Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility
Introduction: Scald burns are challenging to manage due to their evolutionary nature and nuanced injury pattern. Different mediums, such as hot water, steam, or grease, each have unique physical properties that may inflict more damage and incite a different inflammatory response. While pediatric pat...
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Elsevier
2025-01-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468912224000646 |
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| author | William Rice Hemasree Yeluru Miles Reese Ricardo Rendel Alexa Soult Jessica Burgess |
| author_facet | William Rice Hemasree Yeluru Miles Reese Ricardo Rendel Alexa Soult Jessica Burgess |
| author_sort | William Rice |
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| description | Introduction: Scald burns are challenging to manage due to their evolutionary nature and nuanced injury pattern. Different mediums, such as hot water, steam, or grease, each have unique physical properties that may inflict more damage and incite a different inflammatory response. While pediatric patients are often the focus of scald burn research, a significant number of adults still suffer from scald burns, especially while cooking with hot grease. Our study aimed to analyze differences in injury pattern and management between grease versus non-grease scald burns. Materials and Methods: A retrospective chart review was done on all scald burn patients at a tertiary burn care center from January 2020 to December 2022. The primary outcomes were admission and length of stay with the primary exposure being grease versus non-grease scald burns. Secondary outcomes included rates of surgical excision and changes in surgical management plans. Multivariate regressions were employed to control for sex, age, total body surface area (TBSA), and burn thickness. Results: Of 165 patients with scald burns, 41 out of 91 (45.1 %) with grease burns and 43 out of 74 (58.1 %) with non-grease burns were admitted. No statistically significant difference in length of hospital stay existed between admitted grease and non-grease burns (p = 0.45). Additionally, no differences were observed for surgical excision (p = 0.63) and changes in surgical management plans (p = 0.47) Conclusion: The mechanism of scald burn caused by either a grease or non-grease source is not associated with any differences in admission, length of hospital stay, or surgical management. Scald burn management should still focus on patient age, TBSA, and burn thickness regardless of the causative agent. |
| format | Article |
| id | doaj-art-ce07cb5442634f7cbd68349358d80cfa |
| institution | Kabale University |
| issn | 2468-9122 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Burns Open |
| spelling | doaj-art-ce07cb5442634f7cbd68349358d80cfa2025-01-19T06:26:24ZengElsevierBurns Open2468-91222025-01-019100376Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facilityWilliam Rice0Hemasree Yeluru1Miles Reese2Ricardo Rendel3Alexa Soult4Jessica Burgess5Eastern Virginia Medical School, Department of Surgery, 825 Fairfax Ave, 6th Floor, Norfolk, VA 23507, USA; Corresponding author at: 825 Fairfax Ave, 6th Floor, Norfolk, VA 23507, USA.University of Virginia School of Medicine, Department of Surgery, West Complex, 1300 Jefferson Park Ave, Charlottesville, VA 22903, USAEastern Virginia Medical School, Department of Surgery, 825 Fairfax Ave, 6th Floor, Norfolk, VA 23507, USAUniversity of Miami/Ryder Trauma Center, Department of Surgery, 1295 NW 14th St, Miami, FL 33136Eastern Virginia Medical School, Department of Surgery, 825 Fairfax Ave, 6th Floor, Norfolk, VA 23507, USAEastern Virginia Medical School, Department of Surgery, 825 Fairfax Ave, 6th Floor, Norfolk, VA 23507, USAIntroduction: Scald burns are challenging to manage due to their evolutionary nature and nuanced injury pattern. Different mediums, such as hot water, steam, or grease, each have unique physical properties that may inflict more damage and incite a different inflammatory response. While pediatric patients are often the focus of scald burn research, a significant number of adults still suffer from scald burns, especially while cooking with hot grease. Our study aimed to analyze differences in injury pattern and management between grease versus non-grease scald burns. Materials and Methods: A retrospective chart review was done on all scald burn patients at a tertiary burn care center from January 2020 to December 2022. The primary outcomes were admission and length of stay with the primary exposure being grease versus non-grease scald burns. Secondary outcomes included rates of surgical excision and changes in surgical management plans. Multivariate regressions were employed to control for sex, age, total body surface area (TBSA), and burn thickness. Results: Of 165 patients with scald burns, 41 out of 91 (45.1 %) with grease burns and 43 out of 74 (58.1 %) with non-grease burns were admitted. No statistically significant difference in length of hospital stay existed between admitted grease and non-grease burns (p = 0.45). Additionally, no differences were observed for surgical excision (p = 0.63) and changes in surgical management plans (p = 0.47) Conclusion: The mechanism of scald burn caused by either a grease or non-grease source is not associated with any differences in admission, length of hospital stay, or surgical management. Scald burn management should still focus on patient age, TBSA, and burn thickness regardless of the causative agent.http://www.sciencedirect.com/science/article/pii/S2468912224000646Scald burnsGrease burnsSurgical excisionWound management |
| spellingShingle | William Rice Hemasree Yeluru Miles Reese Ricardo Rendel Alexa Soult Jessica Burgess Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility Burns Open Scald burns Grease burns Surgical excision Wound management |
| title | Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility |
| title_full | Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility |
| title_fullStr | Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility |
| title_full_unstemmed | Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility |
| title_short | Management considerations in grease versus non-grease scald burns in adults: A retrospective cohort study at a tertiary burn care facility |
| title_sort | management considerations in grease versus non grease scald burns in adults a retrospective cohort study at a tertiary burn care facility |
| topic | Scald burns Grease burns Surgical excision Wound management |
| url | http://www.sciencedirect.com/science/article/pii/S2468912224000646 |
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