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Erschienen in: European Journal of Plastic Surgery 1/2018

17.05.2017 | Original Paper

Our experience with an unusual age distribution of patients with isolated burns of the foot

verfasst von: Shy Stahl, Eyal Gur, Arik Zaretski, David Leshem, Yoav Barnea

Erschienen in: European Journal of Plastic Surgery | Ausgabe 1/2018

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Abstract

Background

Isolated burns of the foot are rare and carry significant morbidity, with prolonged bed rest, slow healing time, and loss of workdays. We suspected a disproportionate age distribution of patients presenting with isolated burns of the foot in a catchment area.

Methods

The medical records of all patients with second- or third-degree isolated foot burns admitted to our medical center between 1/1998 and 12/2008 were reviewed. The 125 suitable consecutive patients (94 males) were divided into four age groups (0–17, 18–21, 22–39, and >40 years).

Results

Most patients were in the age group of mandatory military recruits (18–21 years; p < 0.007). Most patients in all groups were males (p < 0.006). Scald burns were the most common etiology in all age groups (p < 0.001) but comprised only 33.3% in the 18–21-year group (p < 0.021 compared to the other groups). Hot oil burns (p < 0.023) and exhaust pipe burns (p < 0.045) were significantly more prevalent in the 18–21-year group compared to the other groups. Around 30% of the 18–21-year group, 4.2% of the 0–17-year group, 12.5% of the 22–39-year group, and 17.9% of the >40-year group underwent skin grafting (p < 0.049). Children had the shortest hospitalization time (p < 0.007). Over 82% of the >40-year-old patients had comorbidities (p < 0.002 vs. other groups), of which diabetes mellitus was most common.

Conclusion

Isolated foot burns in otherwise healthy 18- to 21-year-olds, especially among those in military service, warrant special attention by military medical and psychological personnel.
Level of Evidence: Level IV, risk / prognostic study
Literatur
1.
Zurück zum Zitat American Burn Association/American College of Surgeons (2007) Guidelines for the operation of burn centers. J Burn Care Res. 28:134–141 American Burn Association/American College of Surgeons (2007) Guidelines for the operation of burn centers. J Burn Care Res. 28:134–141
2.
Zurück zum Zitat Barret JP, Herndon DN (2004) Plantar burns in children: epidemiology and sequelae. Ann Plast Surg 53:462–464CrossRefPubMed Barret JP, Herndon DN (2004) Plantar burns in children: epidemiology and sequelae. Ann Plast Surg 53:462–464CrossRefPubMed
4.
Zurück zum Zitat Zachary LS, Heggers JP, Robson MC, Smith DJ Jr, Maniker AA, Sachs RJ (1987) Burns of the feet. J Burn Care Rehabil 8:192–194CrossRefPubMed Zachary LS, Heggers JP, Robson MC, Smith DJ Jr, Maniker AA, Sachs RJ (1987) Burns of the feet. J Burn Care Rehabil 8:192–194CrossRefPubMed
5.
Zurück zum Zitat Schoen NS, Gottlieb LJ, Zachary LS (1996) Distribution of pedal burns by source and depth. J Foot Ankle Surg 35:194–198CrossRefPubMed Schoen NS, Gottlieb LJ, Zachary LS (1996) Distribution of pedal burns by source and depth. J Foot Ankle Surg 35:194–198CrossRefPubMed
6.
Zurück zum Zitat Winfield RD, Chen MK, Langham MR Jr, Kays DW, Beierle EA (2008) Ashes, embers, and coals: significant sources of burn-related morbidity in children. J Burn Care Res 29:109–113CrossRefPubMed Winfield RD, Chen MK, Langham MR Jr, Kays DW, Beierle EA (2008) Ashes, embers, and coals: significant sources of burn-related morbidity in children. J Burn Care Res 29:109–113CrossRefPubMed
7.
Zurück zum Zitat Putz Z, Nadas J, Jermendy G (2008) Severe but preventable foot burn injury in diabetic patients with peripheral neuropathy. Med Sci Monit 14:CS89–CS91PubMed Putz Z, Nadas J, Jermendy G (2008) Severe but preventable foot burn injury in diabetic patients with peripheral neuropathy. Med Sci Monit 14:CS89–CS91PubMed
8.
Zurück zum Zitat Hemington-Gorse S, Pellard S, Wilson-Jones N, Potokar T (2007) Foot burns: epidemiology and management. Burns 33:1041–1045CrossRefPubMed Hemington-Gorse S, Pellard S, Wilson-Jones N, Potokar T (2007) Foot burns: epidemiology and management. Burns 33:1041–1045CrossRefPubMed
9.
Zurück zum Zitat Shakirov BM, Tursunov BS (2005) Treatment of severe foot burns in children. Burns 31:901–905CrossRefPubMed Shakirov BM, Tursunov BS (2005) Treatment of severe foot burns in children. Burns 31:901–905CrossRefPubMed
10.
Zurück zum Zitat Jones LM, Rubadue C, Brown NV, Khandelwal S, Coffey RA (2015) Evaluation of TCOM/HBOT practice guideline for the treatment of foot burns occurring in diabetic patients. Burns 41(3):536–541CrossRefPubMed Jones LM, Rubadue C, Brown NV, Khandelwal S, Coffey RA (2015) Evaluation of TCOM/HBOT practice guideline for the treatment of foot burns occurring in diabetic patients. Burns 41(3):536–541CrossRefPubMed
11.
Zurück zum Zitat Asquith C, Kimble R, Stockton K (2015) Too hot to trot (barefoot) … A study of burns in children caused by sun heated surfaces in Queensland Australia. Burns 41(1):177–180CrossRefPubMed Asquith C, Kimble R, Stockton K (2015) Too hot to trot (barefoot) … A study of burns in children caused by sun heated surfaces in Queensland Australia. Burns 41(1):177–180CrossRefPubMed
12.
Zurück zum Zitat Shakirov BM (2014) Treatment of sandal burns of the feet in children in a moist environment. Burns 40(3):520–524CrossRefPubMed Shakirov BM (2014) Treatment of sandal burns of the feet in children in a moist environment. Burns 40(3):520–524CrossRefPubMed
13.
Zurück zum Zitat Haik J, Liran A, Tessone A, Givon A, Orenstein A, Peleg K, Israeli Trauma Group (2007) Burns in Israel: demographic, etiologic and clinical trends, 1997–2003. Isr Med Assoc J 9:659–662PubMed Haik J, Liran A, Tessone A, Givon A, Orenstein A, Peleg K, Israeli Trauma Group (2007) Burns in Israel: demographic, etiologic and clinical trends, 1997–2003. Isr Med Assoc J 9:659–662PubMed
14.
Zurück zum Zitat Friedman T, Shalom A, Westreich M (2006) Self-inflicted garlic burns: our experience and literature review. Int J Dermatol 45:1161–1163CrossRefPubMed Friedman T, Shalom A, Westreich M (2006) Self-inflicted garlic burns: our experience and literature review. Int J Dermatol 45:1161–1163CrossRefPubMed
15.
Zurück zum Zitat Gronovich Y, Binenboym R, Tuchman I, Eizenman N, Golan J (2013) Self-inflicted burns in soldiers. Ann Plast Surg 71(4):342–345CrossRefPubMed Gronovich Y, Binenboym R, Tuchman I, Eizenman N, Golan J (2013) Self-inflicted burns in soldiers. Ann Plast Surg 71(4):342–345CrossRefPubMed
Metadaten
Titel
Our experience with an unusual age distribution of patients with isolated burns of the foot
verfasst von
Shy Stahl
Eyal Gur
Arik Zaretski
David Leshem
Yoav Barnea
Publikationsdatum
17.05.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Plastic Surgery / Ausgabe 1/2018
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-017-1320-0

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