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Childhood burns in Israel: a 7-year epidemiological review
Sharon Goldman1, Limor Aharonson-Daniel, Kobi Peleg
1Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Hashomer 52621, Israel.
Insights
Infants, boys, and non-Jewish children face the highest risk of childhood burns in Israel. Prevention strategies must target these groups, considering their specific risk factors for severe burn injuries.
Area of Science:
- Pediatric burn epidemiology
- Injury prevention research
- Public health policy
Background:
- Understanding severe burn etiology is crucial for resource allocation in prevention and treatment.
- Developing a profile of severe childhood burns in Israel is essential.
Purpose of the Study:
- To profile severe childhood burn injuries in Israel.
- To identify high-risk groups for burn injuries.
Main Methods:
- Retrospective study of children (0-14 years) hospitalized for burns from 1998-2004.
- Data collected from all five Israeli burn units via the National Trauma Registry.
Main Results:
- 2,705 children hospitalized (51% of burn admissions); infants (0-1 year) had highest prevalence (45%).
- Scalds caused 68% of burns; 83% were <20% Total Body Surface Area (TBSA).
- Surgical intervention increased (6% to 21%); non-Jewish children had proportionally more injuries (48%).
Conclusions:
- Infants, boys, and non-Jewish children are at greatest risk for burn injury.
- Older children face higher risk for severe burns; prevention programs should target specific groups.
- Policy makers should evaluate pediatric burn unit benefits; increased surgical intervention warrants further investigation.
Introduction:
Understanding the etiology of severe burns injuries and identifying high risk groups are essential for allotting resources for prevention and treatment. The objective of this study was to develop a profile of severe childhood burns in Israel.
Methods:
A retrospective study of children (ages 0-14) hospitalized with a burn, between 1998 and 2004. Data from all five burn units in Israel was retrieved from the National Trauma Registry.
Results:
Two thousand seven hundred and five children were hospitalized with burns (51% of all burn admissions). Infants (ages 0-1) had the highest prevalence (45%). Scalds caused 68% of burns. Burn extent in 83% of the patients was less than 20% TBSA, 3% suffered 40%TBSA burns. Surgical intervention increased from 6% in 1998 to 21% in 2002. Non-Jewish children sustained proportionally more burn injuries (48%). Among Jewish children an increase in burn injuries was noted on Thursdays and Fridays.
Conclusion:
Infants, boys and non-Jewish children were found to be at greatest risk for a burn injury, while older children were at higher risk for severe burns. Prevention programs should target these high risk groups, with an emphasis on the unique characteristics of each group. Policy makers should reassess the benefits of a pediatric burn unit in Israel. The increase in rates of surgical intervention should be further investigated.
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