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Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
Published on: November 6, 2018
Epidemiology of pediatric burns in southwest China from 2011 to 2015
Haisheng Li1, Song Wang1, Jianglin Tan1
1Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Southwest Hospital, Third Military Medical University, Chongqing, China.
Insights
Pediatric burns in southwest China are most common in children under five, primarily caused by scalds and flames. Prevention strategies should focus on these types and identified risk factors to reduce incidence and improve outcomes.
Area of Science:
- Pediatric burn epidemiology
- Injury prevention research
- Public health
Background:
- Burns represent a significant global childhood injury burden.
- Understanding pediatric burn characteristics in specific regions is crucial for targeted interventions.
Purpose of the Study:
- To investigate the epidemiology, outcomes, costs, and risk factors associated with pediatric burns in southwest China.
Main Methods:
- A retrospective study analyzing data from 2478 pediatric burn patients treated between 2011 and 2015.
- Data collected included demographics, injury details, clinical information, and patient outcomes.
Main Results:
- The majority of pediatric burn patients (85.55%) were under five years old, with scalds (79.06%) and flame burns (14.0%) being the most frequent types.
- Electrical burns, older age, larger total body surface area (TBSA), and full-thickness burns were associated with increased operative interventions.
- The study recorded a mortality rate of 0.24%, with median length of stay at 14 days and median cost at 9541 CNY. TBSA, number of operations, burn depth, and outcome were key factors influencing length of stay and cost.
Conclusions:
- Scald and flame burns are the primary targets for prevention in children under five in southwest China.
- Future prevention efforts should address identified risk factors to mitigate the impact of pediatric burns.
Background:
Burns are a major form of injury in children worldwide. This study aimed to investigate the epidemiology, outcome, cost and risk factors of pediatric burns in southwest China.
Methods:
This retrospective study was performed at the Institute of Burn Research of the Third Military Medical University from 2011 to 2015. Data, including demographic, injury-related, and clinical data and patient outcome, were collected from medical records.
Results:
A total of 2478 children with burns (58.03% boys), accounting for 39.2% of total burn patients, were included. The average age of the burn patients was 2.86±2.86years, and most patients (85.55%) were under five years old. The incidence of burns peaked in January, February and May. Scald burns were the most frequent (79.06%), followed by flame burns (14.0%) and electrical burns (3.35%). Limbs were the most common burn sites (69.73%), and the average total body surface area (TBSA) was 11.57±11.61%. The percentage of children who underwent operations and the number of operations were significantly increased in cases of electrical burns, the older-age group, a larger TBSA and full-thickness burns. Six deaths were recorded, yielding a mortality of 0.24%. The median length of stay and cost were 14days and 9541 CNY, respectively, and the major risk factors for length of stay and cost were the TBSA, number of operations, full-thickness burns and outcome.
Conclusions:
In southwest China, among children under five years old, scald and flame burns should become the key prevention target, and future prevention strategies should be based on related risk factors.
