TRENDS IN BURN ADMISSIONS IN SCOTLAND DURING 1970-92

This retrospective study involved analysis of the data of the inpatients discharged with a diagnosis of bums, from various hospitals in Scotland, during the period 1970-92. There were 51 350 stich inpatients all over Scotland, with an average annual rate of 2233 cases. Overall burn incidence in acutal numbers was 43.7 per cent in < 15 year olds, 43.2 per cent in 15-64 year olds and 15.1 per cent in greater than or equal to 65 year olds. Burn rates per 100 000 population were highest in < 15 year olds and lowest in 16-64 year olds. The pattern of burn admissions has changed. Since 1987 the highest numbers of burn inpatients were the 16-64 year olds, followed by children, then the elderly. There has been a gradual but sustained fall in burns admissions in all age categories. The downward trend was statistically significant (t=8.48, 21 d.f., P<0.001). Though the population of the elderly (greater than or equal to 65 year olds) increased by about 13 per cent, the burn admissions and all deaths due to burns did not reveal an upward trend. The population of the old (83 + year olds) increased by 60 per cent during the same period. The incidence of burns was above average when > 80 year olds were considered separately, approaching the levels found in children. However the rate and incidence of burns in the 65-80 year olds resembled that of the younger age group (16-64 year olds). The total number of deaths due to burns and/or smoke inhalation has declined in all age groups and the decline has been statistically significant (chi-squared = 19.66, 1 d.J., P<0.003). Maximum number of deaths occurred in greater than or equal to 65 year olds (44 per cent), followed closely by 16-64 year olds (43.5 per rent), and 12.5 per cent of deaths in adolescents and children. The decline was due to improved management of burns and a decrease in the number of patients having large body surface area burns.