Characteristics of adult scald burn patients-a single center study in western Kanagawa Prefecture

Burns. 2011 May;37(3):508-12. doi: 10.1016/j.burns.2010.09.012. Epub 2010 Dec 13.

Abstract

Burns sustained in bathtubs are a social and medical problem in Japan, especially among the elderly. Between October 2003 and March 2009, 22 adult scald burn patients (men, 17; average age, 65.3 ± 21.2 years) were transferred to Tokai University. In this study, we investigated the characteristics of these patients, and compared clinical parameters among patients with burns sustained in a bathtub (n = 10) and those with burns sustained due to other causes (n = 12). The average percentage total body surface area (%TBSA), dermal and deep burn area, and abbreviated burn severity index (ABSI) were 27.6 ± 23.8, 19.9 ± 20.5%, 7.8 ± 13.1%, and 7.7 ± 3.1, respectively. All patients in the bathtub burn group were elderly, 6 developed internal diseases, 3 had alcohol-related burns, and 4 died. Additionally, their %TBSA and ABSI were higher than those of the non-bathtub burn group patients. Burns sustained in bathtubs were more severe than those sustained due to other causes. The bathtub-related burn patients were elderly, and their burns were extensive and deep; hence, they were at a higher risk of developing internal diseases. Thus, introduction of safer bathing styles and bath systems will decrease incidences of bathtub-related burns.

MeSH terms

  • Adult
  • Aged
  • Baths / adverse effects*
  • Burns / epidemiology
  • Burns / etiology
  • Burns / pathology*
  • Female
  • Hot Temperature / adverse effects*
  • Humans
  • Incidence
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Young Adult