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Socioeconomic impact of children's burns-a pilot study
Nadia Kilburn1, Baljit Dheansa1
1Brighton and Sussex Medical School and Queen Victoria Hospital, East Grinstead, United Kingdom.
Insights
Child burn injuries create significant financial burdens for parents, particularly those with lower incomes. Parents perceived a greater impact than their children, highlighting a need for targeted support.
Area of Science:
- Pediatric burn care
- Outpatient clinical research
- Social determinants of health
Background:
- Child burn injuries present unique challenges for families.
- The outpatient setting is a critical juncture for assessing patient and family well-being.
- Limited data exists on the multifaceted impacts of pediatric burns in an outpatient context.
Purpose of the Study:
- To investigate the social and economic consequences of pediatric burn injuries.
- To gather empirical data on the experiences of children and parents in outpatient burn care.
- To identify specific parental groups requiring additional support.
Main Methods:
- A pilot study involving 52 parents of pediatric burn patients at a dedicated burns outpatient department.
- Data collection through parent questionnaires and extraction from children's medical records.
- Quantitative statistical analysis and qualitative manual content analysis were employed.
Main Results:
- Financial burden, primarily travel costs, significantly impacted parents, especially lower-income households.
- Self-employed parents and those with frequent appointments faced notable difficulties.
- Minimal social impact was observed on children, possibly due to the minor nature of burns (mean partial thickness, median 1.0% TBSA).
Conclusions:
- Parents reported a more substantial impact from their child's burn injury compared to the children themselves.
- Specific parental demographics and circumstances necessitate tailored support strategies.
- The findings underscore the importance of addressing socioeconomic factors in pediatric burn management.
Objective:
This pilot study aimed to gain empirical data on the social and economic impacts of child burns on children and parents, in the context of the outpatient setting.
Method:
A questionnaire was completed by 52 parents of paediatric patients attending the burns outpatient department at Queen Victoria Hospital (QVH), East Grinstead, for at least the third time. Children's medical notes were used to extract demographic and medical data. Quantitative data was analyzed statistically and qualitative data was analyzed manually using content analysis.
Results:
The financial burden related to the injury posed the greatest impact on parents, and was mainly associated with making the journey to the hospital, with lower income households being most affected. Self-employed parents and those who had to attend more than 6 hospital appointments also ran into difficulties. On the whole, there was not a considerable social impact on the burn-injured child, which may reflect the minor nature of burns in this study (mean depth partial thickness, median TBSA 1.0%).
Conclusion:
Parents were shown to perceive a greater impact from their child's burn injury than their child. Certain groups of parents were identified as requiring additional support following the burn injury.
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