@article{ref1,
title="Self-inflicted burns in Brazil: systematic review and meta-analysis",
journal="Revista do Colégio Brasileiro de Cirurgiões",
year="2024",
author="Nascimento, João Henrique Fonseca DO and Souza Filho, Benjamim Messias DE and Tomaz, Selton Cavalcante and Vieira, Adriano Tito Souza and Silva Neto, Marinho Marques DA and Andrade, André Bouzas DE and Santana, Diogo Radomille DE and Gusmão-Cunha, André",
volume="51",
number="",
pages="e20243665-e20243665",
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. <br><br>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 &quot;Burns&quot;, &quot;Self-Injurious Behavior&quot;, &quot;Epidemiology&quot; and &quot;Brazil&quot; 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. <br><br>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]). <br><br>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.<p /> <p>Language: pt</p>",
language="pt",
issn="0100-6991",
doi="10.1590/0100-6991e-20243665-en",
url="http://dx.doi.org/10.1590/0100-6991e-20243665-en"
}