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Published on: November 21, 2017
Cooking-related pediatric burns: risk factors and the role of differential cooling rates among commonly implicated
Sharmila Dissanaike1, Kimberly Boshart, Alan Coleman
1Division of Trauma and Burns, Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Insights
Cooking injuries are a leading cause of pediatric burns, primarily affecting toddlers. Prevention efforts should focus on common household substances and the risk of children pulling hot items down from heights.
Area of Science:
- Pediatric burn research
- Injury prevention science
- Consumer product safety
Background:
- Cooking-related injuries are a significant global health issue, disproportionately affecting children and leading to pediatric burns.
- Understanding the specific mechanisms and risk factors associated with these injuries is crucial for effective prevention strategies.
Purpose of the Study:
- To identify risk factors and common mechanisms of cooking-related injuries in pediatric burn patients.
- To determine the heat retention properties (cooling curves) of frequently implicated substances.
- To inform targeted injury prevention measures for young children.
Main Methods:
- Retrospective review of pediatric burn patients admitted to a Level I burn center (2001-2006).
- Data collection included injury mechanism, patient demographics, burn characteristics, and outcomes.
- Measurement of cooling curves for common hot substances at room temperature.
Main Results:
- Cooking injuries accounted for 123 of 541 pediatric burn admissions, with affected children averaging 2.7 years old.
- The primary injury mechanism was children pulling hot substances from heights, causing scalds on the chest and shoulders.
- Substances like soup, grease, and coffee were most common; high-density liquids showed increased heat retention, posing a higher burn risk.
Conclusions:
- Cooking injuries predominantly affect toddlers, with identifiable mechanisms and risk factors, including the danger of pulling hot items down.
- Variations in substance heat retention highlight specific risks, emphasizing the need for targeted prevention strategies for young children.
- Findings support the development of focused injury prevention programs to reduce the incidence of pediatric cooking-related burns.
Abstract:
Cooking-related injuries are a common problem worldwide, resulting in more pediatric burns than any other cause. We identified risk factors-associated mechanisms and determined cooling curves for common substances. A retrospective review of children admitted to a Level I burn center between 2001 and 2006 was performed. Variables including injury mechanism, age, sex, race, burn area, length of stay, and outcome were recorded. Commonly implicated substances were identified, and cooling curves for each were measured at room temperature. Logistic regression analysis was performed to identify risk factors for cooking injury. A total of 541 pediatric burn patients were admitted, of whom 123 had cooking-related injuries. Common substances involved included soup (27%), grease (26%), coffee (18%), beans (9%), and menudo (2.3%), a traditional Mexican soup based on tripe, hominy, and chile. Children with cooking injuries were significantly younger than other groups, with a mean age of 2.7 years. The most common mechanism was the child pulling the substance down from a height, accounting for nearly half of all injuries. This resulted in a characteristic scald pattern involving a wide area across chest and shoulders narrowing to a point near the pelvis. The average burn area was 7%, associated with a hospital stay of 4 days and mortality below 1%. Analysis of cooling curves revealed surprising variation in heat retention, with semisolid or high-density liquids posing a markedly increased burn risk. Cooking injuries predominantly affect toddlers, with clearly recognized mechanisms and risk factors. Injury prevention measures should be targeted accordingly.
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