AI Article Synopsis
- - Burns are a significant public health issue in Brazil, resulting in approximately 2 million cases and 2,500 deaths annually, with self-inflicted burns having a worse prognosis due to larger burn areas and increased infection rates.
- - A systematic review of studies from the last 20 years found that out of 3,510 victims, 311 were linked to self-injurious behavior, revealing these patients have a significantly higher risk of death and larger burn surface areas compared to accidental burns.
- - The research highlights that females are particularly vulnerable, showing a higher likelihood of self-immolation in Brazil, underscoring the need for targeted interventions and further studies on this issue.
Article Abstract
Introduction: burns represent a pivotal component of trauma in Brazil, accounting for 2 million incidents and 2,500 deaths annually. Self-intentional burns are associated with a worse prognosis, larger burned surface area, higher infection rates, and death. The lack of studies on the issue of self-immolation raises epidemiological questions regarding Brazilian victims. This study aimed to investigate the profile of burn events associated with self-injurious behavior among Brazilian victims.
Methods: this systematic review was performed according to PRISMA 2020 guidelines and evaluated the correlation between self-injurious behavior as a cause of burns in Brazilian victims and its epidemiological implications in the last 20 years (2003-2023). The MeSH terms "Burns", "Self-Injurious Behavior", "Epidemiology" and "Brazil" were queried in the PubMed/MEDLINE, SciELO, and Cochrane Library databases, and, after selection by inclusion/exclusion criteria, the most relevant studies were critically analyzed.
Results: From 1,077 pre-selected studies, 92 were potentially eligible, resulting in 7 manuscripts incorporated in this review. From 3,510 burned victims assembled in the pool of selected studies, 311 cases displayed self-injurious behavior. Burned patients who attempted to burn their lives have a higher risk of death (p<0.05; RR=5.1 [3.2-8.1]) and larger burned surface area (p<0.05; MD=19.2 [10-28.2]), compared to accidental cases. Moreover, the female gender was at a higher risk of attempting self-immolation (p<0.05; RR=4.01 [2.9-5.5]).
Conclusion: our results show that self-inflicted burn cases were associated with a larger burned surface area and a higher risk of death, and the female gender was identified as a relevant risk factor in Brazil.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185062 | PMC |
| http://dx.doi.org/10.1590/0100-6991e-20243665-en | DOI Listing |
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