Our experience with an unusual age distribution of patients with isolated burns of the foot

Isolated burns of the foot are rare and carry significant morbidity, with prolonged bed rest, slow healing time, and loss of workdays. We suspected a disproportionate age distribution of patients presenting with isolated burns of the foot in a catchment area.

The medical records of all patients with second- or third-degree isolated foot burns admitted to our medical center between 1/1998 and 12/2008 were reviewed. The 125 suitable consecutive patients (94 males) were divided into four age groups (0–17, 18–21, 22–39, and >40 years).

Most patients were in the age group of mandatory military recruits (18–21 years; p < 0.007). Most patients in all groups were males (p < 0.006). Scald burns were the most common etiology in all age groups (p < 0.001) but comprised only 33.3% in the 18–21-year group (p < 0.021 compared to the other groups). Hot oil burns (p < 0.023) and exhaust pipe burns (p < 0.045) were significantly more prevalent in the 18–21-year group compared to the other groups. Around 30% of the 18–21-year group, 4.2% of the 0–17-year group, 12.5% of the 22–39-year group, and 17.9% of the >40-year group underwent skin grafting (p < 0.049). Children had the shortest hospitalization time (p < 0.007). Over 82% of the >40-year-old patients had comorbidities (p < 0.002 vs. other groups), of which diabetes mellitus was most common.

Isolated foot burns in otherwise healthy 18- to 21-year-olds, especially among those in military service, warrant special attention by military medical and psychological personnel.

Level of Evidence: Level IV, risk / prognostic study