title: Long-term sequelae of electrical injury.
abstract: OBJECTIVE
  To summarize the current evidence-based knowledge about the long-term sequelae of injuries from electrical current.
  
  
  METHODS
  MEDLINE was searched for English-language articles published in the past 20 years using the following search terms: electrical, injuries, wound, trauma, accident, sequelae, long-term, follow-up, and aftereffects. For obvious reasons, it is unethical to randomly study electrical injury in controlled clinical trials. By necessity, this topic is addressed in less-rigorous observational and retrospective work and case studies. Therefore, the strength of the literature pertaining to the long-term sequelae of electrical injury is impaired by the necessity of retrospective methods and case studies that typically describe small cohorts.
  
  
  RESULTS
  There are 2 possible consequences of electrical injury: the person either survives or dies. For those who survive electrical injury, the immediate consequences are usually obvious and often require extensive medical intervention. The long-term sequelae of the electrical injury might be more subtle, pervasive, and less well defined, but can include neurologic, psychological, and physical symptoms. In the field of compensation medicine, determining causation and attributing outcome to an injury that might not result in objective clinical findings becomes a considerable challenge.
  
  
  CONCLUSIONS
  The appearance of these consequences of electrical injury might be substantially delayed, with onset 1 to 5 or more years after the electrical injury. This poses a problem for patients and health care workers, making it hard to ascribe symptoms to a remote injury when they might not arise until well after the incident event.
authors.affiliation: University of Alberta Glen Sather Sport Medicine Clinic, Edmonton, AB T6G 2H9. jocdoc@shaw.ca.
authors.forename: Marni L
authors.initials: ML
authors.lastname: Wesner
authors.forename: John
authors.initials: J
authors.lastname: Hickie
mesh_terms: D004556:Electric Injuries / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000209:etiology*; D010146:Pain / Q000209:etiology*
references.citation: J Trauma. 1998 Apr;44(4):709-15
references.pmid: 9555847
references.citation: Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:6522-5
references.pmid: 19964172
references.citation: J Burn Care Rehabil. 1991 Sep-Oct;12(5):458-62
references.pmid: 1752881
references.citation: J Burn Care Res. 2008 Nov-Dec;29(6):959-64
references.pmid: 18849846
references.citation: Burns. 1996 Nov;22(7):574-7
references.pmid: 8909765
references.citation: IEEE Trans Biomed Eng. 2004 Aug;51(8):1449-59
references.pmid: 15311832
references.citation: Ann N Y Acad Sci. 1999 Oct 30;888:75-87
references.pmid: 10842620
references.citation: NeuroRehabilitation. 2005;20(1):25-33
references.pmid: 15798353
references.citation: J Psychosom Res. 2005 Jan;58(1):51-4
references.pmid: 15771870
references.citation: Brain Inj. 2003 Sep;17(9):817-23
references.pmid: 12850947
references.citation: Arch Clin Neuropsychol. 2006 May;21(4):255-73
references.pmid: 16716563
references.citation: Curr Probl Surg. 1997 Sep;34(9):677-764
references.pmid: 9365421
references.citation: Am J Emerg Med. 2008 May;26(4):413-8
references.pmid: 18410808
references.citation: Burns. 2001 Sep;27(6):647-51
references.pmid: 11525862
references.citation: Gen Hosp Psychiatry. 2009 Jul-Aug;31(4):360-6
references.pmid: 19555797
references.citation: J Burn Care Rehabil. 1996 Sep-Oct;17(5):409-15
references.pmid: 8889864
references.citation: Burns. 2006 Mar;32(2):159-64
references.pmid: 16448771
references.citation: Burns. 2001 Dec;27(8):829-33
references.pmid: 11718985
references.citation: Burns. 1998 Nov;24(7):649-53
references.pmid: 9882065
references.citation: Ann N Y Acad Sci. 1999 Oct 30;888:356-63
references.pmid: 10842647
references.citation: Burns. 1995 Nov;21(7):530-5
references.pmid: 8540982
references.citation: J Burn Care Res. 2008 Sep-Oct;29(5):773-7
references.pmid: 18695615
references.citation: Ann Plast Surg. 2010 May;64(5):522-5
references.pmid: 20395807
references.citation: J Burn Care Rehabil. 2004 Nov-Dec;25(6):479-84
references.pmid: 15534455
references.citation: Ann N Y Acad Sci. 1999 Oct 30;888:42-59
references.pmid: 10842618