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Published on: February 23, 2024
Trauma mechanisms and injury patterns in pediatric burn patients
Theres Moehrlen1, Thomas Szucs1, Markus A Landolt2
1Institute of Social- and Preventive Medicine, University of Zurich, Switzerland.
Insights
Pediatric burn injuries are most common in children under five, with scalds and contact burns prevalent in younger children and flame burns in older ones. Understanding these age-dependent patterns is key for effective prevention strategies.
Area of Science:
- Pediatric Burn Research
- Injury Prevention Science
- Childhood Accident Analysis
Background:
- Burn injuries represent a significant cause of morbidity in children.
- Understanding the specific mechanisms and patterns of pediatric burns is crucial for targeted interventions.
Purpose of the Study:
- To analyze the frequency, severity, patterns, and mechanisms of acute burn injuries in pediatric patients.
- To identify age-specific risk factors and injury types in children.
Main Methods:
- Retrospective review of patient records for children with acute burns.
- Data collected from the University Children's Hospital of Zurich over an 11-year period.
Main Results:
- Children under five years old constituted the highest-risk age group (69%).
- Scald and contact burns were predominant in infants and toddlers, while flame burns affected older children (over 9 years).
- Hot liquid scalds commonly affected the face, trunk, and arms; flame injuries often resulted from accelerants or flammable substances, impacting the face and arms.
Conclusions:
- Burn etiology in children is strongly age-dependent.
- The study highlights the diverse nature of burn accidents and injuries in pediatric populations.
- Findings provide a basis for developing specific prevention programs targeting identified high-risk groups and scenarios.
Abstract:
The objective of this study was to evaluate the frequency, severity, exact patterns and mechanisms of burn injuries in children. The patient records of children with acute burns admitted to the University Children's Hospital of Zurich were retrospectively reviewed over an 11year period. The age group with the highest risk, were children under the age of five (69%). Boys were overrepresented in all age groups, but the gender imbalance increased with age. Infants and toddlers were mainly injured by scalds and contact burns. Conversely, almost three quarters of injuries over the age of 9 were caused by flame. The majority of scald injuries was a result of pulling down hot liquids. The typical distribution of this accident scenario involved mainly the face, trunk and arms. More than half of all flame injuries occurred due to fire accelerants. 55% of children were passively involved while other children throwing flammable substances into a fire. Most of these injuries involved the face and arms. This study shows that burn etiology is age dependent. Additionally, our results demonstrate the diversity of burn accidents and their resulting injuries. These findings may help better specify target groups and subjects for prevention.
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