Epidemiology of Burn Injury

Burns are responsible for about 3,000-5,000 deathsflames. Interestingly, most burns that occur to
per year in the United States (Merck, 2005; Oxbridge,military personnel happen in the civilian setting, while
2008). In addition, 1 million emergency room visits areonly 10% to 12% occur in battle. In rarer cases, burn
due to burn injury in the U.S. (Merck, 2005). Burninjury may be the result of physical child abuse
injury is linked to several recurring behaviors (risk(Oxbridge, 2008).
factors). These include careless behavior (smoking inThe mortality rate from burn injury is related to the
bed), accidents (motor vehicle accidents), seizures,amount of burn figured in percentage of body
syncope, alcohol use, and psychiatric conditions. Thesurface area. Theoretically a 100% body surface area
more of these risk factors are present, the moreburn is fatal, although very rare reports of survival do
likely an incident will occur. Most burns happen in theexist for patients receiving greater than 90% burn.
home, especially in the kitchen and bathroom whereAs technology improves, survival does as well.
scalds are most common in the very young or old.Improved resuscitation, better treatment of
Also kitchens and storage rooms are often thecomorbidities, early excision, and new technologies
source for chemical injury (Oxbridge, 2008).for grafting wounds have helped to improve survival
The next most likely place for a burn injury to takerates. In the 1950s, a young adult with a 50% burn
place is the workplace, although occupational safetyhad a 50% chance of survival or death, while now a
requirements have reduced the risk. Occupations thatsimilar burn has a mortality rate of only 5% to 10%
deal with fire (firefighters) are more likely to have(Oxbridge, 2008). Burn injury not only takes a toll on
this risk as well as workplaces that use chemicals inthe patient's body, but other costs are involved as
production of certain materials (plating industry-acidwell such as work-time lost, the cost for
burns; fertilizer production-acid or alkali burns; dyerehabilitation, employer compensation for time off
industry-phenol burns, petroleum industry-complexwork, and the excessive need for family support
hydrocarbon chemical burns, etc.). Roadways are aboth emotionally and physically to care for the
common site for burn injury due to motor vehiclepatient until recovery. For each 1% body surface
accidents; and outdoors is a likely place as a result ofarea burned, 1 to 2 days of hospital admission may
things such as fireworks or inattention to openbe required (Oxbridge, 2008).