  abstract     = {Introduction: Burn injury is a serious pathology, potentially leading to severe morbidity and significant mortality, but it also has a considerable health-economic impact. The aim of this study was to describe the European hospitalized population with severe burn injury, including the incidence, etiology, risk factors, mortality, and causes of death. Methods: The systematic literature search (1985 to 2009) involved PubMed, the Web of Science, and the search engine Google. The reference lists and the Science Citation Index were used for hand searching (snowballing). Only studies dealing with epidemiologic issues (for example, incidence and outcome) as their major topic, on hospitalized populations with severe burn injury (in secondary and tertiary care) in Europe were included. Language restrictions were set on English, French, and Dutch. Results: The search led to 76 eligible studies, including more than 186,500 patients in total. The annual incidence of severe burns was 0.2 to 2.9/10,000 inhabitants with a decreasing trend in time. Almost 50\% of patients were younger than 16 years, and similar to 60\% were male patients. Flames, scalds, and contact burns were the most prevalent causes in the total population, but in children, scalds clearly dominated. Mortality was usually between 1.4\% and 18\% and is decreasing in time. Major risk factors for death were older age and a higher total percentage of burned surface area, as well as chronic diseases. (Multi) organ failure and sepsis were the most frequently reported causes of death. The main causes of early death ({\textlangle}48 hours) were burn shock and inhalation injury. Conclusions: Despite the lack of a large-scale European registration of burn injury, more epidemiologic information is available about the hospitalized population with severe burn injury than is generally presumed. National and international registration systems nevertheless remain necessary to allow better targeting of prevention campaigns and further improvement of cost-effectiveness in total burn care.},
  articleno    = {R188},
  author       = {Brusselaers, Nele and Monstrey, Stan and Vogelaers, Dirk and Hoste, Eric and Blot, Stijn},
  issn         = {1466-609X},
  journal      = {CRITICAL CARE},
  keyword      = {PEDIATRIC BURNS,RETROSPECTIVE ANALYSIS,1083 TURKISH PATIENTS,PROGNOSTIC INDEXES,EPIDEMIOLOGIC DATA,CHILDHOOD BURNS,SERIOUS BURNS,RISK-FACTORS,CHILDREN,ADMISSIONS},
  language     = {eng},
  number       = {5},
  pages        = {12},
  title        = {Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality},
  url          = {http://dx.doi.org/10.1186/cc9300},
  volume       = {14},
  year         = {2010},
}

Chicago
BRUSSELAERS, NELE, Stan Monstrey, Dirk Vogelaers, Eric Hoste, and Stijn Blot. 2010. “Severe Burn Injury in Europe: a Systematic Review of the Incidence, Etiology, Morbidity, and Mortality.” Critical Care 14 (5).
APA
BRUSSELAERS, N., Monstrey, S., Vogelaers, D., Hoste, E., & Blot, S. (2010). Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality. CRITICAL CARE, 14(5).
Vancouver
1.
BRUSSELAERS N, Monstrey S, Vogelaers D, Hoste E, Blot S. Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality. CRITICAL CARE. 2010;14(5).
MLA
BRUSSELAERS, NELE, Stan Monstrey, Dirk Vogelaers, et al. “Severe Burn Injury in Europe: a Systematic Review of the Incidence, Etiology, Morbidity, and Mortality.” CRITICAL CARE 14.5 (2010): n. pag. Print.