Nele Brusselaers|Stan Monstrey|Dirk Vogelaers|Eric Hoste|Stijn Blot
Severe burn injury in europe: a systematic review of the incidence, etiology, morbidity, and mortality
Ghent University Hospital|Ghent University Hospital|Ghent University Hospital|Ghent University Hospital|Ghent University Hospital
burn injury serious pathology potentially leading severe morbidity significant mortality also considerable healtheconomic impact aim study describe european hospitalized population severe burn injury including incidence etiology risk factors mortality causes deaththe systematic literature search 1985 2009 involved pubmed web science search engine google reference lists science citation index used hand searching snowballing studies dealing epidemiologic issues example incidence outcome major topic hospitalized populations severe burn injury secondary tertiary care europe included language restrictions set english french dutchthe search led 76 eligible studies including 186500 patients total annual incidence severe burns 02 2910000 inhabitants decreasing trend time almost 50 patients younger 16 years 60 male patients flames scalds contact burns prevalent causes total population children scalds clearly dominated mortality usually 14 18 decreasing time major risk factors death older age higher total percentage burned surface area well chronic diseases multi organ failure sepsis frequently reported causes death main causes early death 48 hours burn shock inhalation injurydespite lack largescale european registration burn injury epidemiologic information available hospitalized population severe burn injury generally presumed national international registration systems nevertheless remain necessary allow better targeting prevention campaigns improvement costeffectiveness total burn care