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Published on: February 23, 2024
Incidence and risk factors of burn injuries among infants, Finland 1990-2010
Elina Laitakari1, Virve Koljonen2, Risto Rintala1
1Department of Pediatric Surgery, Children's Hospital, Helsinki University Central Hospital, Helsinki, Finland.
Insights
Infant burn injuries, including scalds and contact burns, have increased in Finland. High-risk infants include boys aged 9-12 months, born to young, low-socioeconomic status mothers. Preventative measures are crucial.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Burn injuries pose a significant threat to infants under one year of age.
- Understanding incidence, mechanisms, treatment, and risk factors is crucial for prevention.
Purpose of the Study:
- To investigate the incidence, mechanisms, treatment, and risk factors of burn injuries in infants (<1 year) in Finland.
- To identify trends and high-risk populations for targeted interventions.
Main Methods:
- Utilized national registers: National Hospital Discharge Register (NHDR), Finnish Medical Birth Register, and Cause of Death Register.
- Analyzed data from 1990-2011, including 1842 burn-injured infants.
- Correlated burn data with birth and maternal factors.
Main Results:
- Overall incidence of burn admissions (inpatient and outpatient) increased significantly (p<0.05) during the study period.
- Major risk factors identified: male gender, parity, mother's young age, and low socioeconomic status.
- Scalds and contact burns were most common; injury severity and surgical treatment needs increased with age, peaking at 9-12 months.
Conclusions:
- Burn injury incidence in Finnish infants under one year has risen in recent decades.
- First-born, 9- to 12-month-old boys of young, low-SES mothers face the highest risk.
- Enhanced preventative strategies are urgently needed to mitigate infant burn injuries.
Background:
Our aim was to study the incidence, mechanisms, treatment, and risk factors of burn injuries in infants younger than 1 year.
Methods:
Data on burn-injured infants during 1990-2011 in Finland came from the National Hospital Discharge Register (NHDR). Information on birth and maternal-related factors came from the Finnish Medical Birth Register, and data on fatal injuries from the Cause of Death Register of Finland.
Results:
This study included 1842 children, female to male 1:1.5. The annual overall incidence of inhospital and outpatient admissions increased during the study period (p<0.05). Major risk factors were male gender, parity, and the mother's socioeconomic status and young age. The most common causes were scalds and contact burns. Severity of the injury increased along with increasing age, and children aged 9-12 months had the highest prevalence of surgical treatment.
Conclusions:
Burn injury incidence in children under 1 year has increased during recent decades in Finland. First-born 9- to 12-month-old boys of young mothers of low socioeconomic status are at higher risk of burn injuries. Preventative work needs strengthening to reduce infant burn injuries.
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