Burns in Israel: Etiologic, Demographic, and Clinical trends—A 9-Year Updated Comprehensive Study, 2004–2010 versus 2011–2019

Irit Cohen-Manheim; Moti Harats; Sharon Goldman; Dmitry Beylin; Josef Haik; Moran Bodas; Adi Givon; Rachel Kornhaber; Yehiel Hayun; Michelle Cleary; Daniel Hilewitz; Ariel Tessone; Israel Trauma Group

doi:10.1055/s-0042-1749094

Seminars in Plastic Surgery, Inhaltsverzeichnis

Semin Plast Surg 2022; 36(02): 066-074
DOI: 10.1055/s-0042-1749094

Review Article

Burns in Israel: Etiologic, Demographic, and Clinical trends—A 9-Year Updated Comprehensive Study, 2004–2010 versus 2011–2019

Authors

Irit Cohen-Manheim ^#

¹Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel
Moti Harats ^#

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel

³The Division of Plastic & Reconstructive Surgery, The National Burn Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

⁵Institute for Health Research, University of Notre Dame, Notre Dame, Australia

⁶The Talpiot Medical Leadership Program, Sheba Medical Center, Ramat Gan, Israel
Sharon Goldman

¹Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel
Dmitry Beylin

³The Division of Plastic & Reconstructive Surgery, The National Burn Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
Josef Haik

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel

³The Division of Plastic & Reconstructive Surgery, The National Burn Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

⁴College of Health and Medicine, School of Nursing, University of Tasmania, Sydney, NSW, Australia

⁵Institute for Health Research, University of Notre Dame, Notre Dame, Australia

⁶The Talpiot Medical Leadership Program, Sheba Medical Center, Ramat Gan, Israel
Moran Bodas

¹Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel
Adi Givon

¹Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel
Rachel Kornhaber

³The Division of Plastic & Reconstructive Surgery, The National Burn Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

⁴College of Health and Medicine, School of Nursing, University of Tasmania, Sydney, NSW, Australia
Yehiel Hayun

⁷Department of Plastic Surgery and Burns, Rabin Medical Center, Petach Tikva, Israel
Michelle Cleary

⁸School of Nursing, Midwifery and Social Sciences, CQ University, Sydney, NSW, Australia
Daniel Hilewitz

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel
Ariel Tessone

²School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv-Yafo, Israel

³The Division of Plastic & Reconstructive Surgery, The National Burn Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

⁶The Talpiot Medical Leadership Program, Sheba Medical Center, Ramat Gan, Israel

Israel Trauma Group

Abstract

Based on the Israeli National Trauma Registry (INTR) data, this study reports etiological, demographic, and clinical trends and includes all admissions to burn and trauma centers across Israel from 2011 to 2019 and compares these with 2004 to 2010 rates. From 2011 to 2019, 5,710 patients were admitted to burn centers across Israel. Children aged 0 to 1 years (25.9%), non-Jews (40.7%), and males (67.2%) remain the main groups of the burn casualties. Most of the casualties sustained 1 to 9% total body surface area (TBSA) burns with various depths. Scalds were less fatal than fire/flame-related casualties (<1 vs. 11.5%). Fewer surgical procedures were conducted for burns under 9% TBSA compared with greater TBSA. The percentage of TBSA and burn depth were found to be the most significant predictor of mortality among all age groups (>200 times increased risk with full-thickness burns >30% TBSA burn) and correlated with prolonged length of stay (>7 days).

Keywords

burns - etiology - Israel - risk groups - trauma registry

Volltext

Referenzen

References
1 Smolle C, Cambiaso-Daniel J, Forbes AA. et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns 2017; 43 (02) 249-257
2 World Health Organization. The global burden of disease. 2004 update. Accessed March 3, 2022 at: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwjkkqPX8LH3AhX9S2wGHeL1Au8QFnoECBEQAQ&url=https%3A%2F%2Fwww.aflatoxinpartnership.org%2Fwp-content%2Fplugins%2Fdownload-attachments%2Fincludes%2Fdownload.php%3Fid%3D3422&usg = AOvVaw3ZibwfoFPxZC-GIrtdL3AP
3 World Health Organization. Burns. Accessed March 3, 2022 at: https://www.who.int/en/news-room/fact-sheets/detail/burns
4 Stokes MAR, Johnson WD. Burns in the Third World: an unmet need. Ann Burns Fire Disasters 2017; 30 (04) 243-246
5 Othman N, Kendrick D. Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC Public Health 2010; 10: 83
6 Latifi NA, Karimi H, Motevalian SA, Momeni M. Economical burden of burn injuries in a developing country. J Burn Care Res 2017; 38 (06) e900-e905
7 Mortality GBD. GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015; 385 (9963): 117-171
8 Norton R, Kobusingye O. Injuries. N Engl J Med 2013; 368 (18) 1723-1730
9 Harats M, Peleg K, Givon A. et al. Burns in Israel, comparative study: Demographic, etiologic and clinical trends 1997-2003 vs. 2004-2010. Burns 2016; 42 (03) 500-507
10 Haik J, Liran A, Tessone A, Givon A, Orenstein A, Peleg K. Israeli Trauma Group. Burns in Israel: demographic, etiologic and clinical trends, 1997-2003. Isr Med Assoc J 2007; 9 (09) 659-662
11 Haik J, Weissman O, Givon A. et al; Israeli Trauma Group. Examining national burn care policies–is the Israeli burn care alignment based on national data?. J Burn Care Res 2012; 33 (04) 510-517
12 Aharonson-Daniel L, Peleg K. ITG. The epidemiology of terrorism casualties. Scand J Surg 2005; 94 (03) 185-190
13 Farooq U, Nasrullah M, Bhatti JA. et al. Incidence of burns and factors associated with their hospitalisation in Rawalpindi, Pakistan. Burns 2011; 37 (03) 535-540
14 Central Bureau of Statistics. Population, by population group. Accessed March 3, 2022 at: https://www.cbs.gov.il/he/publications/doclib/2019/2.shnatonpopulation/st02_01.pdf
15 Olaitan PB, Jiburum BC. Analysis of burn mortality in a burns centre. Ann Burns Fire Disasters 2006; 19 (02) 59-62
16 Goldman S, Aharonson-Daniel L, Peleg K. Israel Trauma Group (ITG). Childhood burns in Israel: a 7-year epidemiological review. Burns 2006; 32 (04) 467-472
17 Groohi B, Alaghehbandan R, Lari AR. Analysis of 1089 burn patients in province of Kurdistan, Iran. Burns 2002; 28 (06) 569-574
18 Alaghehbandan R, MacKay Rossignol A, Rastegar Lari A. Pediatric burn injuries in Tehran, Iran. Burns 2001; 27 (02) 115-118
19 Lari AR, Alaghehbandan R, Nikui R. Epidemiological study of 3341 burns patients during three years in Tehran, Iran. Burns 2000; 26 (01) 49-53
20 Panjeshahin MR, Lari AR, Talei A, Shamsnia J, Alaghehbandan R. Epidemiology and mortality of burns in the South West of Iran. Burns 2001; 27 (03) 219-226
21 Drago DA. Kitchen scalds and thermal burns in children five years and younger. Pediatrics 2005; 115 (01) 10-16
22 Duke J, Wood F, Semmens J. et al. A study of burn hospitalizations for children younger than 5 years of age: 1983-2008. Pediatrics 2011; 127 (04) e971-e977
23 Rimmer RB, Weigand S, Foster KN. et al. Scald burns in young children–a review of Arizona burn center pediatric patients and a proposal for prevention in the Hispanic community. J Burn Care Res 2008; 29 (04) 595-605
24 Peck MD. Epidemiology of burns throughout the world. Part I: distribution and risk factors. Burns 2011; 37 (07) 1087-1100
25 Ablewhite J, McDaid L, Hawkins A. et al. Approaches used by parents to keep their children safe at home: a qualitative study to explore the perspectives of parents with children aged under five years. BMC Public Health 2015; 15 (01) 983
26 Jullien S. Prevention of unintentional injuries in children under five years. BMC Pediatr 2021; 21 (Suppl. 01) 311
27 Riedlinger DI, Jennings PA, Edgar DW. et al. Scald burns in children aged 14 and younger in Australia and New Zealand—an analysis based on the Burn Registry of Australia and New Zealand (BRANZ). Burns 2015; 41 (03) 462-468
28 Stockton KA, Harvey J, Kimble RM. A prospective observational study investigating all children presenting to a specialty paediatric burns centre. Burns 2015; 41 (03) 476-483
29 Zou K, Wynn PM, Miller P. et al. Preventing childhood scalds within the home: Overview of systematic reviews and a systematic review of primary studies. Burns 2015; 41 (05) 907-924
30 Sanyang E, Peek-Asa C, Young T, Fuortes L. Child supervision and burn outcome among admitted patients at major trauma hospitals in the Gambia. Int J Environ Res Public Health 2017; 14 (08) E856
31 Cox SG, Burahee A, Albertyn R, Makahabane J, Rode H. Parent knowledge on paediatric burn prevention related to the home environment. Burns 2016; 42 (08) 1854-1860
32 Van Niekerk A, Laubscher R, Laflamme L. Demographic and circumstantial accounts of burn mortality in Cape Town, South Africa, 2001-2004: an observational register based study. BMC Public Health 2009; 9: 374
33 Blom L, Klingberg A, Laflamme L, Wallis L, Hasselberg M. Gender differences in burns: A study from emergency centres in the Western Cape, South Africa. Burns 2016; 42 (07) 1600-1608
34 Deshpande JD, Baviskar PK, Phalke DB. Epidemiological study of hospitalized burn patients in rural area. Int J Biol Adv Res 2012; 3 (04) 263-267
35 Delgado J, Ramírez-Cardich ME, Gilman RH. et al. Risk factors for burns in children: crowding, poverty, and poor maternal education. Inj Prev 2002; 8 (01) 38-41
36 Park JO, Shin SD, Kim J, Song KJ, Peck MD. Association between socioeconomic status and burn injury severity. Burns 2009; 35 (04) 482-490
37 Edelman LS. Social and economic factors associated with the risk of burn injury. Burns 2007; 33 (08) 958-965
38 Cohen AD, Gurfinkel R, Glezinger R, Kriger Y, Yancolevich N, Rosenberg L. Pediatric burns in the Bedouin population in southern Israel. ScientificWorldJournal 2007; 7: 1842-1847
39 Broides A, Assaf M. Home accidents in Arab Bedouin children in southern Israel. J Child Health Care 2003; 7 (03) 207-214
40 Jaffe DH, Goldman S, Peleg K. Israel Trauma Group. The role of community in pediatric injury. J Community Health 2011; 36 (02) 244-252
41 Benmeir P, Sagi A, Rosenberg L, Picard E, Ben Yakar Y. ‘Sabbath’ electric plate burn: a ritual hazard. Burns 1989; 15 (01) 39-41
42 Shoufani A, Golan J. Shabbes burn, a burn that occurs solely among Jewish orthodox children; due to accidental shower from overhead water heaters. Burns 2003; 29 (01) 61-64
43 Erdmann TC, Feldman KW, Rivara FP, Heimbach DM, Wall HA. Tap water burn prevention: the effect of legislation. Pediatrics 1991; 88 (03) 572-577
44 Rossi LA, Braga ECF, Barruffini RC, Carvalho EC. Childhood burn injuries: circumstances of occurrences and their prevention in Ribeirão Preto, Brazil. Burns 1998; 24 (05) 416-419
45 Bailey ME, Sagiraju HKR, Mashreky SR, Alamgir H. Epidemiology and outcomes of burn injuries at a tertiary burn care center in Bangladesh. Burns 2019; 45 (04) 957-963
46 Rowan MP, Cancio LC, Elster EA. et al. Burn wound healing and treatment: review and advancements. Crit Care 2015; 19 (01) 243
47 Rosenberg L, Krieger Y, Bogdanov-Berezovski A, Silberstein E, Shoham Y, Singer AJ. A novel rapid and selective enzymatic debridement agent for burn wound management: a multi-center RCT. Burns 2014; 40 (03) 466-474
48 Madaghiele M, Demitri C, Sannino A, Ambrosio L. Polymeric hydrogels for burn wound care: Advanced skin wound dressings and regenerative templates. Burns Trauma 2014; 2 (04) 153-161
49 Atiyeh BS, Costagliola M. Cultured epithelial autograft (CEA) in burn treatment: three decades later. Burns 2007; 33 (04) 405-413
50 Truong A-TN, Kowal-Vern A, Latenser BA, Wiley DE, Walter RJ. Comparison of dermal substitutes in wound healing utilizing a nude mouse model. J Burns Wounds 2005; 4: e4
51 Hirche C, Citterio A, Hoeksema H. et al. Eschar removal by bromelain based enzymatic debridement (Nexobrid) in burns: an European consensus. Burns 2017; 43 (08) 1640-1653
52 Jerwood DC, Dickson GR. Audit of intensive care burn patients: 1982-92. Burns 1995; 21 (07) 513-516
53 Mabrouk AR, Mahmod Omar AN, Massoud K, Magdy Sherif M, El Sayed N. Suicide by burns: a tragic end. Burns 1999; 25 (04) 337-339
54 Darko DF, Wachtel TL, Ward HW, Frank HA. Analysis of 585 burn patients hospitalized over a 6-year period. Part II: aetiological data. Burns 1986; 12 (06) 391-394
55 Barret JP, Gomez P, Solano I, Gonzalez-Dorrego M, Crisol FJ. Epidemiology and mortality of adult burns in Catalonia. Burns 1999; 25 (04) 325-329
56 Kraft R, Kulp GA, Herndon DN. et al. Is there a difference in clinical outcomes, inflammation, and hypermetabolism between scald and flame burn?. Pediatr Crit Care Med 2011; 12 (06) e275-e281
57 Bounds EJ, Khan M, Kok SJ. Electrical burns. In: G, Abai B, Abu-Ghosh A. et al, eds. StatPearls. Treasure Island, FL: StatPearls Publishing; 2022
58 Taylor SL, Sen S, Greenhalgh DG, Lawless M, Curri T, Palmieri TL. Not all patients meet the 1day per percent burn rule: a simple method for predicting hospital length of stay in patients with burn. Burns 2017; 43 (02) 282-289
59 Jansen LA, Hynes SL, Macadam SA, Papp A. Reduced length of stay in hospital for burn patients following a change in practice guidelines: financial implications. J Burn Care Res 2012; 33 (06) e275-e279
60 Kruchevsky D, Arraf M, Levanon S, Capucha T, Ramon Y, Ullmann Y. Trends in burn injuries in Northern Israel during the COVID-19 lockdown. J Burn Care Res 2021; 42 (02) 135-140
61 Greenhalgh DG. Not all burn centers are quiet during the COVID-19 crisis: “trends in burn injuries in Northern Israel during the COVID-19 lockdown”. J Burn Care Res 2021; 42 (01) 2