LAUSR

BackgroundIsolated 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.MethodsThe 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).ResultsMost 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.ConclusionIsolated 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