1. Burn Injuries in Eastern Province:
An Analysis of Epidemiology, Treatment & Outcome :
A Tertiary Care Hospital, Batticaloa.
Pirasath S1, Jasotharan V2 , Jeepara P3
1,3 Teaching Hospital Batticaloa, Sri Lanka.
2Faculty of Health Care Sciences, Eastern University of Sri Lanka.
Annual Academic Sessions 2012

2. Dr.P.JEEPARA MBBS,MS,FRCS
By:
Dr.Selladurai Pirasath,
RHO/TH/Batticaloa.
Mr.Velapoddy Jasotharan,
Medical Student/FHCS/EUSL.
Supervisor:
Dr.P.JEEPARA MBBS,MS,FRCS
Senior Consultant Surgeon,
Teaching Hospital/Batticaloa.
Annual Academic Sessions 2012

3. Introduction Incidence of Burn Injuries is increased in Batticaloa.
Injuries due to Burns are fatal, even end up – Cosmetic disfigurement, Contractures & Death.
Burn Injuries are preventable.
Accidental & Suicidal Burn Injuries.
A high number of self-burning injuries are noted in Batticaloa.
Annual Academic Sessions 2012

4. Objectives
To study the following selected aspects of victims with Burn Injuries admitting to surgical units, Tertiary Care hospital, Batticaloa.
Primary Objective
Epidemiology
Secondary Objective
Type of injuries
Modalities of treatments
Outcome of victims
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5. Materials & Methods Materials Methods
Interviewed based predesigned questionnaires
Methods
Study design : Descriptive study
Study population : All victims admitting to surgical units,
Teaching hospital, Batticaloa.
Study period : 1st August 2011 –31st March2012.
Sampling method : Convenience sampling
Sampling size : Patients
Ethical Clearance
ERC/FHCS/EUSL
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6. RESULTS
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7. EPIDERMILOGICAL PROFILE
Females [61.9%,Nos-39] are common than Males [38.1%,Nos-24]
Age
< 12 yrs %
13-18 yrs %
19-40 yrs %
41-60 yrs %
>60 yrs %
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8. PLACE Nos Urban areas Rural areas 24 (38.1%) 39 (61.9%) Marital status
Married
Single
Race
Tamil
Muslim
Sinhala
46 (73%)
17 (27%)
51 (80.9%)
9 (14.2%)
3(4.7%)
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9. Accidental Burn Injuries 56% Suicidal Burn Injuries 41%
Homicidal Burn Injuries 5%
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10. Personal characteristics on Suicidal Burns Suicidal Burn Injuries
Nos
Courtship failure
6(23.0%)
Marital problems
14 (53.8%)
Family problems
3(11.5%)
Social problems
2(7.6)
Economical problems
1(3.8)
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11. Accidental Burn Injuries Nos (%) Traditional lamp 18(51.4%)
Arican lamp
7(20%)
Gas cooker
1(2.8)
Keresone iol cooker
9(25.7%)
Risk factors
Nos (%)
Alcoholism
10(15.7%)
Psychiatric disorders
4(6.35%)
Epilepsy
2(3.17%)
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12. TYPE OF BURN INJURIES Thermal burn 56(88.9%)
DEPTH OF BURN INJURIES
% OF INJURIES
SUPERFICIAL BURN INJURIES
17 (26.9%)
DEPP BURN INJURIES
1.PARIAL THICKNESS
2.FULL THICKNESS
46(73.1%)
27(42.8%)
19(30.6%)
TYPE OF BURN INJURIES
Thermal burn
56(88.9%)
Chemical burn (Acid/Alkali)
3(4.7%)
Electrical burn
4(6.3%)
TYPE OF BURN INJURIES
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13. Face was involved in majority of the cases: (Nos-37, 59%).
The median extent of burn was >40% of total body surface area (TBSA) in majority of patients (Nos-38, 60%), with the top of the body (Anterior surface of Chest and upper & Lower limbs) mainly affected.
Face was involved in majority of the cases:
(Nos-37, 59%).
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14. TREATMENT MODALITIES & OUTCOME
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15. MODALITIES OF TREATMENT
Management
%Nos
Medical Mx
Analgesics
100.00% [63]
Antibiotics
Surgical Mx
Dressing under anaethesia
16.98% [18]
Skin graft
39.8% [24]
Contracture release
4.76% [03]
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16. Outcome of victims depend on co morbid disease, .
Outcome of victims depend on co morbid disease,
mechanism and the type of injuries.
Wound infections (Nos-52,82%) are the commonest encountered problem among them.
The survivors(Nos-30,44%) had long hospital stays nearly more than two weeks.
Mortality was higher during 2nd week of hospital stay due to infections (7 out of 10).
The cosmetic disfigurement and contractures are encountered among the survivors.
Contractures esp in neck and limbs were also reported in follow up patients.
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17. All data were analyzed using SPSS analytical package.
Statistical analysis
All data were analyzed using SPSS analytical package.
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18. Marital problems was significantly contributed to suicidal burn injuries. (P<0.05)
Traditional lamps was significantly contributed to accidentalburninjuries (P<0.05)
Fire burn injuries are a very significant method of suicidal and accidental burn injuries (P<0.05)
Mortality and morbidity were significantly associated with infections rather than total surface area of burn injuries (P<0.05)
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19. CONCLUSIONS Commonest victims of Burn Injuries
Female, Married, Tamils, Hindus, Young adults, from Rural areas.
Major contributors for Burn Injuries
Accidental common than Suicidal.
Accidental Burn Injuries:
Traditional lamps & Kerosene oil cookers
Suicidal Burn Injuries:
Failures Marital and Romantic relationship
Risk Factors:
Alcoholism, Epilepsy, Psychiatric diseases
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20. Greatest challenge – Mortality of Victims
Commonest injuries
Deep Burn Injuries & Fire Burn Injuries
Impact of Burn injuries
Cosmetic disfigurement & Contractures
Ultimate Burn injuries
Secondary Bacterial Infections
Death
Infections
Greatest challenge – Mortality of Victims
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21. Get the “Recommendations” from research;
Precautions should be taken
to prevent the incidence of accidental burn injuries
Problem-solving ability has to be promoted
to reduce the rates of suicidal burn injuries
among young females in Batticaloa district.
Intensive Care Burn Unit is necessary to reduce the mortality of the victims in Batticaloa.
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22. BURN INJURIES HAVE TO BE PREVENTABLE
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23. References
Annual Health Bulletin Department of Health Services, Sri Lanka.
Total Burn Care, 3rd Edition, Edited by David Herndon, Saunders, 2007.
Cameron DR, Pegg SP, Muller M. Self-inflicted burns. Burns 1997;23:519–21.
Somasundaram D, Rajadurai S. War and suicide in northern Sri Lanka.
Acta Psychiatr Scand 1995;91:1–4.
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24. Acknowledgement Supervisor & Co-Author Committee of BMA
Sincere thanks to
Supervisor & Co-Author
Committee of BMA
Victims & relatives of Burn Injuries
Staffs, TH, Batticaloa.
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25. THIS RESEARCH PAPER IS TO BE PUBLISHED AS “FULL PAPER” IN
INTERNATIONAL JOURNAL OF SURGERY,EDINBERG SOON.
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26. Thank you
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27. QUESTIONS
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