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Ethnic differences in burn mechanism and severity in a UK paediatric population
Kian Tjon Tan1, Phoebe M Prowse, Sian Falder
1Department of Burns and Plastic Surgery, Alder Hey Children's NHS Foundation Trust, Liverpool, UK. tankiantjon@gmail.com
Insights
Children from ethnic minorities experience more severe burns and longer hospital stays. Understanding burn causes in different ethnic groups is crucial for targeted prevention strategies.
Area of Science:
- Pediatric Burn Research
- Public Health
- Ethnic Disparities in Healthcare
Background:
- Pediatric burns represent a significant public health concern with lasting physical and psychological effects.
- Previous research indicates higher burn incidence among children from ethnic minority backgrounds.
Purpose of the Study:
- To investigate variations in pediatric burn mechanisms and severity across different ethnic groups.
- To identify specific patterns of burn injury in diverse pediatric populations.
Main Methods:
- A retrospective analysis of demographic and burn data was conducted for pediatric patients at a UK Children's NHS Trust over five years.
- Data included burn mechanism, severity (total body surface area), length of stay, and socioeconomic status (Index of Multiple Deprivation).
Main Results:
- The study included 766 pediatric patients (age range: 7 days to 16 years).
- Ethnic minority children exhibited significantly larger burn surface areas and longer hospitalizations compared to non-minority children (p<0.001).
- Chinese children predominantly sustained burns from hot food (60%), while non-minority children were more often injured by hot beverages (35.8%). Ethnic minority children also faced greater socioeconomic deprivation.
Conclusions:
- Significant ethnic variations exist in pediatric burn patterns and severity.
- Findings underscore the need for culturally tailored public health and educational interventions to prevent childhood burns.
- Data can inform targeted strategies to reduce burn-related morbidity in vulnerable ethnic minority populations.
Background:
Burns in children are a major public health problem with long-lasting physical and psychological sequelae. Previous studies have identified that children from ethnic minorities have higher rates of burns.
Objective:
The purpose of this study was to analyse the differences in paediatric burn mechanism and severity within different ethnic groups.
Methods:
Demographic and burn data from all paediatric patients presenting with burn at the Burns Service, Alder Hey Children's NHS Foundation Trust, Liverpool, UK were collected over a 5 year period.
Results:
766 paediatric patients (age range: 7 days to 16 years old, mean: 4.5 years) were included in the study. Ethnic minority children had higher total body surface area of burn (p<0.001) and length of stay (p<0.001) compared with non-ethnic minority children. Chinese children had most burns from hot food (60%), whereas non-ethnic minority children had most burns from hot beverages (35.8%). Ethnic minority children were more deprived compared with non-ethnic minority children (Index of Multiple Deprivation 48.7 vs. 40.9; p=0.02).
Conclusion:
These results show that there are significant differences in the patterns of burns in ethnic minority groups. This data should guide targeted public health prevention and educational strategies.
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