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.

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