ArticleWiener klinische Wochenschrift2026
Different flames, different fates : A comparative study of surgical interventions and critical care burden in electrical vs. thermal burn injuries.
Article in Wiener klinische Wochenschrift, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHigh-voltage electrical injuries (HVEI) and thermal burns are both classified as severe burn trauma, yet their clinical impact differs markedly. The HVEIs cause deep tissue destruction and systemic complications that are often underestimated in severity by conventional burn indices such as TBSA (Total Body Surface Area) and ABSI (Abbreviated Burn Severity Index).
methodsA retrospective cohort analysis was performed on 1515 burn patients treated between 1994 and 2024. After exclusions 1489 patients were evaluated, including 92 with HVEI and 1397 with thermal burns. The demographics, burn size, ABSI, intensive care unit (ICU) stay and surgical procedures were analyzed using nonparametric tests.
resultsAcross the cohort, the mean number of operations was 3.56 (median 3). The HVEI patients required significantly more procedures than thermally injured patients (mean 5.01 vs. 3.49; p < 0.001). Burn size (p < 0.001), ABSI (p < 0.001) and ICU stay (p < 0.001) were all significantly associated with the number of operations. No sex-related differences were observed (p = 0.67).
conclusionThe HVEIs impose a disproportionately high surgical and intensive care burden compared to thermal burns. These findings highlight the limitations of current severity scores and emphasize the need for early recognition, repeated surgical management and tailored interdisciplinary care in patients with electrical trauma.
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