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Abstract

Background and aims

Electricians frequently experience low-voltage electrical accidents. Some such accidents involve long-term negative health consequences. Early identification of victims at risk for long-term injury may improve acute medical treatment and long-term follow-up. This study aimed to determine acute exposure, health effects and treatment associated with general health ≥ 2 years after low-voltage electrical accidents.

Methods

In a cross-sectional study, 89 male electricians who had experienced an electrical accident between 1994 and 2001 participated in a 2003 follow-up health examination. They were identified from a registry of low-voltage electrical accidents and included in the study. Based on exposure descriptions in the original accident reports, they were stratified into the following three groups: a current arc accident group (N = 34, mean age 38.8 years [standard deviation, SD = 12.2, range = 21–59]) and two groups with the passage of current through the body, either fixed to the current source (“no-let-go” group; N = 35, mean age 34.0 years [SD = 10.5, range = 21–57]) or not (“let-go” group; N = 20, mean age = 38.7 years [SD = 10.3, range = 21–63]). They retrospectively described acute reactions and assessed their current general health at the health examination. Multivariate linear regression, ordinal logistic regression and Fisher’s exact test were used to compare acute reactions with health at follow-up in each exposure group.

Results

The multivariate analysis indicated that after accidents with the passage of current through the body, severe acute headache (β = − 0.56, p = 0.013), years since the accident (β = − 0.16, p = 0.017) and the accident being perceived as frightening (β = − 0.48, p = 0.040) were negatively associated with general health ≥ 2 years later (R² = 0.25, p = 0.002). If the exposure included a no-let-go experience, then acute severe body numbness (β = − 0.53, p = 0.029) was also negatively associated with general health (R² = 0.38, p = 0.002). Without such experience, only acute confusion (β = − 0.90, p = 0.029) was negatively associated with the health at follow-up (R² = 0.24, p = 0.029). In univariate analyses, after the passage of current through the body, acute dizziness (p = 0.029), apathy (p = 0.028), confusion (p = 0.007) and irregular heartbeat (p ≤ 0.05) were associated with poor long-term general health. The no-let-go group, more often than the let-go group, reported panic (p = 0.001), fear of death (p = 0.029), confusion (p = 0.014), exhaustion (p = 0.009), bodily numbness (p = 0.013) and immediate unconsciousness (p = 0.019). Acute symptoms beyond the first day after a current arc accident were associated with poor long-term general health (p = 0.015).

Discussion and conclusions

The acute reactions negatively associated with general health ≥ 2 years after low-voltage electrical accidents should alert the clinician in the acute phase after an electrical accident to the risk of developing negative long-term health effects. Future studies should specify long-term health beyond the concept of general health.

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From the full-text article:

• “Headache, bodily numbness, and confusion are the most important predictors of impaired general health after such accidents”.
• “The most important acute marker associated with impaired general health at the follow-up examination was acute pronounced headache after an electrical accident with the passage of current through the body. If the accident also included a no-let-go experience, then pronounced bodily numbness was also an important marker” (p11).
• Short duration of acute reactions indicates the likelihood of good recovery after the passage of current through the body.
• Acute burn injuries, rather than nervous system reactions, are typical of current arc accidents.
• “These nervous system and chest symptoms may well be related to nervous system involvement during the passage of current in deeper tissues, particularly during a no-let-go exposure compared with the more superficial exposure of the current arc accident victims with burn injuries and acute pain” (p11).
• “Some common acute reactions … were not associated with long-term general health. Acute confusion immediately after the accident occurred in approximately 70% of our total sample, except for the let-go accident victims who reported good health at follow-up. Shock, anxiety and palpitations were also experienced by a considerable proportion of the accident victims, with no significant exposure group differentiation” (p11).
• Taken together, these observations indicate that a no-let-go experience is more severe both psychologically and in terms of the nervous system acute reactions” (p11).
• “no-let-go accident victims who experienced pronounced headaches and bodily numbness immediately after the accident were at the risk of developing long-term impaired health”.
• Data indicated that acute reactions lasting more than the first day were indicative of the possibility of impaired long-term general health.
• “those who had experienced an electrical accident including the passage of current through the body had better prospects if they did not experience the accident as extremely frightening, experience confusion or apathy immediately after the accident, or experience extreme pain, bodily numbness, irregular heartbeat, or severe headaches in connection with the accident”.

Authors: Goffeng, L. O., Skare, Ø., Brinchmann, B. C., Bjørnsen, L. P., & Veiersted, K. B. (2022). Low-voltage electrical accidents, immediate reactions and acute health care associated with self-reported general health 4 years later. Burns.

Study link: https://doi.org/10.1016/j.burns.2022.04.007

Link to the LinkedIn article: https://www.linkedin.com/feed/update/urn:li:ugcPost:6945150436735610880?updateEntityUrn=urn%3Ali%3Afs_updateV2%3A%28urn%3Ali%3AugcPost%3A6945150436735610880%2CFEED_DETAIL%2CEMPTY%2CDEFAULT%2Cfalse%29