Prevalence of Acute Pediatric Burns in a Tertiary Care Hospital

Kiran Kishor Nakarmi1, Bishnu Deep Pathak2

  • 1Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kathmandu, Nepal.

Insights

Pediatric burn injuries are a significant concern, with most occurring domestically and preventable. This study found a 29.71% prevalence of acute pediatric burns in a hospital setting, with a high mortality rate, emphasizing the need for household-level prevention.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Epidemiology

Background:

  • Pediatric burn injuries represent a major global cause of mortality and morbidity, particularly in developing nations.
  • A significant proportion of these injuries are preventable, often occurring in domestic environments.
  • Understanding the local prevalence and characteristics of pediatric burns is crucial for targeted prevention strategies.

Purpose of the Study:

  • To determine the prevalence of acute pediatric burns within a hospital setting.
  • To identify the demographic characteristics, etiologies, and circumstances surrounding pediatric burn injuries.
  • To inform public health initiatives and clinical management of childhood burns.

Main Methods:

  • A descriptive cross-sectional study analyzed secondary data from pediatric burn admissions between 2016 and 2018.
  • Data were collected from a tertiary care hospital following ethical approval.
  • Statistical analysis included calculating point prevalence with 95% Confidence Intervals and descriptive statistics for demographic and injury-related factors.

Main Results:

  • The prevalence of acute pediatric burns in the hospital setting was 29.71% (95% CI: 24.85-34.57).
  • The majority of affected children were males (53.47%) and toddlers (38.61%).
  • Scalding (53.47%) was the primary cause, with most injuries (75.25%) occurring indoors. The mortality rate was 10.89%.

Conclusions:

  • While the hospital prevalence of pediatric burns was lower than in many countries, the associated mortality rate was notably higher.
  • The findings underscore the critical role of household-level burn prevention strategies.
  • Enhancing the availability of emergency medical services for childhood burns nationwide is recommended.
Abstract

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