الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Burn injuries are challenging medical and surgical morbidity with high mortality rates. Egypt populations are vulnerable for higher rates of burn injuries and their consequences in comparison with developed nations. The present study tried to provide an insight to the understanding of burn injuries in Burn Centre, Mansoura University Hospital. The study specifically aimed to describe the epidemiology of burn admissions from 2009 to 2013, to determine time trend changes in the previous 5 years. The admission rate and all Exposure and outcome of burn injuries data were extracted from hospital files. In addition, the study investigated the risk factors for burn injuries among incident cases in terms of patient characteristics, socioeconomic background, circumstances of injury, mechanisms, degree, size and other injury characteristics. The study comprised a descriptive retrospective component and a case control component. The descriptive component included 813 patients admitted through a 5 years period while the case control study compared the epidemiological criteria of 69 patients and 69 controls. Most of the admitted cases (around 75%) were aged below 35 years. The majority of the admitted cases (25.2%) were below five years children and the minorities were above 50 years. Most of the cases were males (60.8%) and from urban areas (59%). Most of the cases occurred in winter season (28.4 %) followed by summer season (27.2%). The most common cause of burn was flame (53.8 %) followed by scald (37.3%). Most of the burn injuries (85.6%) involved more than one site and that the upper limb was the most commonly affected site (70.8%) followed by face (62.2%) and lower limb (59.4%). Burn degree ranged from 3rd degree among 412 patients (50.7%) to 2nd degree among 398 patients (49.0%) and 1st degree among 3 patients (0.4%). Total body surface area (TBSA) burnt was 0-25% among 47.1% and 75-100% among 9.2%. there was statistical significant difference between males and females regarding total body surface area (TBSA) burnt (P= 0.006). However, there is no statistically significant difference regarding the involved site of burn injuries (p=0.2), degree of the burn (p=0.3). The main conclusions of the study are that burn injury is a preventable public health problem. Burn injuries are increased in certain seasons with variable mechanisms of injury ranging from mild up to severe catastrophic fatal condition with an impact on health care resource. Domestic burn injuries has several risk factors as socio-demographic, health status, indoor cigarette smoking, lack of building safety measures against burn, safety measures for cooking & water heating in houses, safety of winter heating means in houses, house electricity safety; if modified, burn injuries can be prevented. The effectiveness of the fire alarm, family evacuation plan, children training when there is fire, presence of emergency outlet or the use of fire extinguisher in the prevention and control of fires and burns among households need further studies for its implantation in Egypt.