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Published on: February 23, 2024
The Epidemiology of Stunted Growth in Refugee Patients with Chronic Burn Injuries
Kareem W Makkawi1, Marwan S Hajjar2, Dunia E Hatabah2
1Department of Surgery, Division of Plastic Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Insights
Stunting affects 9.2% of Syrian refugee children with chronic burn injuries. Early burn injury management is crucial to prevent stunting and its associated health consequences in this vulnerable population.
Area of Science:
- Pediatric Medicine
- Public Health
- Trauma Surgery
Background:
- Chronic burn injuries pose significant health risks to children.
- Syrian refugee children face unique challenges, including potential developmental impacts.
- Stunted growth is a critical indicator of long-term health and development.
Purpose of the Study:
- To determine the prevalence of stunted growth in Syrian refugee children with chronic burn injuries.
- To compare stunting rates between children with and without burn injuries within a similar socioeconomic context.
- To identify factors associated with stunting in this population.
Main Methods:
- Retrospective medical chart review of 142 Syrian refugee children (≤18 years) with chronic burn injuries (2014-2020).
- Utilized height-for-age z-score to measure stunted growth.
- Compared outcomes with a control group of children (±burn) of similar socioeconomic status.
Main Results:
- The prevalence of stunting was 9.2% in the studied Syrian refugee children.
- The mean height-for-age z-score was -0.491 (SD = 1.1).
- Stunting was more prevalent in children who sustained burn injuries at a younger age; no significant sex differences were observed.
Conclusions:
- Early and effective management of burn injuries is essential to mitigate the risk of stunting in young children.
- Targeted interventions and research are needed to address stunting in pediatric refugee populations.
- Addressing stunting is vital to prevent long-term health and economic consequences for refugee children.
Abstract:
The aim of this study is to identify the prevalence of stunted growth in Syrian refugee children with chronic burn injuries and to compare it to other children (±burn) of similar socioeconomic status. This is a retrospective medical chart review conducted on 142 Syrian refugee children (≤18 years of age) who have sustained war-related and nonwar-related chronic burn injuries between 2014 and 2020. Stunted growth was measured using the height-for-age z score. The majority of burn injuries were among children below 5 years of age. The prevalence of stunting was 9.2% in our sample, with an overall mean z-score of -0.491 (SD = 1.1). There was no statistically significant difference in z-scores between males and females. The majority of stunted patients are those who sustain their burn injuries at an early age. Early management of burn injuries is key in preventing adverse outcomes associated with stunting. Further research, planning, funding, and targeted interventions are required by stakeholders to alleviate the burden of stunting in the pediatric refugee population, along with the health and economic consequences that it entails.
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