A case-matched controlled study on high-voltage electrical injuries vs thermal burns

Journal of Burn Care & Research : Official Publication of the American Burn Association
Alexander E HandschinPietro Giovanoli

Abstract

The aim of this study was to provide an increased level of evidence on surgical management of high-tension electrical injuries compared with thermal burns using a case-controlled study design. Sixty-eight patients (64 males, 4 females, aged 33.7 +/- 13 years) with high-tension electrical burns were matched for age, gender, and burnt extent with a cohort of patients sustaining thermal burns. Data were analyzed for cause of accident (occupational vs nonoccupational), concomitant injuries, extent of burn and burn depth, surgical management, complications, and hospital stay. High-tension electrical burn patients required an average of 5.2 +/- 4 operations (range, 1-23 operations) compared with 3.3 +/- 1.9 (range, 1-10 operations) after thermal burns (P = .0019). Amputation rates (19.7% vs 1.5%), escharotomy/fasciotomy rates (47% vs 21%), and total hospitalization days (44 d vs 32 d) were significantly higher in high-tension electrical injuries (P < .05). Creatinine kinase levels were significantly elevated during the first 2 days in patients with subsequent amputations. Free flap failure was observed during the first 4 weeks after the trauma, whereas no flap failure occurred at later stages. Local, pedicled, and distant flaps were ...Continue Reading

References

Dec 1, 1988·Plastic and Reconstructive Surgery·R G ZeltP Heroux
Jul 1, 1985·American Journal of Surgery·P F ParshleyS H Miller
Mar 1, 1984·Plastic and Reconstructive Surgery·M C RobsonJ P Heggers
Jan 1, 1995·The Journal of Burn Care & Rehabilitation·M A Haberal
Nov 1, 1995·Burns : Journal of the International Society for Burn Injuries·J HussmannW A Zamboni
Sep 29, 1998·The Journal of Trauma·C J YowlerB A Pruitt
Jan 9, 1999·Burns : Journal of the International Society for Burn Injuries·I FerreiroF J Gabilondo
May 25, 1999·The Journal of Trauma·J RaiD N Herndon
Aug 4, 1999·Burns : Journal of the International Society for Burn Injuries·V García-Sánchez, P Gomez Morell
Aug 30, 2001·Burns : Journal of the International Society for Burn Injuries·D J BarilloC W Goodwin
Nov 10, 2001·Annual Review of Biomedical Engineering·R C LeeJ Hannig
Jan 17, 2003·Critical Care Medicine·Anastassios C Koumbourlis
Oct 21, 2003·The Journal of Trauma·Hedieh A StefanacciRichard L Gamelli
Oct 12, 2004·Burns : Journal of the International Society for Burn Injuries·Jürgen KoppRaymund E Horch
Nov 10, 2004·The Journal of Burn Care & Rehabilitation·Brett D ArnoldoJohn L Hunt
Jul 5, 2005·Burns : Journal of the International Society for Burn Injuries·Erol KesiktasSabri Acarturk
Jul 12, 2005·The Journal of Burn Care & Rehabilitation·Leopoldo C CancioGeorge M Vaughan
Feb 2, 2006·Burns : Journal of the International Society for Burn Injuries·Jason NobleJoel S Fish
Jan 19, 2007·Plastic and Reconstructive Surgery·Michael SauerbierSteffen Baumeister
Mar 14, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·Hemmat MaghsoudiNahid Ahmadian
May 8, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nina OferMichael Sauerbier
Nov 7, 2007·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·A E HandschinP Giovanoli
Feb 5, 2008·Burns : Journal of the International Society for Burn Injuries·A R KoulV K Philip

❮ Previous
Next ❯

Citations

Feb 14, 2012·Critical Care : the Official Journal of the Critical Care Forum·Kyoung-Ha ParkYoung-Jin Choi
Sep 21, 2013·Burns : Journal of the International Society for Burn Injuries·Steven G StrangOscar J F Van Waes
Apr 3, 2012·Burns : Journal of the International Society for Burn Injuries·C A SotoJ Villegas
Aug 20, 2011·Burns : Journal of the International Society for Burn Injuries·David Benjamin LumentaManfred Frey
May 18, 2010·Annals of Vascular Surgery·Fernando A HerreraNiren Angle
Jul 9, 2010·International Wound Journal·Henning RysselEmre Gazyakan
Jun 4, 2013·Burns : Journal of the International Society for Burn Injuries·Lara A HarveyCaroline F Finch
Jul 13, 2014·Burns : Journal of the International Society for Burn Injuries·Kamran AghakhaniLeyla Abdolkarimi
Jul 1, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jessica G ShihMarc G Jeschke
Dec 17, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Mário Eduardo Pereira Monteiro de BarrosJayme Adriano Farina
Nov 30, 2016·World Journal of Critical Care Medicine·Aniruddh MeneAnish Bhattacharya
Nov 26, 2010·Annals of Plastic Surgery·Martin Friedrich VierhapperManfred Frey
Apr 30, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Asım Uslu
Jun 2, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jochen GilleManuel F Struck
Nov 3, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Riccardo SchweizerJan A Plock
Nov 9, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Praveen Kumar ArumugamRahul Bamal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Epigenetics Insights from Twin Studies

Find the latest research on epigenetics and twin studies here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Related Papers

Burns : Journal of the International Society for Burn Injuries
J HussmannW A Zamboni
The Journal of Burn Care & Rehabilitation
Brett D ArnoldoJ L Hunt
The Journal of Burn Care & Rehabilitation
Leopoldo C CancioGeorge M Vaughan
Annals of Plastic Surgery
E A Luce, S E Gottlieb
© 2021 Meta ULC. All rights reserved