Self-inflicted burns in Brazil: systematic review and meta-analysis

Autor: JOÃO HENRIQUE FONSECA DO NASCIMENTO, BENJAMIM MESSIAS DE SOUZA FILHO, SELTON CAVALCANTE TOMAZ, ADRIANO TITO SOUZA VIEIRA, MARINHO MARQUES DA SILVA NETO, ANDRÉ BOUZAS DE ANDRADE, DIOGO RADOMILLE DE SANTANA, ANDRÉ GUSMÃO-CUNHA
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Revista do Colégio Brasileiro de Cirurgiões, Vol 51 (2024)
Druh dokumentu: article
ISSN: 1809-4546
0100-6991
DOI: 10.1590/0100-6991e-20243665-en
Popis: 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
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