Epidemiology and Outcomes of Liquefied Petroleum Gas (LPG) Burns at a Regional Burn Center in Karachi: A One-Year Retrospective Review

Epidemiology and Outcomes of Liquefied Petroleum Gas (LPG) Burns

Authors

  • Samia Tasleem Burns Center, Karachi, Pakistan
  • Sadaf Gulzar Burns Center, Karachi, Pakistan
  • Saba Kiran Burns Center, Karachi, Pakistan
  • Minha Murtaza Burns Center, Karachi, Pakistan
  • Amber Bawa Burns Center, Karachi, Pakistan
  • Jameeat Mal Burns Center, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i10.3188

Keywords:

Liquefied Petroleum Gas, LPG Burns, Epidemiology, Burn Management, Burn Outcomes, Cylinder Explosion, Thermal Injury

Abstract

Liquefied petroleum gas (LPG) burns have increased significantly in recent years, posing substantial public health challenges, particularly in resource-constrained environments such as Pakistan. Understanding the epidemiology and clinical profile of LPG burns can guide effective preventive and management strategies. Objectives: To analyze demographic and clinical features of LPG-related burn injuries and assess patient outcomes following treatment. Methods: This retrospective cross-sectional study was conducted at Dr. Ruth K.M. Pfau Civil Hospital’s burn center in Karachi. Records from January 1 to December 31, 2022, were reviewed using convenience sampling. Demographic details, injury mechanisms, accident location, delay before hospital admission, total body surface area (TBSA) burned, anatomical injury sites, treatment interventions, and patient outcomes were analyzed. Results: Among 159 LPG burn patients, 108 (67.9%) were male. Children accounted for 38 (23.9%), while young adults comprised 79 (49.7%). Most patients, 93 (58.5%), belonged to low socioeconomic backgrounds, and 97 (61.0%) worked as laborers. Gas leaks caused most injuries, with 135 (84.9%) patients suffering deep, full-thickness burns involving more than 25% TBSA. Skin grafting was performed in 55 patients (56.7%), tangential excision in 36 (37.1%), and amputation in 6 (6.1%). The overall mortality rate was 62 (38.9%). Conclusions: LPG-related burns at our center are characterized by extensive full-thickness injuries and high mortality. These findings underscore the urgent need for enhanced safety regulations, routine equipment inspection, and targeted community education to prevent LPG burn incidents.

References

Quinn L, Ahmed T, Falk H, Miranda Altamirano A, Muganza A, Nakarmi K, et al. Burn Admissions Across Low- and Middle-Income Countries: A Repeated Cross-sectional Survey. Journal of Burn Care and Research. 2023 Mar; 44(2): 320-8. doi: 10.1093/jbcr/irac096. DOI: https://doi.org/10.1093/jbcr/irac096

Mehta K, Thrikutam N, Hoyte-Williams PE, Falk H, Nakarmi K, Stewart B. Epidemiology and Outcomes of Cooking and Cookstove Related Burn Injuries: A World Health Organization Global Burn Registry Report. Journal of Burn Care and Research. 2023 May; 44(3): 508-16. doi: 10.1093/jbcr/irab166. DOI: https://doi.org/10.1093/jbcr/irab166

Adnan A, Soomar SM, Nafees A, Aftab W, Fatmi Z. Burden and Associated Factors of Unintentional Household Burn Injuries in South Asia: A Systematic Review. Burns Open. 2025 May; 31: 100411. doi: 10.1016/j.burnso.2025.100411.

Zia N, Mashreky SR, He H, Patel N, Ahmed FA, Hashmi M, et al. Factors Associated with Emergency Department Disposition Among Burn Injury Patients: Analysis of Prehospital and Emergency Care Characteristics Using South Asia Burn Registry (SABR) Data. Burns. 2024 May; 50(4): 874-84. doi: 10.1016/j.burns.2024.01.012. DOI: https://doi.org/10.1016/j.burns.2024.01.012

Irfan M, Cameron MP, Hassan G. Household Energy Elasticities and Policy Implications for Pakistan. Energy Policy. 2018 Feb; 113: 633-42. doi: 10.1016/j.enpol.2017.11.041. DOI: https://doi.org/10.1016/j.enpol.2017.11.041

Rehan M, Iqbal T, Khawar Khokhar O, Aziz Khan A, Ain QU, Waheed U. Domestic Cylinder Blasts: A Neglected Torpedo. Journal of Burn Care and Research. 2024 Mar; 45(2): 398-403. doi: 10.1093/jbcr/irad160. DOI: https://doi.org/10.1093/jbcr/irad160

Jin R, Wu P, Ho JK, Wang X, Han C. Five-Year Epidemiology of Liquefied Petroleum Gas-Related Burns. Burns. 2018 Feb; 44(1): 210-7. doi: 10.1016/j.burns.2017.05.011. DOI: https://doi.org/10.1016/j.burns.2017.05.011

Cyuzuzo T, Uwemeyimana Y, Emmanuel T, Niyonsaba JL, Rickard J, FABA FN. Cooking Gas Explosion and Burn Accidents in Kigali: Epidemiological Profile and Outcomes of Patients Admitted to the University Teaching Hospital of Kigali (CHUK). East and Central African Journal of Surgery. 2025; 30(2). doi: 10.4314/ecajs.v30i2.3. DOI: https://doi.org/10.4314/ecajs.v30i2.3

Wani RT. Socioeconomic Status Scales Modified Kuppuswamy and Udai Pareekh's Scale Updated for 2019. Journal of Family Medicine and Primary Care. 2019 Jun; 8(6): 1846-9. doi: 10.4103/jfmpc.jfmpc_288_19. DOI: https://doi.org/10.4103/jfmpc.jfmpc_288_19

Baranwal S, Roy N, Chowdri A, Bhattacharya S. Etiological and Clinical Spectrum of Liquefied Petroleum Gas (LPG) Related Burns: A Three-Year Study from a Tertiary Care Burn Centre in New Delhi. Burns. 2022 Sep; 48(6): 1481-7. doi: 10.1016/j.burns.2021.07.020. DOI: https://doi.org/10.1016/j.burns.2021.07.020

Sambandam S, Mukhopadhyay K, Sendhil S, Ye W, Pillarisetti A, Thangavel G, et al. Exposure Contrasts Associated with a Liquefied Petroleum Gas (LPG) Intervention at Potential Field Sites for the Multi-Country Household Air Pollution Intervention Network (HAPIN) Trial in India: Results from Pilot Phase Activities in Rural Tamil Nadu. BMC Public Health. 2020 Nov;20(1): 1799. doi: 10.1186/s12889-020-09865-1. DOI: https://doi.org/10.1186/s12889-020-09865-1

Paliwal G, Agrawal K, Srivastava RK, Sharma S. Domestic Liquefied Petroleum Gas: Are We Using a Kitchen Bomb? Burns. 2014 Sep; 40(6): 1219-24. doi: 10.1016/j.burns.2013.12.023. DOI: https://doi.org/10.1016/j.burns.2013.12.023

Adnan A, Soomar SM, Nafees A, Aftab W, Fatmi Z. Burden and Associated Factors of Unintentional Household Burn Injuries in South Asia: A Systematic Review. Burns Open. 2025 May; 100411. doi: 10.1016/j.burnso.2025.100411. DOI: https://doi.org/10.1016/j.burnso.2025.100411

Rehan M, Iqbal T, Sarwar M, Khan MS, Tariq MH, Waheed U. Analysis of Factors Affecting Burns Mortality: A National Burn Centre Experience from Pakistan 2007-2021. Annals of Burns and Fire Disasters. 2023 Dec; 36(4): 286.

Jordan KC, Di Gennaro JL, von Saint André-von Arnim A, Stewart BT. Global Trends in Pediatric Burn Injuries and Care Capacity from the World Health Organization Global Burn Registry. Frontiers in Pediatrics. 2022 Jul; 10: 954995. doi: 10.3389/fped.2022.954995. DOI: https://doi.org/10.3389/fped.2022.954995

Price K, Lee KC, Woolley KE, Falk H, Peck M, Lilford R, et al. Burn Injury Prevention in Low and Middle-Income Countries: Scoping Systematic Review. Burns and Trauma. 2021; 9: tkab037. doi: 10.1093/burnst/tkab037. DOI: https://doi.org/10.1093/burnst/tkab037

Sasaki J, Matsushima A, Ikeda H, Inoue Y, Katahira J, Kishibe M, et al. Japanese Society for Burn Injuries (JSBI) Clinical Practice Guidelines for Management of Burn Care. Acute Medicine & Surgery. 2022 Jan; 9(1): e739. doi: 10.1002/ams2.739. DOI: https://doi.org/10.1002/ams2.739

Yi L, Xie Z, Wang Z, Guo G, Liu D, Du Y, et al. Time Trends in Thermal Burns Incidence Among Brazil, Russia, India, China, and South Africa (BRICS), an Age-Period Cohort Analysis from the GBD 2019. Scientific Reports. 2025 Feb; 15(1): 6877. doi: 10.1038/s41598-025-90935-y. DOI: https://doi.org/10.1038/s41598-025-90935-y

Kaita Y, Matsuda T, Yamaguchi Y. The Significance of Completing Burn Excision Within One Week After Injury. Burns. 2025 Apr;107506. doi: 10.1016/j.burns.2025.107506. DOI: https://doi.org/10.1016/j.burns.2025.107506

Hebron C, Mehta K, Stewart B, Price P, Potokar T. Implementation of the World Health Organization Global Burn Registry: Lessons Learned. Annals of Global Health. 2022 May; 88(1): 34. doi: 10.5334/aogh.3669. DOI: https://doi.org/10.5334/aogh.3669

Downloads

Published

2025-10-31
CITATION
DOI: 10.54393/pjhs.v6i10.3188
Published: 2025-10-31

How to Cite

Tasleem, S., Gulzar, S., Kiran, S., Murtaza, M., Bawa, A., & Mal, J. (2025). Epidemiology and Outcomes of Liquefied Petroleum Gas (LPG) Burns at a Regional Burn Center in Karachi: A One-Year Retrospective Review: Epidemiology and Outcomes of Liquefied Petroleum Gas (LPG) Burns. Pakistan Journal of Health Sciences, 6(10), 08–13. https://doi.org/10.54393/pjhs.v6i10.3188

Issue

Section

Original Article

Plaudit