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Published on: November 17, 2021
Pediatric electrical injury in Turkey: Five year retrospective hospital-based study
Semanur Ozdel1, Evrim Kargın Cakıcı1, Tülin Revide Sayli1
1Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Ankara, Turkey.
Insights
Young children under 4 are most at risk for electrical injuries at home. High-voltage exposure in children leads to elevated enzyme levels, emphasizing the need for increased home safety precautions and education.
Area of Science:
- Pediatric Emergency Medicine
- Environmental Health
- Toxicology
Background:
- Electrical injuries are a significant concern in pediatric emergency departments.
- Understanding the epidemiology and complications of pediatric electrical injuries is crucial for effective management.
Purpose of the Study:
- To evaluate pediatric patients presenting with electrical injuries.
- To identify common complications and necessary preventive measures for electrical injuries in children.
Main Methods:
- Retrospective review of medical records for pediatric patients admitted with electrical injury from January 2007 to January 2012.
- Data collected included demographics, clinical features, exposure details, and laboratory findings (e.g., CPK, CK-MB, LDH, AST, ALT).
Main Results:
- Children aged 4 and under represented the most affected group.
- High-voltage exposure was associated with significantly higher levels of muscle-derived enzymes (CPK, CK-MB) and liver enzymes (LDH, AST, ALT) compared to low-voltage exposure.
- No fatalities were reported among the studied pediatric patients.
Conclusions:
- The majority of pediatric electrical injuries occur within the home environment.
- Implementing enhanced safety measures at home is critical for reducing the incidence of electrical shock injuries in children.
- Educational initiatives targeting children and families are essential for prevention.
Background:
We aimed to evaluate children who presented with electrical injury to the emergency department. We tried to reveal the complications of these patients and the measures to be taken in this regard.
Methods:
Medical records of pediatric patients who were admitted with electrical injury to emergency department between January 2007 and January 2012 were retrospectively reviewed. An information form was completed about demographic data, clinical features, exposure place, electrical current type, clinical course, duration of hospitalization, electrocardiography, echocardiography and other systems findings.
Results:
Children who were the most exposed to electrical injury were children 4 years and under. While low-voltage current exposure was more common in younger ages, high-voltage current exposure was more common in older ages. Most of our patients (%72) were exposed to low voltage. Patients who exposed to high-voltage electricity had significantly higher levels of CPK, CK-MB, LDH, AST, and ALT compared to patients who were exposed to low voltage electricity. None of the patients have died.
Conclusion:
Young children are often exposed to electric shock at home. Increasing precautions to be taken at home reduces electrical shock injuries. Children and especially families should be educated in this regard.
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