Tap water scalds among seniors and the elderly: Socio-economics and implications for prevention

Abstract

Introduction Tap water scalds among those ≥60 years old are often attributed to physical impairments with aging. This study assesses socio-economics associated with tap water scalds among seniors and the elderly. Methods Charts of patients admitted to an urban Burn Center between 7/00 and 6/04 for treatment of tap water scalds were reviewed. Demographics, injury details, co-morbidities, surgical interventions/critical care requirements, length of stay (LOS), disposition and related economics were reviewed. Results During the study period, 68 patients ≥60 years were hospitalized for treatment of these scalds. Mean age and burn size were 78 ± 1 years and 7 ± 0.9% TBSA. Over 98% of patients were admitted with pre-existing co-morbidities; 60% required ICU care for 40 ± 5 days; 22% required mechanical ventilation and 71% required surgery. LOS was 34 ± 4 days. Most patients received government assistance income. Pre-injury, 32% resided alone. Post-injury, 10% of patients returned home alone; mortality was 22%. Per patient hospital costs approximated $113,000. Conclusion These findings report that tap water scalds result in significant morbidity, mortality and health care costs for local seniors and the elderly. Socio-economic factors play a significant role in these injuries and must be assessed when planning prevention efforts.