Mata-Ribeiro L, Vieira L, Vilela M
Department of Plastic and Reconstructive Surgery, Hospital São José (Centro Hospitalar Lisboa Central), Lisbon, Portugal.
Ann Burns Fire Disasters. 2022 Mar 31;35(1):18-25.
A great number of burns affect the hands, either as part of a more extensive burn or as an isolated injury. These injuries can lead to physical, social and psychological consequences that may reduce quality of life and make difficult the return to work. The goal of this study was to investigate the main epidemiologic characteristics of adult patients with hand burns admitted to a dedicated burn centre, evaluate the outcomes of the treatment, and identify the predictors associated with the worst outcomes. This study found that a considerable amount of burn victims admitted had hand burns (41.5%). Males are more likely to be injured in general, but females are more prevalent in burns by hot liquids. The most common comorbidity was hypertension, followed by dyslipidemia and type II diabetes. Cooking is the activity associated with more accidental victims. Most injuries did not require surgical intervention. Approximately two-thirds of the patients did not have any important sequelae. The most common complications were scar disturbances (26%) and scar contractures (14%). The need for surgery, a higher number of surgeries and higher surface area burn were associated with the worst outcomes. It is imperative to establish a burn prevention education program nationwide, encompassing water temperature control in households, the use of anti-burn equipment, and the replacement of old electrical/ heating equipment.
大量烧伤累及手部,要么是更广泛烧伤的一部分,要么是单独的损伤。这些损伤会导致身体、社会和心理方面的后果,可能会降低生活质量,并使重返工作岗位变得困难。本研究的目的是调查入住专门烧伤中心的成年手部烧伤患者的主要流行病学特征,评估治疗结果,并确定与最差结果相关的预测因素。本研究发现,相当数量的入院烧伤患者有手部烧伤(41.5%)。一般来说,男性更容易受伤,但女性在热液烧伤中更为常见。最常见的合并症是高血压,其次是血脂异常和II型糖尿病。烹饪是导致意外受害者较多的活动。大多数损伤不需要手术干预。大约三分之二的患者没有任何严重后遗症。最常见的并发症是瘢痕问题(26%)和瘢痕挛缩(14%)。手术需求、手术次数较多和烧伤面积较大与最差结果相关。必须在全国范围内建立烧伤预防教育项目,包括家庭水温控制、使用防烧伤设备以及更换旧的电气/加热设备。