{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:48:13Z","timestamp":1791528493543,"version":"4.3.4"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Electrical injuries are rare, but very destructive with high morbidity and mortality, prolonged hospital length of stay and need for repeated procedures. The aim of study was to investigate characteristics and management of electrical injuries and predisposing factors for mortality and prolonged length of stay. Patient charts were reviewed retrospectively to identify patients admitted with electrical injuries at the Zurich Burns Center (2005\u20132019). Patient characteristics, management, and outcome were analyzed and risk factors for mortality and prolonged hospitalization were assessed. Eighty-nine patients were included, mostly males (86.5%), between 21 and 40 years (50.6%), with high-voltage (74.2%) occupational injuries (66.3%). Median intensive care unit and hospital stays were 6 (first and third IQR: 2.0; 30.0) and 18 (9.0; 48.0) days. Low-voltage patients had a median of 2 (1.5; 3.0) procedures, compared to 4 (2.0; 10.8) in high-voltage. The amputation rate was 13.5%, and a total of 46 flaps were required. Fifty-four patients had at least one serious complication. Mortality was 18% in high-voltage patients, mostly after multiple organ failure (35%). High total body surface area (TBSA), renal failure and cardiovascular complications were risk factors for mortality (P &amp;lt; .001) in multivariate regression models. Determinants for prolonged hospital stay were TBSA and sepsis (P &amp;lt; .01), and additionally abdominal complications and limb loss for intensive care unit stay (P &amp;lt; .05). Electrical injuries are still cause of significant morbidity and mortality, mostly involve young men in their earning period. Several risk factors for in-hospital mortality and prolonged stay were identified and can support physicians in the management and decision making in these patients.<\/jats:p>","DOI":"10.1093\/jbcr\/iraa192","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T17:11:08Z","timestamp":1604337068000},"page":"505-512","source":"Crossref","is-referenced-by-count":12,"title":["Risk Factors for Mortality and Prolonged Hospitalization in Electric Burn Injuries"],"prefix":"10.1093","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5686-8496","authenticated-orcid":false,"given":"Riccardo","family":"Schweizer","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Pedrazzi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger J","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tony","family":"Gentzsch","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"},{"name":"Department of Plastic Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bong-Sung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Giovanoli","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan A","family":"Plock","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Handsurgery, Burn Center, Universit\u00e4tsSpital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"2021050715454445100_CIT0001","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1177\/1457496914534209","article-title":"Epidemiology of electrical injury: differences between low- and high-voltage electrical injuries during a 7-year study period in South Korea","volume":"104","author":"Kym","year":"2015","journal-title":"Scand J Surg"},{"key":"2021050715454445100_CIT0002","first-page":"82","article-title":"High voltage electrical injury: an 11-year single center epidemiological study","volume":"27","author":"Lipov\u00fd","year":"2014","journal-title":"Ann Burns Fire Disasters"},{"key":"2021050715454445100_CIT0003","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1007\/s00068-014-0379-6","article-title":"Electrical burn injuries of 246 patients treated at the University Clinical Center of Kosovo during the period 2005\u20132010","volume":"40","author":"Duci","year":"2014","journal-title":"Eur J Trauma Emerg Surg Off Publ Eur Trauma Soc"},{"key":"2021050715454445100_CIT0004","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/j.burns.2006.09.008","article-title":"Electrical burn injuries. 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