PubMed · 7467317
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A Guja, E Wycisło-Guja. 1980-09-15. [Post-traumatic pericarditis].. https://pubmed.ncbi.nlm.nih.gov/7467317/
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Rapid changes in technology and health services organization are propelling information-driven decision making in all aspects of business. The potential of electronic data processing to reduce costs and increase efficiency has been heralded, but disease and injury prevention have received scant attention. Prevention-oriented software for surveillance and disability management must generate population- and case-level measures of magnitude and severity of occupational injury and illness. A public domain program, called WIZARD, was developed as a model. With 12 data elements, it generates, from injury and employment files, injury- and return-to-work rates, avoidable costs, attributable cases using several reference rates, and case lists from screening criteria. In conjunction with an explicit case definition, screening criteria for case follow-up, and guidelines for medical, disability, and health and safety management, software can play a significant role in prevention.
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OBJECTIVES: A retrospective study of patients with electrical burns was conducted to choose criteria for initial dispatching and establish a treatment protocol for out patient management. METHODS: The study included 67 patients injured by electrical current and admitted at Edouard Herriot Hospital Burns Unit between January 1st 1990 and January 1st 1993. RESULTS: Low-voltage currents (< 1000 Volts) responsible for serious and immediate cardio-vascular diseases occurred in domestic accidents, mostly with children. High-voltage current (> 1000 Volts) responsible for deep burn injuries occurred in accidents at work and mostly with adults. Twenty-two were outpatients and 45 were admitted at once. Two died on admission, 24 were hospitalized less than five days, 11 required repeated surgical treatments and a long stay at hospital, and 8 were severely burned and were admitted to the intensive-care unit. Two required continuous venovenous hemodialysis for three weeks. Morbidity of the last three groups was nil, morbidity remained high in term of functional and aesthetic after-effects. CONCLUSION: Information on prevention of electrical burns should be intensified.