ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
Patient outcomes after electrical injury - a retrospective study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Clinical characteristics, treatment strategies, and amputation outcomes in electrical burn patients: A single-center experience.Turkish journal of surgery · 2026Article
- Electrical current injury shows no specific acute histological changes in peripheral nerves and their vascular supply.Scientific reports · 2026Article
- Impact of Voltage Level on Hospitalization and Mortality in Electrical Injury Cases: A Retrospective Analysis from a Turkish Emergency Department.Medical science monitor : international medical journal of experimental and clinical research · 2025Observational
- Isolated pulmonary injury following electric shock: a case report and literature review.Annals of medicine and surgery (2012) · 2025Article
- [Electrical injuries: incidence of delayed cardiac arrhythmias after presentation to the emergency department-a multicenter, retrospective observation study].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- Outcomes of electrical injuries in the emergency department: epidemiology, severity predictors, and chronic sequelae.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- A Decade of Electrical Injuries: An Epidemiological Analysis of Emergency Department Data.Emergency medicine international · 2025Article
- Reversibility of Sinus Bradycardia-Induced Syncope Resulting From Low-Voltage Electrical Injury: A Case Report.Cureus · 2023Article
- Low-voltage electrical injuries and the electrocardiogram: is a 'normal' electrocardiogram sufficient for safe discharge from care? A systematic review.British paramedic journal · 2023Article
- Acute myocardial damage after electrical injury assessed by MRI.BMJ case reports · 2023Article
- Acupuncture for the treatment of thalamencephalic and mesencephalic injury secondary to electrical trauma: A case report.Frontiers in neuroscience · 2023Article
- Treatment outcome and associated factors of burn injury in Ethiopian hospitals: A systematic review and meta-analysis.Scars, burns & healingReview
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Authors and funding
8 authors.
Funding
Abstract
introductionPeople exposed to electrical injuries are often admitted to hospital for observation. Current evidence suggests that patients who have a normal ECG on admission after a low-voltage injury, with no loss of consciousness or initial cardiac arrest may be discharged home after a short observation time. Currently, there are no established standards for the duration of monitoring after electric shock, but 24 h of observation is the most commonly adopted approach. We carried out a retrospective study of patients admitted after electrical injuries to determine the in-hospital outcomes and 30-day mortality in these patients.
methodsWe performed a chart review of all patients with electrical injuries admitted to Østfold Hospital, Norway between the years 2001 and 2019, to determine in-hospital and 30-day mortality and the frequency of various cardiac and non-cardiac complications.
resultsMean age of 465 included patients (88% males) was 31 years. Of all injuries, 329 (71%) were work-related, 17 (3.7%) involved loss of consciousness. Furthermore, 29/437 (6.6%) were high voltage (> 1000 V), and 243/401 (60.6%) were transthoracic injuries. 369 (79.4%) were discharged same day. None of the admitted patients died in hospital nor did any die within 30 days of admission, yielding a 30-day mortality of 0% (95% CI 0-0.8). At admission troponin was elevated in three (0.6%) patients, creatinine kinase (CK) in 30 (6.5%) and creatinine in six (1.3%). Electrocardiogram (ECG) abnormalities were described in 85 (18%) patients. No serious arrhythmias were detected. When comparing high- vs low-voltage or transthoracic vs other injuries, there were no significant differences between most of the outcomes, except for more ECG abnormalities in the transthoracic group, whereas more patients had elevated CK, and fewer discharged the same day in high-voltage injuries.
conclusionNo in-hospital nor 30-day mortality or serious arrhythmias were encountered in those who were assessed, regardless of the type of injury. Troponin and creatinine were rarely elevated. It seems that conscious patients admitted with a normal ECG following a low-voltage injury may safely be discharged home after a quick clinical assessment including ECG.
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