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Published on: February 23, 2024
Patterns of burns and scalds in children
1Early Years Research Programme, Institute of Primary Care and Public Health, Cardiff University, , Heath Park, Cardiff, UK.
Insights
Childhood scalds from hot beverages and contact burns from household items like irons are common. Prevention efforts should focus on infants and toddlers to reduce these injuries.
Area of Science:
- Pediatric Emergency Medicine
- Burn Injury Prevention
- Public Health
Background:
- Childhood burns and scalds are significant public health concerns requiring targeted prevention strategies.
- Understanding injury mechanisms and agents is crucial for effective intervention.
Purpose of the Study:
- To characterize childhood burns and scalds, including their mechanisms and agents.
- To inform the development of targeted prevention strategies for unintentional burn injuries in children.
Main Methods:
- A prospective, multicentered, cross-sectional study was conducted.
- Data were collected from children under 16 years presenting to Emergency Departments (ED) and specialized burns units.
- Information gathered included injury site, severity, agent, mechanism, and patient demographics.
Main Results:
- Scalds accounted for 58% of injuries, with hot beverages being the most common agent in young children (<5 years).
- Contact burns were frequently caused by touching hot items like hair straighteners and oven hobs, with hands being the most affected site.
- Young children (<5 years) were most affected, often by pull-down scald injuries.
Conclusions:
- Infants and toddlers are particularly vulnerable to scalds from hot beverages and contact burns from common household appliances.
- Targeted prevention programs focusing on these high-risk scenarios are essential for reducing childhood burn injuries.
Objective:
To describe the characteristics of childhood burns and scalds, mechanisms and agents to inform prevention.
Methods:
Prospective multicentred cross-sectional study of children (<16 years) with unintentional burns/scalds from five Emergency Departments (ED), a burns assessment unit and three regional children's Burns Units.
Data Collected:
site, severity, distribution of the burn/scald, age, motor development of the child, agent and mechanism of the injury. Comparative analysis for children <5 and 5-16 years.
Results:
Of 1215 children, 58% (709) had scalds, 32% (390) contact burns and 116 burns from other causes, 17.6% (214/1215) were admitted to hospital and the remaining treated in ED or burns assessment centre. 72% (878) were <5 years, peak prevalence in 1-year-olds. Commonest scald agent (<5 years) was a cup/mug of hot beverage 55% (305/554), and commonest mechanism was a pull-down injury 48% (66/554). In 5-16-year-olds, scalds were from hot water 50% (78/155) and spill injuries 76% (118/155). Scalds affected the front of the body in 96% (680/709): predominantly to the face, arms and upper trunk in <5-year-olds, older children had scalds to the lower trunk, legs and hands. Contact burns (<5 years) were from touching 81% (224/277) hot items in the home, predominant agents: hair straighteners or irons 42% (117/277), oven hobs 27% (76/277), 5-16-year-olds sustained more outdoor injuries 46% (52/113). 67% (262/390) of all contact burns affected the hands.
Conclusions:
Scalds to infants and toddlers who pull hot beverages over themselves or sustain burns from touching irons, hair straighteners or oven hobs are a high priority for targeted prevention.
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