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Published on: February 23, 2024
Burn injuries requiring hospitalization for infants younger than 1 year
Elina Laitakari1, Sari Pyörälä, Virve Koljonen
1Department of Paediatric Surgery and Hospital for Children and Adolescents, Helsinki University Hospital, Finland.
Insights
Infant burn injuries, primarily scalds, often occur at home during care. Parental education on preventing burns in infants under one year is crucial for reducing hospital admissions.
Area of Science:
- Pediatrics
- Burn Injury Research
- Public Health
Background:
- Hospitalization for burn injuries in infants under one year requires understanding injury mechanisms.
- Preventive strategies are essential for reducing the incidence of pediatric burns.
Purpose of the Study:
- To investigate the causes and mechanisms of burn injuries in infants hospitalized during their first year of life.
- To identify key risk factors and inform targeted preventive measures for infant burn injuries.
- To review existing literature on burn injuries in infants under one year.
Main Methods:
- Retrospective review of clinical data for infants under one year hospitalized for burns.
- Analysis of patient records from Helsinki University Hospital (2005-2009).
- Inclusion criteria identified 20 patient records, representing 3% of pediatric burn admissions.
Main Results:
- The majority of burn injuries (85%) were caused by scalding, with contact burns being less common.
- Burns predominantly occurred at home during domestic activities, often while the infant was held.
- The mean age of affected infants was 6.3 months; initial Total Surface Area (TBSA) was frequently overestimated.
Conclusions:
- Burn injuries in infants are often accidental and preventable, frequently occurring during routine care.
- Targeted parental education focusing on common household hazards is recommended to reduce scald and burn incidents.
- Understanding the specific circumstances of infant burns is vital for effective prevention programs.
Abstract:
To investigate burn injuries requiring hospitalization sustained during the first year of life, clinical data collected during hospital treatment of infants younger than 1 year were reviewed. The principal aim was to chart the etiology and mechanism of burn injuries in this group to focus on the necessary preventive measures. The authors also review literature focusing especially on children younger than 1 year. Patients identified in the electronic database were referred to the Hospital for Children and Adolescents, Helsinki University Hospital, Helsinki, Finland, from January 2005 to December 2009. Specific inclusion criteria yielded a cohort of 20 patient records, which accounted for 3% of the 692 admissions due to pediatric burn injury during the 5-year study period. The male to female ratio was 1:1.5 and the mean age was 6.3 months. Most burns were sustained at home during domestic tasks and were most often witnessed. The etiology in the majority of the cases was scalding (85%), while contact burns accounted for the remaining. The final TBSA ranged from 0.5 to 40% (mean 8.5%). In 13 cases (65%), the initial TBSA was overestimated. Overall, it was concluded that burn injuries in this age group are most often witnessed and take place while the infant is being held at the same time as the hot item. Parental education on typical situations in which burn injuries happen in preambulatory infants may help reduce the number of burn injuries.
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