title: Epidemiology and outcome analysis of hand burns: A 5-year retrospective review of 378 cases in a burn center in Eastern China.
abstract: Hands are frequent sites of burn but few related studies were reported in China. The aim of this study was to examine the impacts of gender, age, seasons, place, etiology, total body surface area (TBSA), depth, infection and comorbidities on prognosis following injury in a cohort of hand burn inpatients. This is a retrospective study of total 378 inpatients admitted to the burn center of Changhai hospital from January 2009 to December 2013. The present research showed the male inpatients were predominant and most of the inpatients aged from 20 to 49. Flame (37.04%) and electricity (25.40%) were the major causes of hand burns. Hand burns happened more commonly in work place (60.85%). The study preliminarily pointed out that male, flame and depth were the most significant factors impacting surgery. The main factors relevant to amputation were identified including the electrical burns and other etiology of burns. In addition, depth of hand burns was proved to have a higher impact on length of hospital stay (LOS) than other factors. The results of this study not only provide the necessary information of hand burns in Eastern China but also give the suggestions for the prevention of hand burns.
authors.affiliation: Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, People's Republic of China.
authors.forename: Kang-an
authors.initials: KA
authors.lastname: Wang
authors.affiliation: Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, People's Republic of China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, People's Republic of China.
authors.forename: Guo-sheng
authors.initials: GS
authors.lastname: Wu
authors.affiliation: Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, People's Republic of China.
authors.forename: Yi-ru
authors.initials: YR
authors.lastname: Wang
authors.affiliation: Department of Burn Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, People's Republic of China. Electronic address: xiazhaofan@hotmail.com.
authors.forename: Zhao-fan
authors.initials: ZF
authors.lastname: Xia
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000706:statistics & numerical data; D002053:Burn Units / Q000706:statistics & numerical data; D002056:Burns / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D006230:Hand Injuries / Q000453:epidemiology* / Q000209:etiology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D055815:Young Adult
keywords: Epidemiology; Hand burns; Prevention; Prognosis; Risk factor