Epidemiology of burns in Lithuania during 1991-2004.
The objective of this article is to overview and present the burn incidence and burn care in Lithuania.


METHODS
In this study, data from the period of 1991-2004 were collected from the Lithuanian Department of Statistics, Department of Fire and Rescue, Lithuanian Health Information Center, State Patient Fund, health care institutions, burn care facilities.


RESULTS
In the 14-year period, 9459 persons per year (2.6/1000 population) in average sustained burn injuries. The majority of burned patients (74.8%) were adults and 25.2% were children; 21.5% of all burned patients were hospitalized (2013 inpatients per year). The number of hospitalizations per 100 000 individuals has decreased from 65.6 to 39.5, but it is still very high and worrying. Among all the patients admitted to hospitals, 67% were males and 33% females, with a male-to-female ratio of 2:1. The length of hospitalization decreased from 16.2 to 12.7 days. The number of fire-related deaths for the 14-year period was 289 deaths per year (8 per 100 000 persons). The number of deaths among inpatients was 63.6 deaths per year, the age being an important factor in mortality rates. Although the mortality of inpatients has increased in recent years, the mortality in the age group up to 14 years has decreased to 0. Children made up 24.6% of burn patients; among those admitted to hospital, they accounted for 41.1%. Mortality rates for males and females were almost the same.


CONCLUSIONS
The number of burns is decreasing. The hospitalization rate and hospitalization time are becoming shorter. In the last few years, patients suffer from more severe burns, while children sustain more severe burns requiring hospitalization. Children and working-age persons make up 91.9% of hospitalized burn patients. Number of deaths in fire accidents is increasing.
Rimdeika
Rytis
R
Department of Plastic and Reconstructive Surgery, Kaunas University of Medicine, Kaunas, Lithuania.
Kazanavicius
Mindaugas
M
Kubilius
Darius
D
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002053:Burn Units; D002056:Burns / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D002648:Child; D005260:Female; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008097:Lithuania / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012737:Sex Factors