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Self-inflicted burns in a National Swedish Burn Centre [BRÛLURES VOLONTAIRES DANS UN CTB SUÉDOIS]: an overview [REVUE D’UNE SÉRIE]
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.ORCID iD: 0000-0002-8027-9632
2019 (English)In: Annals of burns and fire disasters, ISSN 1592-9558, Vol. 32, no 4, p. 272-277Article in journal (Refereed) Published
Abstract [en]

In the Western world, self-inflicted burns are often associated with mental health disorders, and the management, particularly the pain treatment, can often be complicated by the psycho-social background of the patients. The aim was to describe a group of patients with self-inflicted burns by analysing their in-hospital mortality and the use of sedation during procedures. All patients with self-inflicted burns admitted to the Linköping Burn Centre during 2000-2017 were included. The control group consisted of adults (≥17 years) with accidental burns, admitted during the same period. Multivariable logistic and linear regression was used for analysis. Three percent of all patients (47/1601) had self-inflicted burns: most of them were men (60%, 28/47), none was younger than 17 years, and flame was the major cause of injury. Self-inflicted burn patients were younger and had larger burns: mean age (SD) was 42 (16) and 49 (20) years, respectively; mean TBSA (SD) was 29% (26) and 14% (17), respectively. The crude rate of procedures done under sedation was higher (mean (SD) 0.37 (0.23) compared with 0.24 (0.25)) as was crude in-hospital mortality (8/47, 17% compared with 72/1018, 7%). Multivariable analyses showed no difference in the use of sedation for procedures or in-hospital mortality after adjustment for TBSA%, full thickness burns, age and sex. Age and TBSA% were associated with in-hospital mortality, whereas the intentionality of the burn was not. TBSA% and female sex were associated with increased use of sedation for wound care procedures, whereas self-inflicted burns were not.

Abstract [fr]

Dansles pays développés, les brûlures volontaires entrentsouvent dansle cadre d’une pathologie psychiatrique, qui peut interférer avec leurtraitement, en particulierl’analgésie. Le but de cete étude était de décrire un groupe de patients brûlés partentative de suicide hospitalisés dansle CTB de Linköping entre 2000 et 2017, en analysant la mortalité et le recours à la sédation, comparativement à une population d’adultes (≥ 17 ans) hospitalisés durant la même période après une brûlure accidentelle. Nous avons utilisé une analyse logistique linéaire multivariée. Les suicidants représentaient 3% des patients (47/1 601), 60% (28/47) étaient des hommes, aucun n’avait moins de 17 ans et une flamme était le plus souvent cause de la brûlure. Les suicidants étaient plusjeunes (42+/- 16 VS 49+/- 20 ans) et plus extensivement brûlés(29+/- 26% VS 14+/- 17%). Les pansement étaient plus fréquemment réalisés sous sédation (37 +/- 23% des cas VS 24 +/- 25%) et la mortalité était plus élevée (17% - 8/47 VS 7% - 72/1018). En analyse multivariée et après ajustementsur la surface brûlée, on ne trouve pas de différence de mortalité, de recours à la sédation, de brûlures profondes, d’âge ni de sexe, la surface brûlée et l’âge étant associées à la mortalité mais pasle caractère intentionnel. Lesfemmes avaient plussouvent besoin de sédation que les hommes, le recours à la sédation tant en outre associé à la surface brûlée mais pas l’inentionnalité.

Place, publisher, year, edition, pages
Mediterranean Council for Burns and Fire Disasters , 2019. Vol. 32, no 4, p. 272-277
Keywords [en]
mortality, sedation, self-inflicted burns, wound procedures
Keywords [fr]
brûlure volontaire, sédation, pansement, mortalité
National Category
Other Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-165899PubMedID: 32431576OAI: oai:DiVA.org:liu-165899DiVA, id: diva2:1434266
Available from: 2020-06-02 Created: 2020-06-02 Last updated: 2021-12-28Bibliographically approved

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Pompermaier, LauraElmasry, MoustafaSteinvall, Ingrid

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