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Self-inflicted burns in Brazil: systematic review and meta-analysis.
Nascimento, João Henrique Fonseca DO; Souza Filho, Benjamim Messias DE; Tomaz, Selton Cavalcante; Vieira, Adriano Tito Souza; Silva Neto, Marinho Marques DA; Andrade, André Bouzas DE; Santana, Diogo Radomille DE; Gusmão-Cunha, André.
Afiliação
  • Nascimento JHFD; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Souza Filho BM; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Tomaz SC; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Vieira ATS; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Silva Neto MMD; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Andrade AB; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Santana DR; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
  • Gusmão-Cunha A; - Universidade do Estado da Bahia (UNEB), Departamento de Ciências da Vida - Salvador - BA - Brasil.
Rev Col Bras Cir ; 51: e20243665, 2024.
Article em En, Pt | MEDLINE | ID: mdl-38716915
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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queimaduras / Comportamento Autodestrutivo Limite: Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queimaduras / Comportamento Autodestrutivo Limite: Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil