Skip to main content Skip to main navigation menu Skip to site footer

Geriatric Patient Outcomes of Major Burn due to High-Voltage Electrical Injury: A Case Report


Introduction: Electrical burns are uncommon but result in high morbidity and mortality due to severe tissue damage. Geriatrics are vulnerable to aggressive burns because of skin atrophy, comorbidities, diminished host defence mechanisms and reduced mobility. A high-voltage electrical injury has complex complications, especially long-term complications. This study aimed to present the case of geriatric patient outcomes of major burn due to high-voltage electrical injury.

Case Presentation: This is a case report of electrical burn injuries; a 70 years old man came to the emergency room approximately 1 hour after the incident, and a chief complaint was burning due to electrical shock. The patient had a history of electrical shock when fishing on the side of the river bank, where there is a high-voltage electrical central behind him. When he threw his fishing line, the fishing line caught on the exposed high-voltage transformer cable causing an electric shock. The examination showed that the patient was conscious of burns on the right chest to the abdomen and palm to the right hand, as well as on both soles of the feet. Another complaint was a pain in the wound due to electrical shock without a history of fainting, shortness of breath, chest pain, headache, and vomiting. The patient’s previous medical history showed uncontrolled hypertension.

Conclusion: Our study demonstrates a rare geriatric patient discharged without complications due to a high-voltage injury. Strict multi-specialty management and rehabilitation are required to treat electrical injuries properly.


  1. Eggert E, Huss F. Medical and biological factors affecting mortality in elderly residential re victims: a narrative review of the literature. Scars, Burn Heal. 2017;4(3):205–12.
  2. Bayuo J, Agbenorku P, Amankwa R, Agbenorku M. Epidemiology and outcomes of burn injury among older adults in a Ghanaian tertiary hospital. Burn Open. 2018;2(2):98–103
  3. Toppi J, Cleland H, Gabbe B. Severe burns in Australian and New Zealand adults: Epidemiology and burn centre care. Burns. 2019;45(6):1456–61
  4. Mirmohammadi SJ, Mehrparvar AH, Kazemeini K et al: Epide- miologic characteristics of occupational burns in Yazd, Iran. Int J Prev Med 2013;4(6):723-727
  5. Kumar S, Ali w, verma AK et al: Epidemiology and mortality of burns in the lucknow Region, India—a 5 year study. Burns 2013;39(8):1599–1605.
  6. Lisa A. Foris; Martin R. Huecker. Electrical Injuries. StatPearls Publishing LLC: January 2018. https://
  7. Waldmann V, Narayanan K, Combes N, Marijon E. Electrical injury. BMJ. 2017;357.
  8. National Burn Repository [Internet]. 8th ed. Chicago: American Burn Association; 2015 Accessed: 14 July 2022. Available: http://www.america Report.pdf.
  9. Liu, H., Q. Wang, Z. Zhao, Y. Xie, S. Ding, dan Z. Wang. 2016. The Clinical and Medicolegal Analysis of Electrical Shocked Rats: Based on the Serological and Histlogical Methods. Biomed Research International. 2016;1-12
  10. Suzan, R., dan D. E. Andayani. Management of Nutrition in Patient with Burns Electricity. JMJ. 2017;5(1):1-13.
  11. Karimi, H., M. Momeni, dan M. Vasigh. Long Term Outcome and Follow Up of Electrical Injury. Journal of Acute Disease. 2015;107- 111.
  12. Dewi NK, Adnyana IM, Sanjaya IG, Hamid AR. Epidemiologi pasien luka bakar di RSUP Sanglah Denpasar tahun 2018-2019. Intisari Sains Medis. 2021;12(1):219-23.
  13. Ungureanu M. Electrocutions-treatment strategy (case presentation). Journal of Medicine and Life. 2014;7(4):623-6.
  14. Elfiah U, Suryani DY. Case Report: Risk of Electric Injury on Delayed Initial Treatment. Jurnal Rekonstruksi dan Estetik. 2019;4(1):11-9.
  15. Romanowski K, Curtis E, Barsun A, Palmieri T, Greenhalgh D, Sen S. The frailty tipping point: determining which patients are targets for intervention in a burn population. Burns. 2019;45(5):1051-6.
  16. Rehou S, Shahrokhi S, Thai J, Stanojcic M, Jeschke MG. Acute phase response in critically ill elderly burn patients. Critical care medicine. 2019;47(2):201-9.
  17. Grigorian A, Joe V, Chin T, Bernal N, Lekawa M, Satahoo S, et al. 23 Burns in Octogenarians: 80 is the New 60. Journal of Burn Care & Research. 2019 Mar 9;40(Supplement_1):S19-.
  18. Kumar, Arige Subodh, Gogulapati Venkata Sudhakar. Upper gastrointestinal lesions and bleed in burn injuries: An endoscopic evaluation. Indian Journal of Burns. 2014;22(1):72.
  19. Yasti, Ahmet Çınar, Emrah Şenel, Mutlu Saydam, Geylani Özok, Atilla Çoruh, Kaya Yorgancı. Guideline and treatment algorithm for burn injuries. Ulus Travma Acil Cerrahi Derg. 2015; 21(2):79-89.
  20. Suryantari SA, Satyarsa AB, Ariani NK. Pemanfaatan antidepresan pada depresi lanjut usia. Gema Kesehatan. 2019;11(2):78-85.
  21. Seng, Khoo Kah, Leong Qi Wen, Bustaman Syamimi, Ho Choon Aik, Lim Chen Hong. Management of an Electrocuted Burn Injury in a District Hospital-A Case Report and Literature Review. Journal of Clinical and Diagnostic Research. 2018;12(5)1:1-12.
  22. Al-Qattan MM, Al-Qattan AM. Defining the indications of pedicled groin and abdominal flaps in hand reconstruction in the current microsurgery era. The Journal of Hand Surgery. 2016;41(9):917-27.

How to Cite

Anggriant, V., Roosseno, R. R. N. ., Pramudyo, D. P. ., & Chandra, Y. . (2022). Geriatric Patient Outcomes of Major Burn due to High-Voltage Electrical Injury: A Case Report. Intisari Sains Medis, 13(3), 551–554.




Search Panel

Vincent Anggriant
Google Scholar
ISM Journal

Ratna Rayeni Natasha Roosseno
Google Scholar
ISM Journal

Daniel Puguh Pramudyo
Google Scholar
ISM Journal

Yoseph Chandra
Google Scholar
ISM Journal