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Paediatric electrical burn injuries: experience from a tertiary care burns unit in North India

S Srivastava1, A N Patil1, M Bedi1

  • 1Department of Burns and Plastic Surgery, Sawai Man Singh Medical College and Hospital, Jaipur, India.

Annals of Burns and Fire Disasters
|June 1, 2018
PubMed

Insights

Paediatric electrical burn injuries cause significant harm, with high voltage burns and longer hospital stays linked to poor outcomes. Prevention through education and safety measures is crucial.

Area of Science:

  • Pediatric Burn Care
  • Electrical Injury Medicine
  • Trauma Surgery

Background:

  • Electrical burn injuries in children are infrequent but lead to severe morbidity and lasting psychosocial effects.
  • Understanding the specific characteristics and outcomes of paediatric electrical burns is essential for targeted interventions.

Purpose of the Study:

  • To evaluate the epidemiology, treatment, and outcomes of electrical burn injuries in children admitted to a tertiary care burns unit.
  • To identify factors associated with unfavourable outcomes in paediatric electrical burn patients.

Main Methods:

  • Retrospective review of 77 paediatric electrical burn cases admitted over 12 months (January 2016 - December 2016).
  • Analysis of patient demographics, burn characteristics (voltage), interventions (amputation, skin grafting, flap cover), and outcomes (mortality, morbidity).

Main Results:

  • High voltage burns predominated, affecting older children more frequently (Male:Female ratio 4.1:1).
  • Interventions included amputation (23%), skin grafting (67%), and flap cover (37%).
  • Unfavourable outcomes occurred in 32% of patients, with a 7.8% mortality rate, significantly associated with high voltage and longer hospital stays.

Conclusions:

  • Electrical burn injuries in children have a substantial impact, necessitating focused preventive strategies.
  • Simple measures like parental education, improved healthcare infrastructure, and adherence to safety regulations can mitigate the incidence and severity of these injuries.

Keywords:
burnelectricalpaediatricprevention

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