In the past decades, there has been a shift in focus from mortality to morbidity in burn care in high-income countries. ![]() In high-income countries, a similar trend is observed. Reviews on burn injury incidence data describe a decline in the incidence rates of burn-related hospital admissions in both low- and middle-income countries. In Europe, incidence rates of hospitalized burn injuries are reported between 2 and 29 per 100,000 inhabitants in Australia, 36 per 100,000 has been reported. National burn injury incidence data are scarce. In addition, 40,000 hospitalizations are related to burn injuries. In the United States annually, 486,000 burn injuries receive medical treatment. The nonfatal burns are a leading cause of morbidity, including long hospitalizations, disability and problems in returning to normal life. Two-third of these deaths occur in the WHO regions of Africa and Southeast Asia. The majority of these deaths occur in low- and middle-income countries. According to estimates of the WHO, burn injuries cause 180,000 deaths every year. Knowledge on risk factors for poor scar outcome can be used to tailor treatment, aftercare and scar prevention to these patients with a high-risk profile.īurn injuries are a global public health problem. This includes the risk factors like the female gender and also a younger age and darker skin. Intrinsic patient-related risk factors seem to play a role as well but are less consistent predictors of scar outcome. These characteristics are related to burn size (total body surface area burned) and burn depth (number or type of surgery) or the overall healing process in general (length of stay, wound healing complications). ![]() Injury- and treatment-related characteristics are the main predictors of scar outcomes after burn injury. About 5–20% of the people who suffered from burn injuries received reconstructive surgery after burns, up to 10 years post injury.įactors predicting pathological scar formation after burn injuries include patient, injury and treatment characteristics. Data on prevalence of burn scar contractures are limited reported prevalence at discharge varied between 38 and 54% and decreased with an increasing time post burn. A recent prospective study revealed a prevalence of 8%. Prevalences of hypertrophic scarring after burn injuries between 8% and 67% are reported. Pathological scarring in burn wounds can result in hypertrophic scars and/or contractures.
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