Burn Injuries in Epileptic Patients: Prevalence, Causes, and Outcomes; A cohart study at pak Italian burn center nishter hospital multan

Authors

  • Muhammad Naveed Shahzad Assistant Professor Pak Italian Modern Burn Centre, Nishtar Medical University and Hospital, Multan
  • Muhammad Hussain Senior Registrar Pak Italian Modern Burn Centre, Nishtar Medical University and Hospital, Multan
  • Gulrukh Razi

Abstract

Objective: To assess the prevalence, causes, and outcomes of burn injuries in epileptic patients.

Methodology: This retrospective cohort study was conducted at the Pak-Italian Modern Burn Center, Nishtar Medical University and Hospital, Multan, Pakistan. Data was collected from January 2018 to June 2023.Medical records were reviewed, and data on demographics, burn details, seizure history, and outcomes were collected and analyzed using descriptive statistics. Descriptive statistics were used to analyze the data on IBM SPSS Statistics version 2023

Results: The study found that 264 epileptic patients (7.5%) had sustained burn injuries. The average age was 30±11 years, with a low literacy rate of 23.1%. Most burns occurred at home (52.7%), with flame burns being the most common cause (48.5%), followed by scalds (42.4%) and electric burns (4.9%). Burn severity varied, with 63.3% of patients having 21-40% total body surface area (TBSA) involvement. Only 26.5% were on regular antiepileptic medication, and 75% had a prior history of seizures. Surgical interventions included split-thickness skin grafts (32.6%) and full-thickness skin grafts (28.4%). The mortality rate was 11.4%.

Conclusion: Epileptic patients are at significant risk of burn injuries, primarily due to seizures occurring during routine activities. The high incidence of flame burns and the substantial proportion of patients not on regular antiepileptic medication highlight the need for improved seizure management and burn prevention strategies in this population. Enhanced awareness and adherence to treatment can potentially reduce the prevalence and severity of burn injuries among epileptic patients.

Author Biography

Muhammad Hussain, Senior Registrar Pak Italian Modern Burn Centre, Nishtar Medical University and Hospital, Multan



Published

2024-06-11

Issue

Section

Original Articles