Self-inflicted burns in Brazil: systematic review and meta-analysis
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 rais...
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| Veröffentlicht in: | Revista do Colegio Brasileiro de Cirurgioes 2024, Vol.51, p.e20243665 |
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| creator | 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 |
| description | 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.
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.
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 |
| doi_str_mv | 10.1590/0100-6991e-20243665-en |
| format | Article |
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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.
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]).
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.</description><identifier>ISSN: 0100-6991</identifier><identifier>EISSN: 1809-4546</identifier><identifier>DOI: 10.1590/0100-6991e-20243665-en</identifier><identifier>PMID: 38716915</identifier><language>eng</language><publisher>Brazil: Colégio Brasileiro de Cirurgiões</publisher><subject>Brazil ; Brazil - epidemiology ; Burns ; Burns - epidemiology ; Burns - mortality ; Female ; Humans ; Male ; Meta-Analysis ; Review ; Self-Injurious Behavior ; Self-Injurious Behavior - epidemiology ; Systematic Review</subject><ispartof>Revista do Colegio Brasileiro de Cirurgioes, 2024, Vol.51, p.e20243665</ispartof><rights>2024 Revista do Colégio Brasileiro de Cirurgiões 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c382n-ada044f434bc7473f5f52932a37434799e823e4031e1e8f4e632e543c3e280873</cites><orcidid>0000-0002-4010-0415 ; 0000-0002-9728-7268 ; 0000-0003-3855-794X ; 0000-0001-9982-2204 ; 0000-0001-7762-168X ; 0000-0003-0572-9995 ; 0000-0001-8750-6116 ; 0000-0002-5476-2233</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185062/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185062/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38716915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nascimento, João Henrique Fonseca DO</creatorcontrib><creatorcontrib>Souza Filho, Benjamim Messias DE</creatorcontrib><creatorcontrib>Tomaz, Selton Cavalcante</creatorcontrib><creatorcontrib>Vieira, Adriano Tito Souza</creatorcontrib><creatorcontrib>Silva Neto, Marinho Marques DA</creatorcontrib><creatorcontrib>Andrade, André Bouzas DE</creatorcontrib><creatorcontrib>Santana, Diogo Radomille DE</creatorcontrib><creatorcontrib>Gusmão-Cunha, André</creatorcontrib><title>Self-inflicted burns in Brazil: systematic review and meta-analysis</title><title>Revista do Colegio Brasileiro de Cirurgioes</title><addtitle>Rev Col Bras Cir</addtitle><description>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.
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.
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]).
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.</description><subject>Brazil</subject><subject>Brazil - epidemiology</subject><subject>Burns</subject><subject>Burns - epidemiology</subject><subject>Burns - mortality</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Meta-Analysis</subject><subject>Review</subject><subject>Self-Injurious Behavior</subject><subject>Self-Injurious Behavior - epidemiology</subject><subject>Systematic Review</subject><issn>0100-6991</issn><issn>1809-4546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNpVkdFOGzEQRS1UBGnaX0D7Ay62x_bafanaCChSJB6AZ8vxjqnRxhvZC1X69V0IRORppDtzz4zmEnLG2TeuLDtnnDGqreVIBRMStFYU8xGZccMslUrqT2S2Hzoln2t9ZEwCt3BCTsG0XFuuZmRxi32kKcc-hRG7ZvVUcm1Sbn4V_y_135u6rSOu_ZhCU_A54d_G565Z4-ipz77f1lS_kOPo-4pf3-qc3F9e3C1-0-XN1fXi55IGMCJT33kmZZQgV6GVLUQVlbAgPLST1lqLRgBKBhw5mihRg0AlIQAKw0wLc3K943aDf3Sbkta-bN3gk3sVhvLgfJkO7dGhjEJDaLWW3bRSWQ-6Ax06Y3gbmJlYP3aszdNqjV3APBbfH0APOzn9cQ_Ds-OcG8W0mAh6RwhlqLVg3Js5cy8ZuZf3u9eM3HtGDvNkPPu4em97DwX-AxQxjU4</recordid><startdate>2024</startdate><enddate>2024</enddate><creator>Nascimento, João Henrique Fonseca DO</creator><creator>Souza Filho, Benjamim Messias DE</creator><creator>Tomaz, Selton Cavalcante</creator><creator>Vieira, Adriano Tito Souza</creator><creator>Silva Neto, Marinho Marques DA</creator><creator>Andrade, André Bouzas DE</creator><creator>Santana, Diogo Radomille DE</creator><creator>Gusmão-Cunha, André</creator><general>Colégio Brasileiro de Cirurgiões</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4010-0415</orcidid><orcidid>https://orcid.org/0000-0002-9728-7268</orcidid><orcidid>https://orcid.org/0000-0003-3855-794X</orcidid><orcidid>https://orcid.org/0000-0001-9982-2204</orcidid><orcidid>https://orcid.org/0000-0001-7762-168X</orcidid><orcidid>https://orcid.org/0000-0003-0572-9995</orcidid><orcidid>https://orcid.org/0000-0001-8750-6116</orcidid><orcidid>https://orcid.org/0000-0002-5476-2233</orcidid></search><sort><creationdate>2024</creationdate><title>Self-inflicted burns in Brazil: systematic review and meta-analysis</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382n-ada044f434bc7473f5f52932a37434799e823e4031e1e8f4e632e543c3e280873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Brazil</topic><topic>Brazil - epidemiology</topic><topic>Burns</topic><topic>Burns - epidemiology</topic><topic>Burns - mortality</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Meta-Analysis</topic><topic>Review</topic><topic>Self-Injurious Behavior</topic><topic>Self-Injurious Behavior - epidemiology</topic><topic>Systematic Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nascimento, João Henrique Fonseca DO</creatorcontrib><creatorcontrib>Souza Filho, Benjamim Messias DE</creatorcontrib><creatorcontrib>Tomaz, Selton Cavalcante</creatorcontrib><creatorcontrib>Vieira, Adriano Tito Souza</creatorcontrib><creatorcontrib>Silva Neto, Marinho Marques DA</creatorcontrib><creatorcontrib>Andrade, André Bouzas DE</creatorcontrib><creatorcontrib>Santana, Diogo Radomille DE</creatorcontrib><creatorcontrib>Gusmão-Cunha, André</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista do Colegio Brasileiro de Cirurgioes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nascimento, João Henrique Fonseca DO</au><au>Souza Filho, Benjamim Messias DE</au><au>Tomaz, Selton Cavalcante</au><au>Vieira, Adriano Tito Souza</au><au>Silva Neto, Marinho Marques DA</au><au>Andrade, André Bouzas DE</au><au>Santana, Diogo Radomille DE</au><au>Gusmão-Cunha, André</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-inflicted burns in Brazil: systematic review and meta-analysis</atitle><jtitle>Revista do Colegio Brasileiro de Cirurgioes</jtitle><addtitle>Rev Col Bras Cir</addtitle><date>2024</date><risdate>2024</risdate><volume>51</volume><spage>e20243665</spage><pages>e20243665-</pages><issn>0100-6991</issn><eissn>1809-4546</eissn><abstract>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.
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.
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]).
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.</abstract><cop>Brazil</cop><pub>Colégio Brasileiro de Cirurgiões</pub><pmid>38716915</pmid><doi>10.1590/0100-6991e-20243665-en</doi><orcidid>https://orcid.org/0000-0002-4010-0415</orcidid><orcidid>https://orcid.org/0000-0002-9728-7268</orcidid><orcidid>https://orcid.org/0000-0003-3855-794X</orcidid><orcidid>https://orcid.org/0000-0001-9982-2204</orcidid><orcidid>https://orcid.org/0000-0001-7762-168X</orcidid><orcidid>https://orcid.org/0000-0003-0572-9995</orcidid><orcidid>https://orcid.org/0000-0001-8750-6116</orcidid><orcidid>https://orcid.org/0000-0002-5476-2233</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Brazil Brazil - epidemiology Burns Burns - epidemiology Burns - mortality Female Humans Male Meta-Analysis Review Self-Injurious Behavior Self-Injurious Behavior - epidemiology Systematic Review |
| title | Self-inflicted burns in Brazil: systematic review and meta-analysis |
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