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Language barriers and paediatric burns: does education make a difference?

A Livingston1, A J A Holland, D Dickson

  • 1Department of Academic Surgery, The University of Sydney, NSW, Australia.

Burns : Journal of the International Society for Burn Injuries
|April 20, 2006
PubMed
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A burns first aid education campaign for non-English speaking parents initially reduced severe burns in children. However, the need for ongoing reinforcement became apparent as grafting rates later increased.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health Interventions
  • Burn Care Research

Background:

  • A first aid education campaign targeting parents of children from non-English speaking backgrounds (NESB) was implemented in Sydney in 1996.
  • The campaign aimed to enhance knowledge of correct burns first aid treatment (BFAT).

Purpose of the Study:

  • To investigate the correlation between the first aid education campaign and the severity of pediatric burns.
  • To assess the long-term impact of the campaign on burns requiring skin grafting.

Main Methods:

  • Retrospective review of pediatric patients admitted to a state Burns Unit from January 1995 to December 2001 (7-year period).
  • Analysis of patient demographics, including language spoken at home (English vs. NESB).
  • Assessment of the rate of burns requiring skin grafting.

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Main Results:

  • Out of 1,283 admitted patients, 544 (42%) required skin grafting.
  • NESB children initially required grafting in up to 88% of cases, decreasing to 37% at 1 year and 65% at 5 years post-campaign.
  • English-speaking children had grafting rates of 40% and 36% during comparable periods.

Conclusions:

  • The initial reduction in grafting rates suggests the burns first aid education campaign was effective.
  • The subsequent increase in grafting requirements highlights the necessity for sustained educational efforts and reinforcement for NESB communities.