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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Predictors of mortality following electrical and lightning injuries in Malawi: A decade of experience
Burns, Year 2023
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Description
Introduction: Electrical injuries can be devastating, and data is lacking in low-resource settings. We aimed to identify predictors of mortality following electrical and lightning injuries (ELI) in Malawi. Methods: We performed a retrospective observational study of patients presenting with ELI and burn injuries at a tertiary hospital in Malawi from 2011 to 2020. Outcomes were compared and predictors of mortality were modeled. Results: A total of 382 ELI and 6371 burn patients were included. The mean ages for ELI and burn groups were 24 ± 14 and 11 ± 14 years, respectively (p < 0.01). Most patients were injured at home (91% in the burn group versus 51% in the ELI group, p < 0.01). The crude mortality rate in the ELI group was 28%, compared to 12% in the burn group (p < 0.01). On multivariate logistic regression, predictors of mortality included ELI (odds ratio [OR] 13.3, 95% confidence interval [CI] 7.2–24.5) and total body surface area burned (OR 1.1, 95% CI 1.1–1.1). Predicted mortality for ELI has increased over time (p = 0.05). Conclusions: ELI confers more than 13 times higher odds of mortality than burn injuries in Malawi, with mortality risk increasing over time. More efforts are needed to prevent electrical hazards and implement timely interventions for patients with ELI. © 2023 Elsevier Ltd and International Society of Burns Injuries
Authors & Co-Authors
An, Selena J.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Kayange, Linda
Malawi, Lilongwe
Kamuzu Central Hospital
Davis, Dylane
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Peiffer, Sarah
United States, Houston
Baylor College of Medicine
Gallaher, Jared Robert
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Charles, Anthony G.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Malawi, Lilongwe
Kamuzu Central Hospital
Statistics
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1016/j.burns.2023.10.013
ISSN:
03054179
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cohort Study
Case-Control Study
Study Locations
Malawi